DR. ADAM MICHAEL ANDERSON (MD) – Emergency Medicine Physician, NPI 1003805268

DR. ADAM MICHAEL ANDERSON (MD) is a healthcare provider. based in Grand rapids, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 41087 (CO). The NPI Number for DR. ADAM MICHAEL ANDERSON (MD) is 1003805268

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. ADAM MICHAEL ANDERSON (MD)
NPI
1003805268
Phone
(616) 685-6781
Address
PO BOX 3578
Enumeration Date
19 October 2005
Last Update Date
19 September 2016

Doctor Profile

Medical School Name
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Secondary Phone
6166853900
Graduation Year
1999 (27 years ago)
PAC ID
9032181938
Group Practice PAC ID
3274425905
Professional Enrollment ID
I20101011000046
Address ID
MI493157974BY2373XSWXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

3,158 EMERGENCY MEDICINE in MI

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Provider Addresses for DR. ADAM MICHAEL ANDERSON (MD)

  • Grand Rapids Post Office, Northwest 5th Street, Grand Rapids, Itasca County, Minnesota, 55744, United States

    GRAND RAPIDS, MI 495013578

    Phone: (616) 685-6781

    Type: Mailing

  • Mercy Health Saint Mary's, 200, Jefferson Avenue Southeast, Heritage Hill Historic District, Grand Rapids, Kent County, Michigan, 49503, United States

    GRAND RAPIDS, MI 495034502

    Phone: (616) 685-5000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2024-01-31 • Largest payer in this snapshot: Fisher & Paykel Healthcare Inc ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-31

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-10-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101011000046IEmergency MedicineMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only5647$0
99285Emergency department visit with high level of medical decision making5252$0
99284Emergency department visit with moderate level of medical decision making2524$0
99291Critical care, first 30-74 minutes2424$0
View full utilization report →

Insurance plans in this area (ZIP 49501)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274425905View full group profile
NameSpecialtyState
Emergency MedicineMI
Physician AssistantMI
Emergency MedicineMI
Nurse PractitionerMI
Emergency MedicineMI
Physician AssistantMI
Physician AssistantMI
Emergency MedicineMI
Emergency MedicineMI
Physician AssistantMI

Reviews

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Frequently asked questions

What NPI should I save for DR. ADAM MICHAEL ANDERSON (MD)?
Save NPI 1003805268 if you need a stable reference for DR. ADAM MICHAEL ANDERSON (MD).
Is DR. ADAM MICHAEL ANDERSON (MD) active in the national directory?
DR. ADAM MICHAEL ANDERSON (MD)'s public NPI profile is in an active state.
Does DR. ADAM MICHAEL ANDERSON (MD) list a primary specialty?
If you are matching referrals, note Emergency Medicine Physician for DR. ADAM MICHAEL ANDERSON (MD). Clinical services aligned with this taxonomy classification.
What location shows for DR. ADAM MICHAEL ANDERSON (MD)?
We surface Grand Rapids, Michigan for DR. ADAM MICHAEL ANDERSON (MD) based on available NPPES addresses.
Is DR. ADAM MICHAEL ANDERSON (MD) a real provider?
This page reflects official NPPES data for NPI 1003805268. Always confirm identity and privileges with the practice and licensing boards.