PAUL KEMMETER (MD) – Surgery Physician, NPI 1548217946
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,444 GENERAL SURGERY in MI
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Provider Addresses for PAUL KEMMETER (MD)
2060, Paris Avenue Southeast, Third Ward, Grand Rapids, Kent County, Michigan, 49507, United States
SUITE 100
GRAND RAPIDS, MI 495466113
Phone: (616) 956-6100
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 47 Open Payments records for all available years, with a total value of $18,356.
Total Amount is formed as General ($18,356) + Research ($0) + Ownership ($0) = $18,356.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: W. L. Gore & Associates, Inc. ($16,254).
Total Amount
$18,356
General + Research + Ownership
Payments
47
Total payment records
General Amount
$18,356
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| W. L. Gore & Associates, Inc. | $16,254 |
| Richard Wolf Medical Instruments Corp. | $1,500 |
| Medtronic, Inc. | $566 |
| Intuitive Surgical, Inc. | $20 |
| Braintree Laboratories, Inc. | $16 |
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: 2009-01-28
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 |
|---|---|---|---|---|
| I20090128000371 | I | General Surgery | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 49546)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL SURGERY | MI | 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 12 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MI | |
| Physician Assistant | MI | |
| General Surgery | MI | |
| Physician Assistant | MI | |
| Internal Medicine | MI | |
| - | MI | |
| Physician Assistant | MI | |
| - | AZ | |
| Physician Assistant | MI | |
| General Surgery | MI |
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