MICHAEL JAMES CHURCH (PA-C) – Physician Assistant, NPI 1164056727
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,066 PHYSICIAN ASSISTANT in MI
Provider Addresses for MICHAEL JAMES CHURCH (PA-C)
636 Manhattan Rd SE
Grand Rapids, MI 495062025
Phone: (616) 295-5062
Type: Location
3108 MARKET LN APT 804
KENOSHA, WI 531443463
Phone: (616) 295-5062
Type: Mailing
6308 8TH AVE
KENOSHA, WI 531435031
Phone: (262) 656-2011
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $325.
Total Amount is formed as General ($325) + Research ($0) + Ownership ($0) = $325.
Last reported payment date: 2024-10-26 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($147).
Total Amount
$325
General + Research + Ownership
Payments
7
Total payment records
General Amount
$325
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $147 |
| AstraZeneca Pharmaceuticals LP | $113 |
| Novo Nordisk Inc | $64 |
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: 2020-09-29
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 |
|---|---|---|---|---|
| I20200929001168 | I | Physician Assistant | WI | 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 |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 213 | 85 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 148 | 73 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 99 | 94 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 94 | 87 | $0 |
Insurance plans in this area (ZIP 49506)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine, Internal Medicine | GA | |
| Internal Medicine, Hospitalist | MO | |
| Hospitalist, Internal Medicine | IL | |
| Hospitalist, Internal Medicine | IA | |
| Internal Medicine | NY | |
| Internal Medicine | IL | |
| Internal Medicine, Hospitalist | WI | |
| Physician Assistant | WI | |
| Internal Medicine, Hospitalist | MI | |
| Nurse Practitioner | WI |
Reviews
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