BYRON ROLF JR. HISSOM (MD) – Hospitalist Physician, NPI 1780653659

BYRON ROLF JR. HISSOM (MD) is a healthcare provider. based in Muskegon, Michigan. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 4301061003 (MI). The NPI Number for BYRON ROLF JR. HISSOM (MD) is 1780653659

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
BYRON ROLF JR. HISSOM (MD)
NPI
1780653659
Phone
(231) 672-3883
Address
1500 E SHERMAN BLVD
Enumeration Date
14 March 2006
Last Update Date
23 April 2022

Doctor Profile

Medical School Name
JC EDWARDS SCHOOL OF MEDICINE, MARSHALL UNIVERSITY
Secondary Phone
2316723883
Graduation Year
1988 (38 years ago)
PAC ID
0749201648
Group Practice PAC ID
2365439544
Professional Enrollment ID
I20051207000537
Address ID
MI494441849MU1500XBLVD400

Contacts

Secure Messaging
rhissom27902@direct.trinity-health.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

7,218 INTERNAL MEDICINE in MI

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Provider Addresses for BYRON ROLF JR. HISSOM (MD)

  • Mercy Health Mercy Campus, 1500, East Sherman Boulevard, Muskegon, Muskegon County, Michigan, 49444, United States

    MUSKEGON, MI 494441849

    Phone: (231) 672-3883

    Type: Location

  • 1560 E SHERMAN BLVD STE 240

    MUSKEGON, MI 494441854

    Phone: (231) 672-3883

    Fax: (231) 672-3973

    Type: Mailing

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

    MUSKEGON, MI 494431847

    Phone: (866) 611-1512

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $144.

Total Amount is formed as General ($144) + Research ($0) + Ownership ($0) = $144.

Last reported payment date: 2024-08-13 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($64).

Total Amount

$144

General + Research + Ownership

Payments

7

Total payment records

General Amount

$144

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-13

Latest reported date

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: 2005-12-07

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
I20051207000537IInternal 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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only454373$0
99291Critical care, first 30-74 minutes9650$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes6136$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes5857$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2219$0
View full utilization report →

Insurance plans in this area (ZIP 49444)

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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: 2365439544View full group profile
NameSpecialtyState
Internal Medicine, HospitalistIL
Osteopathic Manipulative Medicine, Emergency MedicineTX
Hospitalist, Internal MedicineMI
Clinical PsychologistCA
Physician AssistantMI
Physician AssistantMI
Physician AssistantMT
Physician AssistantMI
Internal MedicineMI
Internal MedicineMI

Reviews

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Frequently asked questions

Does BYRON ROLF JR. HISSOM (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — BYRON ROLF JR. HISSOM (MD) uses 1780653659.
Can I rely on BYRON ROLF JR. HISSOM (MD) being an active provider?
As of the registry snapshot, BYRON ROLF JR. HISSOM (MD) is marked active.
What healthcare role does BYRON ROLF JR. HISSOM (MD) hold?
Scheduling teams often label BYRON ROLF JR. HISSOM (MD) under Hospitalist Physician. Clinical services aligned with this taxonomy classification.
Does BYRON ROLF JR. HISSOM (MD) list a practice location?
Patients near Muskegon, Michigan may find BYRON ROLF JR. HISSOM (MD) in results; validate coverage separately.
Why does BYRON ROLF JR. HISSOM (MD) 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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