THOMAS A MINOR (PA-C) – Physician Assistant, NPI 1508937731

THOMAS A MINOR (PA-C) is a healthcare provider. based in Kalkaska, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601002040 (MI). The NPI Number for THOMAS A MINOR (PA-C) is 1508937731

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
THOMAS A MINOR (PA-C)
NPI
1508937731
Phone
(231) 258-7506
Address
419 S CORAL ST
Enumeration Date
10 November 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2312587500
Graduation Year
1991 (35 years ago)
PAC ID
6709061617
Group Practice PAC ID
3577536002
Professional Enrollment ID
I20110419000500
Address ID
MI496462503KA419XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

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Provider Addresses for THOMAS A MINOR (PA-C)

  • Kalkaska Memorial Health Center, 419, South Coral Street, Kalkaska, Kalkaska Township, Kalkaska County, Michigan, 49646, United States

    KALKASKA, MI 496462500

    Phone: (231) 258-7506

    Fax: (231) 258-7592

    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 73 Open Payments records for all available years, with a total value of $1,295.

Total Amount is formed as General ($1,295) + Research ($0) + Ownership ($0) = $1,295.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($359).

Total Amount

$1,295

General + Research + Ownership

Payments

73

Total payment records

General Amount

$1,295

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2011-04-19

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
I20110419000500IPhysician AssistantMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49646)

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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: 3577536002View full group profile
NameSpecialtyState
Family PracticeMI
G A S T R O E N T E R O L O G YMI
O T O L A R Y N G O L O G YMI
Physician AssistantMI
Family PracticeMI
Orthopedic SurgeryMI
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI
Family PracticeMI

Reviews

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Frequently asked questions

What is the standard ID for THOMAS A MINOR (PA-C) in the U.S.?
In the U.S., THOMAS A MINOR (PA-C) is identified by NPI 1508937731.
Is THOMAS A MINOR (PA-C) currently accepting referrals based on NPI status?
Registry metadata lists THOMAS A MINOR (PA-C) as active.
What does the directory say THOMAS A MINOR (PA-C) does?
Insurance directories may phrase it differently, but here THOMAS A MINOR (PA-C) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
Is THOMAS A MINOR (PA-C) tied to Kalkaska, Michigan?
If you are local to Kalkaska, Michigan, THOMAS A MINOR (PA-C) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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