ANDREW DOORN PA-C
NPI 1144739491
Physician Assistant in Traverse City, MI

Q: What is Andrew Doorn's NPI number?

The NPI number for Andrew Doorn is 1144739491. It was assigned to this individual provider in the NPPES registry on September 29, 2017.

Q: What is Andrew Doorn's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Andrew Doorn was last updated on February 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since September 29, 2017PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

1105 SIXTH ST, TRAVERSE CITY, MI 49684(231) 935-7514(231) 392-0039 Get Directions Write a Review

NPPES record last updated: February 28, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 5, 2020, Oct 18, 2017 (2 updates tracked since 2017).

On this page

About Andrew Doorn Pa-c NPPES

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

ANDREW DOORN PA-C (NPI 1144739491) is an individual physician assistant in Traverse City, Michigan, licensed in New Mexico (PA2017-0088) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS, is affiliated with Munson Medical Center, and is a graduate of Western Michigan Un Homer Stryker School Of Med (2017).

NPPES Registry Identity

NPI1144739491

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameANDREW DOORNCredential: PA-C

Location Address1105 SIXTH STTraverse City, MI 49684-2345

Mailing Address4351 E Lohman Ave Ste 200Las Cruces, NM 88011-8260 · (575) 522-4940 · Fax (575) 522-4932

Phone(231) 935-7514

Fax(231) 392-0039

Sole ProprietorNo

Medical School CMSWestern Michigan Un Homer Stryker School Of MedGraduated 2017

Enumeration DateSeptember 29, 2017

Last NPPES UpdateFebruary 28, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 28, 2024

✔ NPI 1144739491 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 NM · PA2017-0088

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.

1105 SIXTH ST, Traverse City, MI 49684

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross and Blue Shield of Texas, Blue Cross Blue Shield of Michigan Mutual Insurance Company 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

Andrew Doorn 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 ID5294094074

PECOS Enrollment IDI20201113002030

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

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

Munson Medical Center

Acute Care Hospitals · Traverse City, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230097

Location1105 Sixth StreetTraverse City, MI 49684 · Grand Traverse County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49684 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 as part of a group practice

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

26%42 patients2/55-star benchmark: 85%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

100%626 patients5/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

39%109 patients2/55-star benchmark: 97%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

EDWARD J WALSH MD

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