Kevin Wiersum, PAC
NPI 1699762765 · Surgical Physician Assistant · Grand Rapids, MI
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kevin Wiersum, PAC is a Surgical Physician Assistant provider in Grand Rapids, MI (NPI 1699762765).
Provider details
- NPI number
- 1699762765
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PAC
- Sex
- Male
- Sole proprietor
- No
- License
- 5601004099 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
243 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 39 | $73 |
| Fusion of Additional Segment of Spine22614 | 37 | $47 |
| X-Ray of Lower and Sacral Spine, Minimum of 4 Views72110 | 30 | $40 |
| Partial Removal of Spine Bone With Release of Spinal Cord And/Or Nerves, Each Additional Segment63048 | 28 | $28 |
| X-Ray of Lower and Sacral Spine, 2-3 Views72100 | 24 | $31 |
| Partial Removal of Spine Bone With Release of Lower Spinal Cord And/Or Nerves, 1 Segment63047 | 23 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 182 | 114 |
| Methocarbamol | 113 | 92 |
| Oxycodone Hcl | 77 | 39 |
| Naloxone Hcl | 49 | 49 |
| Tramadol Hcl | 44 | 25 |
| Cyclobenzaprine Hcl | 23 | 21 |
| Gabapentin | 21 | 16 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$183 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-10-04
- Last updated
- 2013-09-18
Frequently asked questions
- What is Kevin Wiersum's NPI number?
- Kevin Wiersum's National Provider Identifier (NPI) is 1699762765, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kevin Wiersum's specialty?
- Kevin Wiersum is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kevin Wiersum located?
- Kevin Wiersum's practice location on file with NPPES is 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406.
- What is Kevin Wiersum's phone number?
- The practice phone number listed in the NPPES registry for Kevin Wiersum is (616) 459-7101.
- Does Kevin Wiersum accept Medicare?
- Kevin Wiersum is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kevin Wiersum's NPI active?
- Yes — Kevin Wiersum's NPI (1699762765) is active in the NPPES registry as of the last update on 2013-09-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.