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EVAN STEVEN GRAVEDONI PA-C
NPI 1083326557
Physician Assistant in Gaylord, MI

Active since December 15, 2022PECOS EnrolledAccepts Medicare Assignment
1320 M-32, GAYLORD, MI 49735(989) 731-5092(989) 705-8323 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Evan Steven Gravedoni Pa-c NPPES

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

EVAN STEVEN GRAVEDONI PA-C (NPI 1083326557) is an individual physician assistant in Gaylord, Michigan, licensed in Michigan (5601012281) and active in the NPI registry since December 2022. He is enrolled in Medicare PECOS, is affiliated with Mclaren Central Michigan, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1083326557
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameEVAN STEVEN GRAVEDONICredential: PA-C
Location Address1320 M-32Gaylord, MI 49735
Mailing Address1320 E M 32Gaylord, MI 49735-8378 · (989) 731-5092
Phone(989) 731-5092
Fax(989) 705-8323
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 15, 2022
Last NPPES UpdateJanuary 16, 2025
NPPES CertifiedJanuary 16, 2025
✔ NPI 1083326557 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 · 5601012281
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.
1320 M-32, Gaylord, MI 49735
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Evan Steven Gravedoni 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 ID5496194326
PECOS Enrollment IDI20240411003461
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.

Hospital Affiliations CMS Care Compare 3

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

Mclaren Central Michigan

Acute Care Hospitals · Mount Pleasant, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230080
Location1221 South DriveMount Pleasant, MI 48858 · Isabella County
Emergency services Birthing friendly

Mclaren Northern Michigan

Acute Care Hospitals · Petoskey, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230105
Location416 Connable AvePetoskey, MI 49770 · Emmet County
Emergency services Birthing friendly

Munson Healthcare Otsego Memorial Hospital

Acute Care Hospitals · Gaylord, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230133
Location825 N Center AveGaylord, MI 49735 · Otsego County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49735 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.

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 Evan Gravedoni's NPI number?

The NPI number for Evan Gravedoni is 1083326557. It was assigned to this individual provider in the NPPES registry on December 15, 2022.

Where is Evan Gravedoni located?

Evan Gravedoni practices at 1320 M-32, Gaylord, MI 49735. The listed phone number is (989) 731-5092.

What is Evan Gravedoni's specialty?

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

Is Evan Gravedoni enrolled in Medicare?

Yes. Evan Gravedoni 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 Evan Gravedoni accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Evan Gravedoni 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 Evan Gravedoni affiliated with any hospitals?

According to CMS data, Evan Gravedoni is affiliated with Mclaren Central Michigan, Mclaren Northern Michigan and Munson Healthcare Otsego Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Evan Gravedoni was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.