MARY DALLMAN BOYER (MD) – Emergency Medicine Physician, NPI 1396752218

MARY DALLMAN BOYER (MD) is a healthcare provider. based in Grand haven, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 4301055502 (MI). The NPI Number for MARY DALLMAN BOYER (MD) is 1396752218

Main info

Female
43 Years Of Experience
Accepts Medicare Assignment
Name
MARY DALLMAN BOYER (MD)
NPI
1396752218
Phone
(616) 296-9100
Address
1445 Sheldon Rd Ste 200
Enumeration Date
2 August 2006
Last Update Date
23 December 2025

Doctor Profile

Medical School Name
CHICAGO COLLEGE OF MEDICINE AND SURGERY
Secondary Phone
6162988124
Graduation Year
1983 (43 years ago)
PAC ID
7719087691
Group Practice PAC ID
6507225992
Professional Enrollment ID
I20070706000078
Address ID
MI494242183HO91XXXAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

3,158 EMERGENCY MEDICINE in MI

Provider Addresses for MARY DALLMAN BOYER (MD)

  • 1445 Sheldon Rd Ste 200

    Grand Haven, MI 494172479

    Phone: (616) 296-9100

    Fax: (616) 296-0145

    Type: Location

  • US Post Office - North Muskegon, 404, Center Street, North Muskegon, Muskegon County, Michigan, 49445, United States

    MUSKEGON, MI 49443

    Phone: (616) 975-1845

    Fax: (616) 975-1870

    Type: Mailing

  • 1400 MERCY DR STE 100

    MUSKEGON, MI 494441833

    Phone: (231) 733-1326

    Fax: (231) 733-5212

    Type: Mailing

  • Mercy Health Hackley Campus, 1700, Clinton Street, Muskegon, Muskegon County, Michigan, 49444, United States

    MUSKEGON, MI 49443

    Phone: (231) 728-4601

    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: 2007-07-06

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
I20070706000078IEmergency 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
99284Emergency department visit with moderate level of medical decision making162159$0
99285Emergency department visit with high level of medical decision making156153$0
99291Critical care, first 30-74 minutes5050$0
99283Emergency department visit with low level of medical decision making3131$0
View full utilization report →

Insurance plans in this area (ZIP 49417)

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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: 6507225992View full group profile
NameSpecialtyState
Physician AssistantMI
Nurse PractitionerMI
Physician AssistantIL
Physician AssistantMI
Emergency MedicineMI

Reviews

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Frequently asked questions

What is the standard ID for MARY DALLMAN BOYER (MD) in the U.S.?
In the U.S., MARY DALLMAN BOYER (MD) is identified by NPI 1396752218.
Is MARY DALLMAN BOYER (MD)'s NPI status active today?
Active status means MARY DALLMAN BOYER (MD)'s NPI record is not deactivated in the public file.
What services align with MARY DALLMAN BOYER (MD)'s listing?
MARY DALLMAN BOYER (MD)'s public classification highlights Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to MARY DALLMAN BOYER (MD)?
The directory associates MARY DALLMAN BOYER (MD) with Grand Haven, Michigan. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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