DR. ALYSSA FEDORKO MD/PHD
NPI 1811516511
Physical Medicine & Rehabilitation in Greenville, MI

NPI Status: Active since April 13, 2020

Contact Information

707 S GREENVILLE WEST DR
GREENVILLE, MI
ZIP 48838
Phone: (616) 754-3001

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  • Individual
  • Female
  • Years of Experience 6
  • Physical Medicine & Rehabilitation
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About ALYSSA FEDORKO

This page provides the complete NPI Profile along with additional information for Alyssa Fedorko, a provider established in Greenville, Michigan with a medical specialization in Physical Medicine & Rehabilitation and more than 6 years of experience. The healthcare provider is registered in the NPI registry with number 1811516511 assigned on April 2020. The practitioner's primary taxonomy code is 208100000X with license number 4301512074 (MI). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1811516511
Provider Name
DR. ALYSSA FEDORKO MD/PHD
Gender
Female
Entity Type
Individual
Location Address
707 S GREENVILLE WEST DR GREENVILLE, MI 48838
Location Phone
(616) 754-3001
Mailing Address
100 MICHIGAN ST NE # MC845 GRAND RAPIDS, MI 49503
Medical School Name
OTHER
Graduation Year
2020
Is Sole Proprietor?
No
Enumeration Date
04-13-2020
Last Update Date
09-03-2024
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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

Physical Medicine & Rehabilitation

Taxonomy Code
208100000X
Type
Allopathic & Osteopathic Physicians
License No.
4301512074
License State
MI
Taxonomy Description
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.

Insurance Plans Accepted

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

  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • 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� 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
  • Bronze First - HMO
  • Bronze First Adult Vision & Fitness - HMO
  • Diabetes Gold - HMO
  • Diabetes Gold Adult Vision & Fitness - HMO
  • Diabetes Silver - HMO
  • Diabetes Silver Adult Vision & Fitness - HMO
  • Gold - HMO
  • Gold Adult Vision & Fitness - HMO
  • HDHP Preventive Silver - HMO
  • Healthy Heart Gold - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO
  • University of Michigan Health Plan HMO Exclusive Bronze - HMO
  • University of Michigan Health Plan HMO Exclusive Bronze HSA - HMO
  • University of Michigan Health Plan HMO Exclusive Bronze Standard - HMO
  • University of Michigan Health Plan HMO Exclusive Catastrophic - HMO
  • University of Michigan Health Plan HMO Exclusive Gold Classic - HMO
  • University of Michigan Health Plan HMO Exclusive Gold Select - HMO
  • University of Michigan Health Plan HMO Exclusive Gold Standard - HMO
  • University of Michigan Health Plan HMO Exclusive Silver - HMO
  • University of Michigan Health Plan HMO Exclusive Silver Select Plus - HMO
  • University of Michigan Health Plan HMO Exclusive Silver Standard - HMO

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

Medicare Participation & PECOS Enrollment Status

Alyssa Fedorko 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.

Alyssa Fedorko 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: 9638593619

    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: I20240710005068

    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

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Alyssa Fedorko is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
SPECTRUM HEALTH UNITED HOSPITAL615 S BOWER STREET
GREENVILLE, MI 48838
(616) 754-4691Acute Care Hospitals
SPECTRUM HEALTH100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
(616) 391-1774Acute Care Hospitals

Reviews for DR. ALYSSA FEDORKO MD/PHD

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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.
1811516511
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28211011252
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 2 + 1 + 1 + 0 + 1 + 1 + 2 + 5 + 2 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1811516511 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1316148695MICHIGAN MEDICAL PATIENT CARE
Organization
Durable Medical Equipment & Medical Supplies707 S GREENVILLE WEST DR
GREENVILLE, MI 48838
(616) 754-3001
1043540818MICHIGAN MEDICAL PATIENT CARE
Organization
Internal Medicine707 S GREENVILLE WEST DR
GREENVILLE, MI 48838
(616) 754-3001
1154630655SPECTRUM HEALTH PRIMARY CARE PARTNERS
Organization
Durable Medical Equipment & Medical Supplies707 S GREENVILLE WEST DR
GREENVILLE, MI 48838
(616) 754-3001
1235504770SPECTRUM HEALTH UNITED
Organization
Internal Medicine707 S GREENVILLE WEST DR
GREENVILLE, MI 48838
(616) 754-3001
1245358365MR. JAMES ANDREW MARTIN LMSW
Individual
Social Worker (Clinical)707 S GREENVILLE WEST DR
GREENVILLE, MI 48838
(616) 754-3001
1659335396DR. KEVIN T OCONNOR DO
Individual
Surgery707 S GREENVILLE WEST DR
GREENVILLE, MI 48838
(616) 754-3001
1669429106 SHAWN RICHARD RUTH DO
Individual
Internal Medicine707 S GREENVILLE WEST DR
GREENVILLE, MI 48838
(616) 754-3001
1487601464 GREGORY RAYMOND PAGE MD
Individual
Internal Medicine707 S GREENVILLE WEST DR
GREENVILLE, MI 48838
(616) 754-3001
1194771980 KEVIN CLARK REED DO
Individual
Internal Medicine707 S GREENVILLE WEST DR
GREENVILLE, MI 48838
(616) 754-3001
1467499624 SHANNON KATHLEEN O'KEEFE PA
Individual
Physician Assistant707 S GREENVILLE WEST DR
GREENVILLE, MI 48838
(616) 754-3001
1982702270DR. JON MARK CURRY M.D.
Individual
Urology707 S GREENVILLE WEST DR
GREENVILLE, MI 48838
(616) 754-3001
1790869329 JUSITH A AMPARO DO
Individual
Surgery707 S GREENVILLE WEST DR
GREENVILLE, MI 48838
(616) 754-3001
1295975068 THOMAS CARL ZIOLKOWSKI D.O.
Individual
Surgery707 S GREENVILLE WEST DR
GREENVILLE, MI 48838
(616) 754-3001
1306888367 TIMOTHY HELDER MD
Individual
Internal Medicine707 S GREENVILLE WEST DR
GREENVILLE, MI 48838
(616) 754-3001
1790893014MR. MAURICE EUGENE FONGERS III PA-C
Individual
Physician Assistant707 S GREENVILLE WEST DR
GREENVILLE, MI 48838
(616) 754-3001
1023127685 STEVEN GILLIS PA
Individual
Physician Assistant707 S GREENVILLE WEST DR
GREENVILLE, MI 48838
(616) 754-3001
1093838922DR. JAMES ALFRED THIEL D.O.
Individual
Orthopaedic Surgery707 S GREENVILLE WEST DR
GREENVILLE, MI 48838
(616) 754-3001
1467731752 JOEL ANDREW HOEKEMA LMSW
Individual
Social Worker (Clinical)707 S GREENVILLE WEST DR
GREENVILLE, MI 48838
(616) 754-3001
1477927184SPECTRUM HEALTH UNITED
Organization
Clinic/Center (Rural Health)707 S GREENVILLE WEST DR
GREENVILLE, MI 48838
(616) 754-3001
1962711135SPECTRUM HEALTH PRIMARY CARE PARTNERS
Organization
Internal Medicine707 S GREENVILLE WEST DR
GREENVILLE, MI 48838
(616) 754-3001

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811516511, enumerated in the NPI registry as an "individual" on April 13, 2020

The provider is located at 707 S Greenville West Dr Greenville, Mi 48838 and the phone number is (616) 754-3001

The provider's speciality is Physical Medicine & Rehabilitation with taxonomy code 208100000X

The provider has more than 6 years of experience.

The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Blue Care. 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.

The practitioner is affiliated to the following hospital(s): SPECTRUM HEALTH UNITED HOSPITAL and SPECTRUM HEALTH. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on April 13, 2020. 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.