Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1487659827 Individual Practitioner Male Practitioner

Dr. John David Renucci , MD

Plastic Surgery • Grand Rapids, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Renucci, MD is a certified Plastic Surgery practicing in Grand Rapids, MI. With approximately 31 years of clinical experience since graduating from Columbia University College Of Physicians And Surgeons in 1995, Dr. Renucci delivers high-quality medical care to the local community at 220 LYON ST NW.

Dr. Renucci is affiliated with Plastic Surgery Associates Pc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

220 Lyon St Nw
Ste 700

Grand Rapids, MI 495032210

Telephone 6164514500
Fax 6164519077
Associated Practice Facility / Clinic
🏢 Plastic Surgery Associates Pc Facility NPI 1093899767

Medicare Profile & Education

Medical School

Columbia University College Of Physicians And Surgeons

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Grand Rapids, MI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
31 Yrs +7.8 yrs vs City Avg
City Avg: 23.2 Yrs
State Avg: 28.5 Yrs
Regional Practice Density
38 Specialists

Practicing in Grand Rapids, MI (186 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Renucci (31 Years) 31 Yrs
Grand Rapids Specialty Average (23.2 Years) 23.2 Yrs

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License MI 4301079486

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
4403942 (MI)

Hospital & Practice Group Affiliations

Plastic Surgery Associates Pc

220 Lyon St Nw, Grand Rapids, MI 495032210

Phone: 6164514500

Practice Associates & Co-Workers

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

7 Associated Practitioners
NPI 1003810425

Doctor of Medicine (M.D.)

Dr. David Alfonso , MD

Plastic Surgery

NPI 1093930190

Doctor of Medicine (M.D.)

NPI 1235133653

Doctor of Medicine (M.D.)

Dr. William Moore , MD

Plastic Surgery

NPI 1346244837

Doctor of Medicine (M.D.)

NPI 1447254867

Doctor of Medicine (M.D.)

NPI 1922002419

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 220 LYON ST NW, STE 700, GRAND RAPIDS, MI 495032210 (Tel: 6164514500)

📍
Updated Business Mailing Address July 08, 2007

Registered at 220 LYON ST NW, STE 700, GRAND RAPIDS, MI 495032210 (Tel: 6164514500)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN RENUCCI, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Plastic Surgery (License #4301079486 in MI)

🟢
Initial NPI Registration & Enumeration June 14, 2005

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: 1487659827
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2005
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

220 Lyon St Nw, Ste 700

Grand Rapids, MI 495032210

Phone: 6164514500

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.