Active NPI 1336261395 Individual Practitioner Male Practitioner

Dr. Gary David Poelman , MD

General Practice • Grand Rapids, MI

Professional Overview & Biography Verified Profile Summary

Dr. Gary Poelman, MD is a registered healthcare professional specializing in General Practice in Grand Rapids, MI. Practice services are available at 3355 EAGLE PARK DR NE under active NPI credentials.

Frequently performed procedures and clinical services include established patient assisted living visit, chronic care management services, first, physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3355 Eagle Park Dr Ne
Ste103

Grand Rapids, MI 495257004

Telephone 6169427400

Associated Practice Facility / Clinic

🏢 Professional Pain Management Pc Facility NPI 1225212996

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Grand Rapids, MI

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 9.3 Yrs

State Avg: 29.4 Yrs

Regional Practice Density

12 Specialists

Practicing in Grand Rapids, MI (445 Statewide)

Telehealth Adoption Rate

8.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

35.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99336 Established patient assisted living visit, typically 40 minutes	709	207	$203.00	$133.89
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	280	104	$65.00	$40.76
99335 Established patient assisted living visit, typically 25 minutes	250	121	$143.00	$94.89
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	223	95	$62.00	$39.51
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	182	161	$81.00	$51.80
99442 Telephone medical discussion with physician, 11-20 minutes	139	107	$110.00	$72.22
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	103	103	$175.00	$112.61
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	91	47	$193.00	$127.91
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	49	48	$42.00	$29.23
G0008 Administration of influenza virus vaccine	49	48	$35.00	$16.10
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	45	36	$38.00	$13.81
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	39	32	$5.00	$2.11
99337 Established patient assisted living visit, typically 60 minutes	18	18	$291.00	$193.49
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	14	13	$126.00	$83.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99336 Established patient assisted living visit, typically 40 minutes	1,009	268	$203.00	$133.54
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	547	139	$65.00	$40.46
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	334	166	$62.00	$39.63
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	300	248	$81.00	$51.39
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	136	136	$175.00	$112.60
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	89	38	$193.00	$127.32
G0008 Administration of influenza virus vaccine	63	62	$35.00	$15.78
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	62	62	$41.37	$27.57
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	58	38	$38.00	$16.01
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	51	34	$5.00	$1.80
99328 New patient custodial care facility, group care, or assisted living visit, typically 75 minutes	19	19	$327.00	$216.90
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	17	13	$113.00	$88.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99336 Established patient assisted living visit, typically 40 minutes	1,064	217	$203.00	$132.50
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	649	174	$65.00	$40.64
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	472	218	$62.00	$39.85
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	336	275	$81.00	$51.62
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	133	40	$193.00	$125.85
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	119	119	$175.00	$111.92
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	99	69	$38.00	$19.43
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	90	65	$5.00	$1.96
G0008 Administration of influenza virus vaccine	53	53	$35.00	$19.33
90756 Vaccine for influenza for injection into muscle	52	52	$34.00	$22.33
99328 New patient custodial care facility, group care, or assisted living visit, typically 75 minutes	23	23	$327.00	$213.55
99345 Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes	11	11	$332.00	$217.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99336 Established patient assisted living visit, typically 40 minutes	1,233	261	$203.00	$131.27
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	704	215	$65.00	$40.48
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	496	228	$62.00	$39.39
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	365	315	$81.00	$51.41
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	177	106	$38.00	$23.92
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	170	102	$5.00	$3.07
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	156	68	$193.00	$124.39
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	142	142	$175.00	$110.58
G0008 Administration of influenza virus vaccine	61	61	$35.00	$23.79
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	60	60	$29.00	$23.57
99328 New patient custodial care facility, group care, or assisted living visit, typically 75 minutes	58	58	$327.00	$212.48
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	33	33	$260.00	$163.80
81002 Urinalysis, manual test	20	18	$5.00	$3.43
99345 Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes	11	11	$332.00	$212.62

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License MI GP043454

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Emergency Medicine - Emergency Medical Services

NUCC Taxonomy Code: 207PE0004X

State License MI GP043454

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

Family Medicine - Geriatric Medicine

NUCC Taxonomy Code: 207QG0300X

State License MI GP043454

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcbs

0107001012

Commercial Insurance / Payer ID Aetna

40099285

Commercial Insurance / Payer ID Phcs

152750

Commercial Insurance / Payer ID Cchmo,ccppo,mercy

117141PC

Commercial Insurance / Payer ID Priority Health

B43739

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners

Kathi Lotterman , PA-C

Physician Assistant

NPI 1043291941

Physician Assistant (Certified)

Mark Gillette , PA-C

Physician Assistant

NPI 1043482680

Physician Assistant (Certified)

Dr. Michael Borgeld , MD

Internal Medicine

NPI 1073614251

Doctor of Medicine (M.D.)

Robert Schmitt , PA-C

Physician Assistant - Medical

NPI 1144232505

Physician Assistant (Certified)

Kimberly Decker , PA

Physician Assistant

NPI 1164472619

Physician Assistant

Michelle Gingrich , NP-C

Nurse Practitioner - Family

NPI 1356861801

Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active September 14, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location September 14, 2015

Registered at 3355 EAGLE PARK DR NE, STE103, GRAND RAPIDS, MI 495257004 (Tel: 6169427400)

📍

Updated Business Mailing Address September 14, 2015

Registered at 3713 NORTON HILLS RD, NORTON SHORES, MI 494414469

👤

Provider Name / Credentials Updated September 14, 2015

Recorded as GARY POELMAN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2015

Emergency Medicine (License #GP043454 in MI)

🟢

Initial NPI Registration & Enumeration April 03, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336261395

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 03, 2007

Last Update: September 14, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3713 Norton Hills Rd

Norton Shores, MI 494414469

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.