KAREN ARDEL MONTERUSSO (PA) – Physician Assistant, NPI 1245204965
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,069 PHYSICIAN ASSISTANT in MI
Provider Addresses for KAREN ARDEL MONTERUSSO (PA)
5555 GLENWOOD HILLS PKWY SE STE 2
GRAND RAPIDS, MI 495122091
Phone: (616) 940-2662
Fax: (616) 242-2512
Type: Mailing
3299 N WELLNESS DR STE 150
HOLLAND, MI 494247270
Phone: (616) 738-3884
Type: Mailing
61, Commerce Avenue Southwest, Grand Rapids, Kent County, Michigan, 49503, United States
GRAND RAPIDS, MI 49503
Phone: (616) 940-2662
Fax: (616) 242-2512
Type: Mailing
East Paris Avenue Southeast, East Paris, Kentwood, Kent County, Michigan, 49512, United States
GRAND RAPIDS, MI 495466113
Phone: (616) 285-1377
Fax: (616) 285-1154
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 33 Open Payments records for all available years, with a total value of $1,098.
Total Amount is formed as General ($1,098) + Research ($0) + Ownership ($0) = $1,098.
Last reported payment date: 2024-06-18 • Largest payer in this snapshot: Boston Scientific Corporation ($481).
Total Amount
$1,098
General + Research + Ownership
Payments
33
Total payment records
General Amount
$1,098
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $481 |
| Abbott Laboratories | $182 |
| Collegium Pharmaceutical, Inc. | $164 |
| Teva Pharmaceuticals USA, Inc. | $110 |
| Medtronic, Inc. | $48 |
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: 2006-02-06
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 |
|---|---|---|---|---|
| I20060206000856 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 253 | 164 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 95 | 73 | $0 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 55 | 25 | $0 |
| 20553 | Injection of trigger points, 3 or more muscles | 29 | 23 | $0 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 28 | 25 | $0 |
Insurance plans in this area (ZIP 49512)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | MI | |
| Internal Medicine | MI | |
| Nurse Practitioner | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| P S Y C H I A T R Y | MI | |
| Family Practice | MI | |
| - | MI |
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