MR. ETHAN J LACOURT PA-C
NPI 1003434507
Physician Assistant in Grand Rapids, MI

Active since July 10, 2020PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
275 MICHIGAN ST NE, GRAND RAPIDS, MI 49503(616) 267-7900(616) 267-7901 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 10, 2024, Jul 29, 2024, Jan 10, 2022 and 2 more (5 updates tracked since 2020).

About Mr. Ethan J Lacourt Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ETHAN J LACOURT PA-C (NPI 1003434507) is an individual physician assistant in Grand Rapids, Michigan, licensed in Michigan (5601010844) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1003434507
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. ETHAN J LACOURTCredential: PA-C
Location Address275 MICHIGAN ST NEGrand Rapids, MI 49503-2531
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Fax(616) 267-7901
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 10, 2020
Last NPPES UpdateDecember 10, 20245 updates tracked since enumeration
NPPES CertifiedDecember 10, 2024
NPI 1003434507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601010844
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
275 MICHIGAN ST NE, Grand Rapids, MI 49503

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Ethan J Lacourt Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921497884
PECOS Enrollment IDI20211115001546
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
44 services44 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
31 services23 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
21 services17 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
16 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Pediatrics
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Pediatrics
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Physician Assistant
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Clinical Neuropsychologist
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Nurse Practitioner
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Nurse Practitioner (Gerontology)
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Internal Medicine (Geriatric Medicine)
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Lacourt's NPI number?

The NPI number for Ethan Lacourt is 1003434507. It was assigned to this individual provider in the NPPES registry on July 10, 2020.

Where is Ethan Lacourt located?

Ethan Lacourt practices at 275 Michigan St NE, Grand Rapids, MI 49503. The listed phone number is (616) 267-7900.

What is Ethan Lacourt's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ethan Lacourt enrolled in Medicare?

Yes. Ethan Lacourt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ethan Lacourt accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Ethan Lacourt as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ethan Lacourt affiliated with any hospitals?

According to CMS data, Ethan Lacourt is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for Ethan Lacourt was last updated on December 10, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.