DOROTHY A PEDTKE (D.O.) – Family Medicine Physician, NPI 1467453456

DOROTHY A PEDTKE (D.O.) is a healthcare provider. based in Grand rapids, Michigan. specializing in Family Medicine Physician. They hold the professional credentials D.O.. They hold a License No. DP014363 (MI). The NPI Number for DOROTHY A PEDTKE (D.O.) is 1467453456

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
DOROTHY A PEDTKE (D.O.)
NPI
1467453456
Phone
(616) 656-3700
Address
3700 52ND ST SE
Enumeration Date
2 August 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
61665637003030
Graduation Year
1999 (27 years ago)
PAC ID
2769512201
Group Practice PAC ID
0840263174
Professional Enrollment ID
I20100610000401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for DOROTHY A PEDTKE (D.O.)

  • 3700 52ND ST SE

    GRAND RAPIDS, MI 495129637

    Phone: (616) 656-3700

    Fax: (616) 656-3701

    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)

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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
99214Established patient office or other outpatient visit, 30-39 minutes7558$0
82306Vitamin d-3 level3636$0
84481Thyroid hormone, t3 measurement, free3429$0
84439Thyroxine (thyroid chemical), free3227$0
84443Blood test, thyroid stimulating hormone (tsh)3227$0
View full utilization report →

Insurance plans in this area (ZIP 49512)

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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: 0840263174View full group profile
NameSpecialtyState
DR. MARY LOUISE LOUDER (DO)
-MI
LORY MICHELLE READ (DO)
-MI

Reviews

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Frequently asked questions

What federal number belongs to DOROTHY A PEDTKE (D.O.)?
The federal identifier for DOROTHY A PEDTKE (D.O.) is NPI 1467453456.
Is DOROTHY A PEDTKE (D.O.) currently active in the NPI registry?
CMS-published data lists DOROTHY A PEDTKE (D.O.) as an active registrant.
What kind of provider is DOROTHY A PEDTKE (D.O.)?
The page reflects Family Medicine Physician for DOROTHY A PEDTKE (D.O.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DOROTHY A PEDTKE (D.O.)?
The page summarizes Grand Rapids, Michigan for DOROTHY A PEDTKE (D.O.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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