Dr Dominic Pelle, - Medicare Orthopedic Surgery in Grand Rapids, MI

Dr Dominic Pelle, is a medicare enrolled "Orthopaedic Surgery" physician in Grand Rapids, Michigan. He went to Wayne State University School Of Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Cleveland Clinic Foundation and his current practice location is 1000 Monroe Ave Nw, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 685-6497.

Dr Dominic Pelle is licensed to practice in Michigan (license number 4301096986) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1184945453.

Contact Information

Dr Dominic Pelle,
1000 Monroe Ave Nw,
Grand Rapids, MI 49503-1455
(616) 685-6497
(616) 685-3033

Map and Direction




Physician's Profile

Full NameDr Dominic Pelle
GenderMale
SpecialityOrthopedic Surgery
Experience14 Years
Location1000 Monroe Ave Nw, Grand Rapids, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Dominic Pelle attended and graduated from Wayne State University School Of Medicine in 2010
  NPI Data:
  • NPI Number: 1184945453
  • Provider Enumeration Date: 06/21/2010
  • Last Update Date: 06/21/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 3274770755
  • Enrollment ID: I20160928000617

Medical Identifiers

Medical identifiers for Dr Dominic Pelle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184945453NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 4301096986 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cleveland ClinicCleveland, OHHospital
Hillcrest HospitalMayfield heights, OHHospital
Medina HospitalMedina, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cleveland Clinic Foundation18502035555680

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Dominic Pelle allows following entities to bill medicare on his behalf.
Entity NameThe Cleveland Clinic Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679525919
PECOS PAC ID: 1850203555
Enrollment ID: O20031103000049
Entity NamePartners Physician Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841239274
PECOS PAC ID: 4183529340
Enrollment ID: O20031202000183

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Dominic Pelle is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Dominic Pelle,
1000 Monroe Ave Nw,
Grand Rapids, MI 49503-1455

Ph: (616) 685-6497
Dr Dominic Pelle,
1000 Monroe Ave Nw,
Grand Rapids, MI 49503-1455

Ph: (616) 685-6497

Reviews and Comments


Orthopaedic Surgery Doctors in Grand Rapids, MI

Dr. Charles D Bukrey, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1111 Leffingwell Ave Ne, Suite 100, Grand Rapids, MI 49525
Phone: 616-459-7101    Fax: 616-464-6170
John Mahajan, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2770 E Beltline Ave Ne, Grand Rapids, MI 49525
Phone: 616-267-8860    
Walter M Braunohler, M.D.
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 4100 Lake Dr Se, Suite 300, Grand Rapids, MI 49546
Phone: 616-267-8860    Fax: 616-267-8442
Scott David Burgess, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1111 Leffingwell Ave Ne, Suite 200, Grand Rapids, MI 49525
Phone: 616-459-7101    Fax: 616-464-6170
Viet Huu Do, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1111 Leffingwell Ne, Suite 200, Grand Rapids, MI 49525
Phone: 616-459-7101    
Daniel Edward Hess, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2770 E Beltline Ave Ne, Grand Rapids, MI 49525
Phone: 616-267-8860    
Jacob Allen Lytle, DO
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2770 E Beltline Ave Ne, Grand Rapids, MI 49525
Phone: 616-267-8860    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.