KEVIN GREGORY VARDON (PA-C) – Physician Assistant, NPI 1508870718
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
6,069 PHYSICIAN ASSISTANT in MI
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Provider Addresses for KEVIN GREGORY VARDON (PA-C)
15100, Whittaker Way, Grand Haven, Grand Haven Charter Township, Ottawa County, Michigan, 49417, United States
GRAND HAVEN, MI 494178696
Phone: (616) 935-6320
Type: Location
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 495032560
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 62 Open Payments records for all available years, with a total value of $1,202.
Total Amount is formed as General ($1,202) + Research ($0) + Ownership ($0) = $1,202.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Novo Nordisk Inc ($378).
Total Amount
$1,202
General + Research + Ownership
Payments
62
Total payment records
General Amount
$1,202
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $378 |
| GlaxoSmithKline, LLC. | $268 |
| PFIZER INC. | $206 |
| AstraZeneca Pharmaceuticals LP | $190 |
| ABBVIE INC. | $54 |
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: 2006-12-07
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 |
|---|---|---|---|---|
| I20061207000013 | 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 | 67 | 65 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 58 | 50 | $0 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 37 | 14 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 17 | 17 | $0 |
| G0008 | Administration of influenza virus vaccine | 16 | 16 | $0 |
Insurance plans in this area (ZIP 49417)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Critical Care (Intensivists) | IL | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| - | MI | |
| Vascular Surgery | IL | |
| - | MI | |
| - | MI | |
| A N E S T H E S I O L O G Y | TX | |
| Clinical Social Worker | MI |
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