MR. CRISTIAN RODRIGUEZ (PA-C) – Medical Physician Assistant, NPI 1760760037
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,069 PHYSICIAN ASSISTANT in MI
Provider Addresses for MR. CRISTIAN RODRIGUEZ (PA-C)
2155 BUCHANAN ST SW
GRAND RAPIDS, MI 49507
Phone: (616) 247-3638
Type: Mailing
300 68th St SE
Grand Rapids, MI 495486927
Phone: (616) 455-5000
Fax: (616) 455-5960
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 107 Open Payments records for all available years, with a total value of $2,090.
Total Amount is formed as General ($2,090) + Research ($0) + Ownership ($0) = $2,090.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($399).
Total Amount
$2,090
General + Research + Ownership
Payments
107
Total payment records
General Amount
$2,090
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Supernus Pharmaceuticals, Inc. | $399 |
| ABBVIE INC. | $331 |
| AstraZeneca Pharmaceuticals LP | $152 |
| PFIZER INC. | $122 |
| USWM, LLC | $101 |
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: 2012-08-01
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 |
|---|---|---|---|---|
| I20120801000816 | 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 |
|---|---|---|---|---|
| 83036 | Hemoglobin a1c level | 26 | 19 | $0 |
Insurance plans in this area (ZIP 49507)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MI | |
| Nurse Practitioner | MI | |
| Internal Medicine | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI |
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