DR. DAVID R ALFONSO (M.D.) – Plastic Surgery Physician, NPI 1093930190
Plastic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. DAVID R ALFONSO (M.D.)
220 LYON ST NW
SUITE 700
GRAND RAPIDS, MI 495032208
Phone: (616) 451-4500
Fax: (616) 451-9077
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 51 Open Payments records for all available years, with a total value of $1,409.
Total Amount is formed as General ($1,409) + Research ($0) + Ownership ($0) = $1,409.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($1,084).
Total Amount
$1,409
General + Research + Ownership
Payments
51
Total payment records
General Amount
$1,409
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,084 |
| REVANCE THERAPEUTICS, INC. | $241 |
| Merz North America, Inc. | $84 |
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: 2008-07-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080728000358 | I | Plastic And Reconstructive Surgery | MI | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 49503)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| General Surgery, Critical Care (Intensivists) | MI | |
| Pediatric Medicine | MI | |
| - | MI | |
| - | MI | |
| Hand Surgery | MN | |
| - | MI | |
| Internal Medicine | MI | |
| - | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI |
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