AUTUMN S GRATZ (PA) – Physician Assistant, NPI 1558671263
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,069 PHYSICIAN ASSISTANT in MI
Provider Addresses for AUTUMN S GRATZ (PA)
1172 Robert T Longway Blvd
Flint, MI 485031851
Phone: (810) 232-8466
Type: Location
2029 S Elms Rd Ste 101
Swartz Creek, MI 484739766
Phone: (810) 285-8429
Type: Location
11754 FARMINGTON RD
LIVONIA, MI 481501722
Phone: (724) 272-7542
Type: Mailing
23664 COPPERWOOD DR E
SOUTH LYON, MI 481788274
Phone: (724) 272-7542
Type: Mailing
4400 S SAGINAW ST
SUITE 1400
FLINT, MI 485072645
Phone: (810) 391-0662
Fax: (810) 239-8330
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $83.
Total Amount is formed as General ($83) + Research ($0) + Ownership ($0) = $83.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($51).
Total Amount
$83
General + Research + Ownership
Payments
5
Total payment records
General Amount
$83
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $51 |
| Otsuka America Pharmaceutical, Inc. | $19 |
| Tris Pharma Inc | $14 |
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: 2012-09-26
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 |
|---|---|---|---|---|
| I20120926000630 | 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 | 118 | 31 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 49 | 14 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 40 | 14 | $0 |
Insurance plans in this area (ZIP 48503)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Clinical Social Worker | MI | |
| Clinical Psychologist | MI |
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