MR. MATTHEW T ZOETEMAN (PA-C) – Physician Assistant, NPI 1356844831
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,066 PHYSICIAN ASSISTANT in MI
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Provider Addresses for MR. MATTHEW T ZOETEMAN (PA-C)
833, Michigan Street Northeast, Grand Rapids, Kent County, Michigan, 49503, United States
SUITE 102
GRAND RAPIDS, MI 495033523
Phone: (616) 459-8209
Fax: (616) 459-0313
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 526 Open Payments records for all available years, with a total value of $11,408.
Total Amount is formed as General ($11,408) + Research ($0) + Ownership ($0) = $11,408.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Janssen Biotech, Inc. ($2,327).
Total Amount
$11,408
General + Research + Ownership
Payments
526
Total payment records
General Amount
$11,408
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $2,327 |
| ABBVIE INC. | $1,524 |
| GENZYME CORPORATION | $851 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $628 |
| Ortho Dermatologics, a division of Bausch Health US, LLC | $615 |
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: 2018-03-21
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 |
|---|---|---|---|---|
| I20180321000400 | 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 |
|---|---|---|---|---|
| 11103 | Biopsy of related skin growth, each additional growth | 33 | 12 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 26 | 21 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 25 | 23 | $0 |
| 17004 | Destruction of precancer skin growth, 15 or more growths | 18 | 17 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 15 | 13 | $0 |
Insurance plans in this area (ZIP 49503)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | MI | |
| Nurse Practitioner | MI | |
| D E R M A T O L O G Y | MI | |
| Physician Assistant | MI | |
| Plastic And Reconstructive Surgery, Otolaryngology | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Nurse Practitioner | MI |
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