KEVIN MATROSIC – Anesthesiology Physician, NPI 1609818400
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,716 ANESTHESIOLOGY in MI
Provider Addresses for KEVIN MATROSIC
15100 Whittaker Way
Grand Haven, MI 494178696
Phone: (616) 364-4200
Fax: (616) 364-7347
Type: Location
8333 Felch St
Zeeland, MI 494642608
Phone: (616) 364-4200
Fax: (616) 364-7347
Type: Location
3333 Evergreen Dr NE Ste 100
Grand Rapids, MI 495259493
Phone: (616) 364-4200
Fax: (616) 364-7347
Type: Location
3333 EVERGREEN DR NE STE 100
GRAND RAPIDS, MI 495259493
Phone: (616) 364-4200
Fax: (616) 364-7347
Type: Mailing
255, West Michigan Avenue, Jackson, Jackson County, Michigan, 49201, United States
JACKSON, MI 492012218
Phone: (517) 787-6440
Fax: (517) 787-4146
Type: Mailing
Holland Hospital, 602, Michigan Avenue, Holland, Ottawa County, Michigan, 49423, United States
HOLLAND, MI 494234918
Phone: (616) 392-5141
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 $161.
Total Amount is formed as General ($161) + Research ($0) + Ownership ($0) = $161.
Last reported payment date: 2024-02-20 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($72).
Total Amount
$161
General + Research + Ownership
Payments
5
Total payment records
General Amount
$161
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-20
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2010-10-29
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 |
|---|---|---|---|---|
| I20101029000636 | I | Anesthesiology | 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 |
|---|---|---|---|---|
| 00142 | Anesthesia for lens surgery | 15 | 12 | $0 |
Insurance plans in this area (ZIP 49417)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ANESTHESIOLOGY | MI | 00142 | Anesthesia for lens surgery | 23 | 23 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| - | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Anesthesiology, Family Practice | MI | |
| A N E S T H E S I O L O G Y | MI | |
| A N E S T H E S I O L O G Y | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| A N E S T H E S I O L O G Y | MI | |
| - | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI |
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