DR. AILEEN ELIZABETH M AMPIL ANTONIO M.D.
NPI 1982991683
Psychiatry & Neurology - Neurology in Grand Rapids, MI

Active since July 01, 2011PECOS EnrolledAccepts Medicare Assignment
245 CHERRY ST SE, SUITE 204, GRAND RAPIDS, MI 49503(616) 685-5050(616) 685-3050 Get Directions Write a Review

NPPES record last updated: October 19, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Aileen Elizabeth M Ampil Antonio M.d. NPPES

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

DR. AILEEN ELIZABETH M AMPIL ANTONIO M.D. (NPI 1982991683) is an individual neurology provider in Grand Rapids, Michigan, licensed in Michigan (4301097930) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1982991683
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameDR. AILEEN ELIZABETH M AMPIL ANTONIOCredential: M.D.
Location Address245 CHERRY ST SE, SUITE 204Grand Rapids, MI 49503-4607
Mailing Address1900 44th St SeKentwood, MI 49508-5008 · Fax (616) 391-3130
Fax(616) 685-3050
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateJuly 1, 2011
Last NPPES UpdateOctober 19, 2016
NPI 1982991683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in MI · 4301097930
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedOphthalmologyTaxonomy 207W00000X · License 4301097930 (MI)
245 CHERRY ST SE, Grand Rapids, MI 49503

Other Names 1

Other Name (5)Dr. Aileen Antonio-santos M.d.

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

Dr. Aileen Elizabeth M Ampil Antonio M.d. 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 ID7214221191
PECOS Enrollment IDI20160816001533
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 8

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.

Exam to measure eye deviation and range of motion 92060
This is an eye exam that checks for any misalignment in your eyes, also known as deviation. It also assesses the movement range of your eyes. The procedure is painless and helps in detecting conditions like strabismus or other vision issues.
69 services51 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
64 services42 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
42 services18 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
36 services24 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
27 services24 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
22 services22 patients

Hospital Affiliations CMS Care Compare 3

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

Mercy Health Saint Mary's

Acute Care Hospitals · Grand Rapids, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230059
Location200 Jefferson Avenue SEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Trinity Health Muskegon Hospital

Acute Care Hospitals · Muskegon, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230066
Location1500 E Sherman BlvdMuskegon, MI 49441 · Muskegon 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
27%302 patients2/55-star benchmark: 95%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
98%819 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
88%309 patients3/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
27%425 patients2/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%343 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
67%554 patients3/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
33%533 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 95% · 218 patients
90%218 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
99%554 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
51%554 patients3/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
56%554 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Physician Assistant (Medical)
245 CHERRY ST SE, SUITE 202
GRAND RAPIDS, MI 49503
Neurological Surgery
245 CHERRY ST SE, SUITE 207
GRAND RAPIDS, MI 49503
Internal Medicine (Infectious Disease)
245 CHERRY ST SE, SUITE 306
GRAND RAPIDS, MI 49503
Family Medicine
245 CHERRY ST SE, STE 100
GRAND RAPIDS, MI 49503
Urology
245 CHERRY ST SE, SUITE 202
GRAND RAPIDS, MI 49503
Pediatrics
245 CHERRY ST SE, STE 306
GRAND RAPIDS, MI 49503
Nurse Practitioner (Adult Health)
245 CHERRY ST SE
GRAND RAPIDS, MI 49503
Obstetrics & Gynecology
245 CHERRY ST SE, STE 306
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 Aileen Elizabeth M Antonio's NPI number?

The NPI number for Aileen Elizabeth M Antonio is 1982991683. It was assigned to this individual provider in the NPPES registry on July 1, 2011. The provider is also known as Dr. Aileen Antonio-Santos M.D..

Where is Aileen Elizabeth M Antonio located?

Aileen Elizabeth M Antonio practices at 245 Cherry St SE Suite 204, Grand Rapids, MI 49503. The listed phone number is (616) 685-5050.

What is Aileen Elizabeth M Antonio's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Aileen Elizabeth M Antonio enrolled in Medicare?

Yes. Aileen Elizabeth M Antonio 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 Aileen Elizabeth M Antonio accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and Priority Health list Aileen Elizabeth M Antonio 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 Aileen Elizabeth M Antonio affiliated with any hospitals?

According to CMS data, Aileen Elizabeth M Antonio is affiliated with Spectrum Health, Mercy Health Saint Mary's and Trinity Health Muskegon Hospital.

When was this NPI record last updated?

The NPPES record for Aileen Elizabeth M Antonio was last updated on October 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.