JEFFERY A KWIATKOWSKI (PA-C) – Physician Assistant, NPI 1124179627
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JEFFERY A KWIATKOWSKI (PA-C)
825 N Center Ave
Gaylord, MI 497351592
Phone: (989) 731-2100
Type: Location
Grand Rapids Post Office, Northwest 5th Street, Grand Rapids, Itasca County, Minnesota, 55744, United States
GRAND RAPIDS, MI 495012347
Phone: (800) 968-6866
Fax: (616) 532-7230
Type: Mailing
Alpena Regional Medical Center, 1501, West Chisholm Street, Alpena, Alpena County, Michigan, 49707, United States
ALPENA, MI 497071401
Phone: (800) 968-6866
Fax: (616) 532-7230
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2007-02-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070223000251 | I | Physician Assistant | MI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 147 | 140 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 74 | 72 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 55 | 54 | $0 |
Insurance plans in this area (ZIP 49735)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospitalist, Internal Medicine | MI | |
| - | MI | |
| Internal Medicine | MI | |
| Internal Medicine | MI | |
| Nurse Practitioner | MI | |
| Hospitalist, Internal Medicine | MI | |
| - | MI | |
| Nurse Practitioner | MI | |
| Physician Assistant | MI | |
| Internal Medicine | MI |
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