Doctor profile · Federal record
Dr. Dominic Pelle
Orthopaedic Surgery Physician (CMS: Orthopedic Surgery) · Grand Rapids, MI
- NPI 1184945453
- Accepts Medicare
- 16 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
1000 Monroe Ave Nw
Grand Rapids, MI 495031455
(616) 685-6497
fax (616) 685-3033
Credentials & registration
- NPI registered
- June 2010 — 16 yrs on file
- Year of graduation
- 2010 — 16 yrs since
- Specialty taxonomy
- 207X00000X — NUCC code
- State license (1)
- Michigan #4301096986
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1184945453. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
468
Distinct HCPCS
10
Medicare allowed
$104,431
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 93 | 81 | $34 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 64 | 62 | $93 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 45 | 45 | $76 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 44 | 44 | $129 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 41 | 39 | $63 | |
22853 |
Insertion of cage or mesh device to spine bone and disc space during spine fusion | 32 | 24 | $253 | |
61783 |
Computer-assisted spinal procedure | 26 | 26 | $228 | |
22558 |
Fusion of lower spine bone through abdomen with partial removal of disc | 21 | 21 | $1,248 | |
99441 |
Telephone medical discussion with physician, 5-10 minutes | 20 | 17 | $32 | |
63047 |
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | 19 | 19 | $883 |
In context: peer comparison
Among 17 peers in Grand Rapids Orthopaedic Surgery Physician, average services per provider: 41. This provider delivers 11× the peer median.Open Payments
Industry payments received
All-time total
$36,847
Transactions
49
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Globus Medical, INC. | 22 | $31,064.32 | |
| Stryker Corporation | 25 | $5,496.61 | |
| Medtronic, INC. | 2 | $285.92 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
30
Patients
12
Total drug cost
$174
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Methocarbamol | Generic | 19 | 12 | $134 |
| Meloxicam | Generic | 11 | 0 | $39 |
Frequently asked questions
What is Dr. Dominic Pelle's medical specialty?
Dr. Dominic Pelle practices Orthopaedic Surgery Physician in Grand Rapids, MI.
Where does Dr. Dominic Pelle practice?
Dr. Dominic Pelle practices at 1000 Monroe Ave Nw, Grand Rapids, MI 495031455. Office phone: 6166856497.
What is Dr. Dominic Pelle's NPI?
Dr. Dominic Pelle's National Provider Identifier (NPI) is 1184945453, issued by NPPES.
Does Dr. Dominic Pelle accept Medicare assignment?
Yes. Dr. Dominic Pelle accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Dominic Pelle commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99212); Established patient office or other outpatient visit (HCPCS 99214); New patient office or other outpatient visit (HCPCS 99203). Source: CMS Medicare Physician & Other Practitioners file.