TIMOTHY A KRAGT (MS, PA-C) – Physician Assistant, NPI 1114234325

TIMOTHY A KRAGT (MS, PA-C) is a healthcare provider. based in Grand rapids, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials MS, PA-C. They hold a License No. 5601005832 (MI). The NPI Number for TIMOTHY A KRAGT (MS, PA-C) is 1114234325

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY A KRAGT (MS, PA-C)
NPI
1114234325
Phone
(616) 391-1680
Address
100 MICHIGAN ST NE
Enumeration Date
9 September 2010
Last Update Date
14 October 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
61636373391046
Graduation Year
2010 (16 years ago)
PAC ID
8123209574
Group Practice PAC ID
4284546516
Professional Enrollment ID
I20110218000273
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

6,066 PHYSICIAN ASSISTANT in MI

Provider Addresses for TIMOTHY A KRAGT (MS, PA-C)

  • 100 MICHIGAN ST NE

    GRAND RAPIDS, MI 495032560

    Phone: (616) 391-1680

    Type: Location

  • 3264N EVERGREEN NEDR

    GRAND RAPIDS, MI 495259746

    Phone: (616) 363-7339

    Fax: (616) 361-5828

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2023-11-06 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-06

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: 2011-02-18

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
I20110218000273IPhysician AssistantMITBD

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
77085Dxa bone density measurement of hip, pelvis, spine including spine fracture assessment6565$0
77080Dxa bone density measurement of hip, pelvis, spine5959$0
View full utilization report →

Insurance plans in this area (ZIP 49503)

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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: 4284546516View full group profile
NameSpecialtyState
Diagnostic RadiologyMI
Diagnostic RadiologyMI
Diagnostic RadiologyMI
Diagnostic RadiologyMI
Diagnostic RadiologyMI
Diagnostic RadiologyMI
Diagnostic RadiologyMI
Diagnostic RadiologyMI
Diagnostic RadiologyMI
-MI

Reviews

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Frequently asked questions

How is TIMOTHY A KRAGT (MS, PA-C) identified in CMS data?
CMS-hosted NPPES data lists TIMOTHY A KRAGT (MS, PA-C) with NPI 1114234325.
Is TIMOTHY A KRAGT (MS, PA-C) still practicing?
TIMOTHY A KRAGT (MS, PA-C) is currently listed as active in the public NPI registry.
What is TIMOTHY A KRAGT (MS, PA-C)'s specialty?
The listing groups TIMOTHY A KRAGT (MS, PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect TIMOTHY A KRAGT (MS, PA-C) on a map?
Expect Grand Rapids, Michigan as a primary anchor for TIMOTHY A KRAGT (MS, PA-C) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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