DR. ADAM PASSENO (D.O.) – Emergency Medicine Physician, NPI 1053502542

DR. ADAM PASSENO (D.O.) is a healthcare provider. based in Grand rapids, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials D.O.. They hold a License No. 5315028124 (MI). The NPI Number for DR. ADAM PASSENO (D.O.) is 1053502542

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. ADAM PASSENO (D.O.)
NPI
1053502542
Phone
(616) 363-7867
Address
PO BOX 2184
Enumeration Date
8 August 2007
Last Update Date
21 August 2009

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
6162527200
Graduation Year
2005 (21 years ago)
PAC ID
8820199334
Group Practice PAC ID
6204802895
Professional Enrollment ID
I20070727000788
Address ID
MI495199606WY5900XSWXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

3,158 EMERGENCY MEDICINE in MI

Provider Addresses for DR. ADAM PASSENO (D.O.)

  • PO BOX 2184

    CERTIFIED EMERGENCY MEDICINE SPECIALISTS PC

    GRAND RAPIDS, MI 495012184

    Phone: (616) 363-7867

    Type: Mailing

  • 5900 BYRON CENTER SW

    METRO HEALTH HOSPITAL

    WYOMING, MI 49519

    Phone: (616) 252-7123

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2007-07-27

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
I20070727000788IEmergency 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
99285Emergency department visit with high level of medical decision making154148$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only10799$0
99284Emergency department visit with moderate level of medical decision making106101$0
99283Emergency department visit with low level of medical decision making2525$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: 6204802895View full group profile
NameSpecialtyState
-MI
Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineTX
Emergency MedicineMI
Emergency MedicineMI

Reviews

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Frequently asked questions

What federal number belongs to DR. ADAM PASSENO (D.O.)?
The federal identifier for DR. ADAM PASSENO (D.O.) is NPI 1053502542.
Is DR. ADAM PASSENO (D.O.)'s NPI currently valid?
The extract we use shows DR. ADAM PASSENO (D.O.) as active.
What field does DR. ADAM PASSENO (D.O.) work in?
You can think of DR. ADAM PASSENO (D.O.) as practicing within Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. ADAM PASSENO (D.O.)?
The page summarizes Grand Rapids, Michigan for DR. ADAM PASSENO (D.O.); expand the address list for detail.
Is DR. ADAM PASSENO (D.O.) a real provider?
This page reflects official NPPES data for NPI 1053502542. Always confirm identity and privileges with the practice and licensing boards.

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