PAMELA K WIRTH MD
NPI 1073566071
Family Medicine in Grand Rapids, MI
About Pamela K Wirth Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAMELA K WIRTH MD (NPI 1073566071) is an individual family medicine provider in Grand Rapids, Michigan, licensed in Michigan (4301406882) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Grand Rapids.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 16
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pamela K Wirth Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Pamela Wirth reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Grand Rapids, MI 49503
- Reassigned Medicare billing, Michigan enrollment
- 737 clinicians in this Medicare group
Fruitport, MI 49415
- Reassigned Medicare billing, Michigan enrollment
- 130 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
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 Pamela Wirth's NPI number?
The NPI number for Pamela Wirth is 1073566071. It was assigned to this individual provider in the NPPES registry on May 19, 2006.
Where is Pamela Wirth located?
Pamela Wirth practices at 200 Jefferson Ave SE, Grand Rapids, MI 49503. The listed phone number is (616) 685-1800.
What is Pamela Wirth's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Pamela Wirth enrolled in Medicare?
Yes. Pamela Wirth is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Pamela Wirth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pamela Wirth reassigns Medicare benefits to 2 organizations: Advantage Health Saint Mary's Medical Group (Grand Rapids, MI) and Mercy Physician Network (Fruitport, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pamela Wirth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Pamela Wirth accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and Priority Health list Pamela Wirth 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.
When was this NPI record last updated?
The NPPES record for Pamela Wirth was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Pamela K Wirth, MD · NPI 1073566071
Family Medicine physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since May 19, 2006.
## Identity
- **NPI:** 1073566071 (Entity type: Individual)
- **Enumerated:** May 19, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 4301406882 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 JEFFERSON AVE SE, Grand Rapids, MI 49503-4502
- **Phone:** (616) 685-1800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Advantage Health Saint Mary's Medical Group (NPI 1952340911, Grand Rapids, MI); Mercy Physician Network (NPI 1639502701, Fruitport, MI) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 30, 2021
- **Other identifiers:** Medicaid 4662336 (MI); Medicaid 4697117 (MI); Medicaid 4662283 (MI); and 13 more
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Source: [NPI Profile](https://npiprofile.com/npi/1073566071) · Data from the CMS NPPES public registry.