DONNA HAROLD MD
NPI 1982645644
Pediatrics in Grand Rapids, MI

Active since June 10, 2006PECOS EnrolledAccepts Medicare Assignment
426 MICHIGAN ST NE, GRAND RAPIDS, MI 49503(616) 267-7888 Get Directions Write a Review

NPPES record last updated: March 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2021, Jun 6, 2017 (2 updates tracked since 2017).

About Donna Harold Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DONNA HAROLD MD (NPI 1982645644) is an individual pediatrics provider in Grand Rapids, Michigan, licensed in Michigan (4301087171) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Michigan State University College Of Human Medicine (2002).

NPPES Registry Identity

NPI1982645644
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDONNA HAROLDCredential: MD
Location Address426 MICHIGAN ST NEGrand Rapids, MI 49503-5609
Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2002
Enumeration DateJune 10, 2006
Last NPPES UpdateMarch 17, 20212 updates tracked since enumeration
NPPES CertifiedMarch 17, 2021
NPI 1982645644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in MI · 4301087171
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4301087171 (MI)
426 MICHIGAN ST NE, Grand Rapids, MI 49503

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Donna Harold Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42214389
PECOS Enrollment IDI20060829000363
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
88 services72 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
50 services50 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
25 services23 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
426 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Nurse Practitioner
426 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Advanced Practice Midwife
426 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Durable Medical Equipment & Medical Supplies
426 MICHIGAN ST NE, SUITE 101
GRAND RAPIDS, MI 49503
Family Medicine
426 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Obstetrics & Gynecology
426 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Physician Assistant (Medical)
426 MICHIGAN ST NE, SUITE 201
GRAND RAPIDS, MI 49503
Nurse Practitioner (Adult Health)
426 MICHIGAN ST NE
GRAND RAPIDS, MI 49503

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Donna Harold's NPI number?

The NPI number for Donna Harold is 1982645644. It was assigned to this individual provider in the NPPES registry on June 10, 2006.

Where is Donna Harold located?

Donna Harold practices at 426 Michigan St NE, Grand Rapids, MI 49503. The listed phone number is (616) 267-7888.

What is Donna Harold's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Donna Harold enrolled in Medicare?

Yes. Donna Harold is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Donna Harold accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Donna Harold as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Donna Harold affiliated with any hospitals?

According to CMS data, Donna Harold is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for Donna Harold was last updated on March 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.