BERNARD HENRY EISENGA (M.D.) – Medical Toxicology (Emergency Medicine) Physician, NPI 1407820590
Medical Toxicology (Emergency Medicine) Physician
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NPPES metrics only — not quality of care.
3,158 EMERGENCY MEDICINE in MI
Provider Addresses for BERNARD HENRY EISENGA (M.D.)
1840 Wealthy St SE
Grand Rapids, MI 495062921
Phone: (616) 391-1774
Type: Location
100 Michigan St NE
Grand Rapids, MI 495032560
Phone: (616) 391-1730
Type: Location
4100 EMBASSY DR SE STE 400
GRAND RAPIDS, MI 495462416
Phone: (616) 975-1845
Type: Mailing
275 MICHIGAN ST NE
GRAND RAPIDS, MI 495032531
Phone: (616) 391-3777
Fax: (616) 391-3755
Type: Location
Spectrum Health Butterworth Hospital, 100, Michigan Street Northeast, Grand Rapids, Kent County, Michigan, 49503, United States
MC 845
GRAND RAPIDS, MI 495032560
Phone:
Type: Mailing
25, Michigan Street Northeast, Grand Rapids, Kent County, Michigan, 49503, United States
SUITE 2100
GRAND RAPIDS, MI 495032515
Phone: (616) 391-3777
Fax: (616) 391-3787
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: 2004-03-23
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 |
|---|---|---|---|---|
| I20040323000683 | I | Emergency Medicine | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 127 | 85 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 28 | 27 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 28 | 28 | $0 |
Insurance plans in this area (ZIP 49506)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| EMERGENCY MEDICINE | MI | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 29 | 27 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Critical Care (Intensivists) | IL | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| - | MI | |
| Vascular Surgery | IL | |
| - | MI | |
| - | MI | |
| A N E S T H E S I O L O G Y | TX | |
| Clinical Social Worker | MI |
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