DR. KURT ASHACK (M.D.) – Dermatology Physician, NPI 1073976338

DR. KURT ASHACK (M.D.) is a healthcare provider. based in Grand rapids, Michigan. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 4301501673 (MI). The NPI Number for DR. KURT ASHACK (M.D.) is 1073976338

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. KURT ASHACK (M.D.)
NPI
1073976338
Phone
(616) 949-5600
Address
1740 E PARIS AVE SE
Enumeration Date
3 April 2016
Last Update Date
14 April 2022

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
61657568941194
Graduation Year
2016 (10 years ago)
PAC ID
7618269093
Group Practice PAC ID
8224032594
Professional Enrollment ID
I20200624002457
Address ID
MI495466204GR1740XSEXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

532 DERMATOLOGY in MI

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Provider Addresses for DR. KURT ASHACK (M.D.)

  • 1740, East Paris Avenue Southeast, Kentwood, Kent County, Michigan, 49546, United States

    GRAND RAPIDS, MI 495466204

    Phone: (616) 949-5600

    Fax: (616) 949-6571

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 210 Open Payments records for all available years, with a total value of $71,270.

Total Amount is formed as General ($71,270) + Research ($0) + Ownership ($0) = $71,270.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Lilly USA, LLC ($33,874).

Total Amount

$71,270

General + Research + Ownership

Payments

210

Total payment records

General Amount

$71,270

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-06-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200624002457IDermatologyMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths986208$0
99213Established patient office or other outpatient visit, 20-29 minutes559479$0
88305Pathology examination of tissue using a microscope, intermediate complexity425218$0
17000Destruction of precancer skin growth, 1 growth343286$0
11102Biopsy of related skin growth, first growth170156$0
View full utilization report →

Insurance plans in this area (ZIP 49546)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8224032594View full group profile
NameSpecialtyState
Nurse PractitionerMI
D E R M A T O L O G YMI
D E R M A T O L O G YMI
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI
Dermatology, Family PracticeMI
D E R M A T O L O G YMI
D E R M A T O L O G YMI
D E R M A T O L O G YMI

Reviews

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Frequently asked questions

How do payers reference DR. KURT ASHACK (M.D.)?
For DR. KURT ASHACK (M.D.), use NPI 1073976338 as the unique 10-digit identifier.
Would DR. KURT ASHACK (M.D.) appear as active to a payer?
You can treat DR. KURT ASHACK (M.D.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DR. KURT ASHACK (M.D.)?
DR. KURT ASHACK (M.D.)'s specialty line reads Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where in Michigan is DR. KURT ASHACK (M.D.) registered?
Use Grand Rapids, Michigan as the headline location for DR. KURT ASHACK (M.D.) here.
Does DR. KURT ASHACK (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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