NICHOLAS CHARLES CAMERON DO
NPI 1801353990
Otolaryngology - Plastic Surgery within the Head & Neck in Grand Rapids, MI

NPI Status: Active since February 25, 2019

Contact Information

739 E BELTLINE AVE NE
GRAND RAPIDS, MI
ZIP 49525
Phone: (616) 994-2770
Fax: (616) 920-6533

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  • Individual
  • Male
  • Years of Experience 7
  • Otolaryngology
  • Plastic Surgery within the Head & Neck
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About NICHOLAS CAMERON

This page provides the complete NPI Profile along with additional information for Nicholas Cameron, a provider established in Grand Rapids, Michigan with a medical specialization in Otolaryngology, focusing in plastic surgery within the head & neck and more than 7 years of experience. He graduated from Touro Un Col Of Osteopathic Medicine, New York in 2019. The healthcare provider is registered in the NPI registry with number 1801353990 assigned on February 2019. The practitioner's primary taxonomy code is 207YX0007X with license number 5101027798 (MI). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1801353990
Provider Name
NICHOLAS CHARLES CAMERON DO
Gender
Male
Entity Type
Individual
Location Address
739 E BELTLINE AVE NE GRAND RAPIDS, MI 49525
Location Phone
(616) 994-2770
Location Fax
(616) 920-6533
Mailing Address
3100 N WELLNESS DR HOLLAND, MI 49424
Mailing Phone
(616) 994-2770
Medical School Name
TOURO UN COL OF OSTEOPATHIC MEDICINE, NEW YORK
Graduation Year
2019
Is Sole Proprietor?
Yes
Enumeration Date
02-25-2019
Last Update Date
12-12-2024
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Location Map

Secondary Locations

  • 3501 Rivertown Point Ct SW
    Grandville, MI 49418
    (616) 994-2770

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Otolaryngology Plastic Surgery within the Head & Neck

Taxonomy Code
207YX0007X
Type
Allopathic & Osteopathic Physicians
License No.
5101027798
License State
MI
Taxonomy Description
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Cross� Preferred HMO Bronze Extra - HMO
  • Blue Cross� Preferred HMO Bronze Saver HSA - HMO
  • Blue Cross� Preferred HMO Bronze Secure - HMO
  • Blue Cross� Preferred HMO Gold - HMO
  • Blue Cross� Preferred HMO Gold Extra - HMO
  • Blue Cross� Preferred HMO Silver - HMO
  • Blue Cross� Preferred HMO Silver Extra - HMO
  • Blue Cross� Preferred HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Value - HMO
  • Blue Cross� Select HMO Bronze Extra - HMO
  • Blue Cross� Select HMO Bronze Saver HSA - HMO
  • Blue Cross� Select HMO Bronze Secure - HMO
  • Blue Cross� Select HMO Silver - HMO
  • Blue Cross� Select HMO Silver Extra - HMO
  • Blue Cross� Select HMO Silver Saver - HMO
  • Blue Cross� Select HMO Value - HMO
  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Nicholas Cameron is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Nicholas Cameron is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 8123360955

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20240724003583

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1801353990
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2801656918
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 0 + 1 + 6 + 5 + 6 + 9 + 1 + 8 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1801353990 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1174667950 DAVID J. HUYSER D.D.S., M.S.
Individual
Dentist (Orthodontics and Dentofacial Orthopedics)739 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525
(616) 957-0909
1689365231 KARLINA BAILEY DIDION AU.D.
Individual
Audiologist739 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525
(616) 994-2770
1386094761DR. ANTHONY LYNN HOWARD D.O.
Individual
Otolaryngology (Facial Plastic Surgery)739 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525
(616) 994-2770
1629573662 JOHN B RILEY DO
Individual
Otolaryngology (Facial Plastic Surgery)739 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525
(616) 994-2770
1780365460 ZOE LIONAS PRIDNIA AU.D.
Individual
Audiologist739 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525
(616) 994-2770

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801353990, enumerated in the NPI registry as an "individual" on February 25, 2019

The provider is located at 739 E Beltline Ave Ne Grand Rapids, Mi 49525 and the phone number is (616) 994-2770

The provider's speciality is Otolaryngology with taxonomy code 207YX0007X with a focus in Plastic Surgery within the Head & Neck

The provider has more than 7 years of experience. He graduated from Touro Un Col Of Osteopathic Medicine, New York in 2019.

The provider might be accepting Accepts: Blue Care Network of Michigan and Blue Cross Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on February 25, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.