GREGORY CLARENCE CASSIDY (PA-C) – Physician Assistant, NPI 1548231202
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
6,069 PHYSICIAN ASSISTANT in MI
Provider Addresses for GREGORY CLARENCE CASSIDY (PA-C)
970 S Bailey Ave
South Haven, MI 490909701
Phone: (269) 639-2916
Type: Location
326 S Woodscrest Dr
Bloomington, IN 474015314
Phone: (812) 353-6888
Fax: (812) 269-3771
Type: Location
6220 W Main St
Kalamazoo, MI 490098925
Phone: (269) 276-4744
Type: Location
451 Health Pkwy
Paw Paw, MI 490798242
Phone: (269) 657-2550
Type: Location
125 N Kalamazoo St
#82
Paw Paw, MI 49079
Phone: (269) 657-1416
Type: Location
2900 16TH ST
BEDFORD, IN 474213510
Phone: (812) 276-4358
Fax: (812) 275-1352
Type: Location
250 N SHADELAND AVE
INDIANAPOLIS, IN 462194959
Phone:
Type: Mailing
Kalamazoo Street, Paw Paw Township, Van Buren County, Michigan, 49079, United States
#82
PAW PAW, MI 490795024
Phone:
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: 2022-01-10
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 |
|---|---|---|---|---|
| I20220110000874 | I | Physician Assistant | IN | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 243 | 216 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 160 | 160 | $0 |
| 87428 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | 93 | 93 | $0 |
| 81003 | Automated urinalysis test | 56 | 48 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 34 | 34 | $0 |
Insurance plans in this area (ZIP 49090)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | IN | |
| Nurse Practitioner | IN | |
| Internal Medicine | PA | |
| Physician Assistant | IN | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | IN | |
| Family Practice | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| P O D I A T R Y | IN |
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