DR. COREY FELLOWS (D.O.) – Emergency Medicine Physician, NPI 1144640897

DR. COREY FELLOWS (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. 5101021187 (MI). The NPI Number for DR. COREY FELLOWS (D.O.) is 1144640897

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. COREY FELLOWS (D.O.)
NPI
1144640897
Phone
(616) 391-1730
Address
100 MICHIGAN ST NE
Enumeration Date
21 April 2014
Last Update Date
10 October 2017

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
6163911680
Graduation Year
2014 (12 years ago)
PAC ID
4183926603
Group Practice PAC ID
8628327384
Professional Enrollment ID
I20170627002176
Address ID
MI495032560GR100XXNEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

3,157 EMERGENCY MEDICINE in MI

Provider Addresses for DR. COREY FELLOWS (D.O.)

  • 100 MICHIGAN ST NE

    GRAND RAPIDS, MI 495032560

    Phone: (616) 391-1730

    Type: Location

  • 6071 W Outer Dr

    Detroit, MI 482352624

    Phone: (313) 966-1020

    Type: Location

  • 4100 EMBASSY DR SE STE 400

    GRAND RAPIDS, MI 495462416

    Phone: (616) 988-8220

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $40.

Total Amount is formed as General ($40) + Research ($0) + Ownership ($0) = $40.

Last reported payment date: 2024-03-21 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($26).

Total Amount

$40

General + Research + Ownership

Payments

2

Total payment records

General Amount

$40

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-21

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: 2017-06-27

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
I20170627002176IEmergency 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 making137137$0
99284Emergency department visit with moderate level of medical decision making8282$0
99291Critical care, first 30-74 minutes2727$0
View full utilization report →

Insurance plans in this area (ZIP 49503)

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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: 8628327384View full group profile
NameSpecialtyState
Emergency MedicineMI
-MI
-NE
-IL
Emergency MedicineMI
Emergency MedicineIL
Nurse PractitionerMI
Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineMI

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. COREY FELLOWS (D.O.)?
DR. COREY FELLOWS (D.O.) — NPI 1144640897 — is the standard way to identify this listing.
Does CMS list DR. COREY FELLOWS (D.O.) as active?
Yes — DR. COREY FELLOWS (D.O.) is active in the NPI listing used on this page.
What is DR. COREY FELLOWS (D.O.)'s specialty?
The listing groups DR. COREY FELLOWS (D.O.) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does DR. COREY FELLOWS (D.O.) serve?
DR. COREY FELLOWS (D.O.)'s listing highlights Grand Rapids, Michigan; more addresses can appear in NPPES.
Why does DR. COREY FELLOWS (D.O.) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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