Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Justin R Staley, DO

Individual provider Emergency Medicine Physician · NPI 1164044830

Justin R Staley, DO practises Emergency Medicine in Grand Rapids, Michigan. Graduated from Marian University College of Osteopathic Medicine in 2020, 6 years ago. Practices with Grand River Emergency Medical Group PLC, a 42-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana and Michigan.

Years since qualifying
6
Trained at
Marian University College of Osteopathic Medicine
Licensed in
IN, MI
In the registry since
2020
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

200 Jefferson Ave SE
Grand Rapids, MI 49503-4502
Phone: (616) 685-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1316 E 7th St, Auburn, IN 46706-2538 — (260) 925-4600

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 5101026712 (MI)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 02008975A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1164044830
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 15, 2020
Last updated in NPPESSeptember 9, 2026
Certification dateSeptember 9, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolMARIAN UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2020 (6 years in practice)
Group practice Grand River Emergency Medical Group Plc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients75
Services billed 137 a service is one billed item, such as a visit, a test or a procedure
Average patient age66

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Grand River Emergency Medical Group PLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 42 clinicians in the practice; 12 are shown here.

Other providers in Grand Rapids