TIMOTHY J HUNTER (PAC) – Surgical Physician Assistant, NPI 1639166697

TIMOTHY J HUNTER (PAC) is a healthcare provider. based in Grand rapids, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. 5601002881 (MI). The NPI Number for TIMOTHY J HUNTER (PAC) is 1639166697

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY J HUNTER (PAC)
NPI
1639166697
Phone
(616) 459-7101
Address
1111 LEFFINGWELL AVE NE
Enumeration Date
4 October 2005
Last Update Date
9 September 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1997 (29 years ago)
PAC ID
0749292787
Group Practice PAC ID
0941513303
Professional Enrollment ID
I20060612000292
Address ID
MI495463808GR5060XSEXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

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Provider Addresses for TIMOTHY J HUNTER (PAC)

  • 1111, Leffingwell Avenue Northeast, Grand Rapids, Kent County, Michigan, 49525, United States

    STE 100

    GRAND RAPIDS, MI 495256406

    Phone: (616) 459-7101

    Fax: (616) 464-6170

    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 12 Open Payments records for all available years, with a total value of $796.

Total Amount is formed as General ($796) + Research ($0) + Ownership ($0) = $796.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Zak Ortho ($554).

Total Amount

$796

General + Research + Ownership

Payments

12

Total payment records

General Amount

$796

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2006-06-12

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
I20060612000292IPhysician 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg14820$0
20610Aspiration and/or injection of fluid from large joint3926$0
73564X-ray of knee, 4 or more views2824$0
99213Established patient office or other outpatient visit, 20-29 minutes2624$0
73030X-ray of shoulder, minimum of 2 views2116$0
View full utilization report →

Insurance plans in this area (ZIP 49525)

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Provider's Procedures

TIMOTHY J HUNTER (PAC) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTMI27447Repair of knee joint1515

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: 0941513303View full group profile
NameSpecialtyState
Physician AssistantMI
Sports MedicineMI
Sports Medicine, Family PracticeMI
Physician AssistantMI
Physician AssistantIL
Nurse PractitionerMI
N E U R O S U R G E R YIL
Physician AssistantMI
Internal MedicineMI
Physician AssistantMI

Reviews

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Frequently asked questions

What identifier follows TIMOTHY J HUNTER (PAC) across health systems?
The NPI 1639166697 uniquely identifies TIMOTHY J HUNTER (PAC) in U.S. healthcare data.
Should I treat TIMOTHY J HUNTER (PAC) as an active provider?
Patients and plans typically see TIMOTHY J HUNTER (PAC) as active in the national extract.
How should patients interpret TIMOTHY J HUNTER (PAC)'s specialty?
The extract shows Surgical Physician Assistant for TIMOTHY J HUNTER (PAC). Clinical services aligned with this taxonomy classification.
Is TIMOTHY J HUNTER (PAC) tied to Grand Rapids, Michigan?
If you are local to Grand Rapids, Michigan, TIMOTHY J HUNTER (PAC) may be relevant to your search.
Can I export TIMOTHY J HUNTER (PAC)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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