DR. MATTHEW W PACKARD (M.D.) – Radiation Oncology Physician, NPI 1376772574

DR. MATTHEW W PACKARD (M.D.) is a healthcare provider. based in Grand rapids, Michigan. specializing in RADIATION ONCOLOGY. They hold the professional credentials M.D.. They hold a License No. MT195917 (PA). The NPI Number for DR. MATTHEW W PACKARD (M.D.) is 1376772574

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. MATTHEW W PACKARD (M.D.)
NPI
1376772574
Phone
(616) 486-5750
Address
145 MICHIGAN ST NE - SUITE 2200
Enumeration Date
8 July 2009
Last Update Date
9 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2318325817
Graduation Year
2009 (17 years ago)
PAC ID
6406085802
Group Practice PAC ID
2860437092
Professional Enrollment ID
I20140701002261
Address ID
MI496778593RE4499XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness85
Years active:16State licenses:2Digital endpointsOther names

248 RADIATION ONCOLOGY in MI

Provider Addresses for DR. MATTHEW W PACKARD (M.D.)

  • 145 MICHIGAN ST NE - SUITE 2200

    LEMMEN-HOLTON CANCER PAVILION (RADIATION/ONCOLOGY)

    GRAND RAPIDS, MI 49503

    Phone: (616) 486-5750

    Type: Location

  • 145 Michigan St NE Ste 1100

    Grand Rapids, MI 495032562

    Phone: (616) 486-5750

    Type: Location

  • 12642 Riley St

    Holland, MI 494249202

    Phone: (616) 355-5330

    Type: Location

  • 4499 220th Ave

    Reed City, MI 496778593

    Phone: (231) 832-5817

    Type: Location

  • 5648, Lawndale Avenue, Hudsonville, Ottawa County, Michigan, 49426, United States

    HUDSONVILLE, MI 494261002

    Phone: (724) 462-8788

    Type: Mailing

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: 2014-07-01

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
I20140701002261IRadiation OncologyMITBD

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
77014Ct guidance for insertion of radiation therapy fields475180$0
77427Radiation treatment management, 5 treatment sessions16183$0
77300Calculation of radiation therapy dose15542$0
77334Design and construction of complex radiation treatment device9849$0
G6002Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy6524$0
View full utilization report →

Insurance plans in this area (ZIP 49503)

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Provider's Procedures

DR. MATTHEW W PACKARD (M.D.) performs procedures in RADIATION ONCOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
RADIATION ONCOLOGYMI77263Management of radiation therapy, complex7372
RADIATION ONCOLOGYMI77300Calculation of radiation therapy dose8715
RADIATION ONCOLOGYMI77427Radiation treatment management, 5 treatments2222

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: 2860437092View full group profile
NameSpecialtyState
Radiation OncologyAL
Radiation OncologyMI
Radiation OncologyMI
Radiation OncologyMI
Radiation OncologyMI
Radiation OncologyMI
Radiation OncologyMI
-MI
Radiation OncologyMI

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Frequently asked questions

How do I look up DR. MATTHEW W PACKARD (M.D.) by NPI?
Use NPI 1376772574 when you need to reference DR. MATTHEW W PACKARD (M.D.) in forms, claims, or directories.
Is DR. MATTHEW W PACKARD (M.D.)'s NPI currently valid?
The extract we use shows DR. MATTHEW W PACKARD (M.D.) as active.
Can you summarize DR. MATTHEW W PACKARD (M.D.)'s specialty in plain language?
Clinically, the directory lists DR. MATTHEW W PACKARD (M.D.) with Radiation Oncology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. MATTHEW W PACKARD (M.D.)'s primary listing?
We display Grand Rapids, Michigan because that is what the record indicates for DR. MATTHEW W PACKARD (M.D.).
What if Grand Rapids, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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