KIMBERLY K DECKER PA
NPI 1164472619
Physician Assistant in Grand Rapids, MI

Active since May 12, 2006PECOS EnrolledAccepts Medicare Assignment
84.16/100
CMS Quality Rating
3355 EAGLE PARK DR NE, SUITE 103, GRAND RAPIDS, MI 49525(616) 942-7400(616) 942-7405 Get Directions Write a Review

NPPES record last updated: May 19, 2017. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Kimberly K Decker Pa NPPES

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

KIMBERLY K DECKER PA (NPI 1164472619) is an individual physician assistant in Grand Rapids, Michigan, licensed in Michigan (5601004650) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health United Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1164472619
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKIMBERLY K DECKERCredential: PA
Location Address3355 EAGLE PARK DR NE, SUITE 103Grand Rapids, MI 49525-7004
Mailing Address3264 N Evergreen Dr NeGrand Rapids, MI 49525-9746 · (616) 363-7339 · Fax (616) 363-7339
Fax(616) 942-7405
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMay 12, 2006
Last NPPES UpdateMay 19, 2017
NPI 1164472619 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 · 5601004650
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.
3355 EAGLE PARK DR NE, Grand Rapids, MI 49525

Other Identifiers 2

Other5601004650MI · Michigan License
Medicare PINN93440003

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

Kimberly K Decker Pa 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 ID8325066558
PECOS Enrollment IDI20051107000541
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.

Dxa bone density measurement of hip, pelvis, spine including spine fracture assessment 77085
A DXA bone density measurement is a non-invasive scan that helps assess the strength of your bones, specifically in the hip, pelvis, and spine areas. It can detect early signs of osteoporosis and evaluate fracture risk. This test uses low-dose X-rays for accurate results.
200 services200 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
58 services58 patients
Single contrast x-ray of esophagus 74220
A single contrast x-ray of the esophagus is a non-invasive procedure where a radiopaque substance is swallowed to highlight the esophagus. This allows doctors to capture clear images of the area, aiding in the diagnosis of any abnormalities or issues.
35 services35 patients
Single contrast x-ray of upper digestive tract 74240
A single contrast x-ray of the upper digestive tract is a diagnostic procedure that uses a special dye and x-rays to see how your digestive system is functioning. It helps in detecting abnormalities or diseases in your esophagus, stomach, and the first part of your small intestine.
29 services29 patients

Hospital Affiliations CMS Care Compare 4

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

Spectrum Health United Hospital

Acute Care Hospitals · Greenville, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230035
Location615 S Bower StreetGreenville, MI 48838 · Montcalm County
Birthing friendly

Mymichigan Medical Center Alpena

Acute Care Hospitals · Alpena, MI
5/5 CMS rating
OwnershipProprietary
CMS Certification Number230036
Location1501 W Chisholm StAlpena, MI 49707 · Alpena County
Emergency services Birthing friendly

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

Corewell Health Gerber Hospital

Critical Access Hospitals · Fremont, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231338
Location212 S Sullivan StFremont, MI 49412 · Newaygo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49525 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.

84.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.28
Improvement Activities40
Cost67.44

Other Providers at the Same Location NPPES 17

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

Physician Assistant
3355 EAGLE PARK DR NE, SUITE 103
GRAND RAPIDS, MI 49525
Physician Assistant
3355 EAGLE PARK DR NE, SUITE 103
GRAND RAPIDS, MI 49525
Psychologist
3355 EAGLE PARK DR NE, STE 107
GRAND RAPIDS, MI 49525
Internal Medicine
3355 EAGLE PARK DR NE, SUITE 103
GRAND RAPIDS, MI 49525
Social Worker (Clinical)
3355 EAGLE PARK DR NE, STE 107
GRAND RAPIDS, MI 49525
Pain Medicine (Pain Medicine)
3355 EAGLE PARK DR NE, SUITE 106
GRAND RAPIDS, MI 49525
Massage Therapist
3355 EAGLE PARK DR NE, 107
GRAND RAPIDS, MI 49525
Psychologist (Clinical)
3355 EAGLE PARK DR NE, STE 106
GRAND RAPIDS, MI 49525

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 Kimberly Decker's NPI number?

The NPI number for Kimberly Decker is 1164472619. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Kimberly Decker located?

Kimberly Decker practices at 3355 Eagle Park Dr NE Suite 103, Grand Rapids, MI 49525. The listed phone number is (616) 942-7400.

What is Kimberly Decker's specialty?

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

Is Kimberly Decker enrolled in Medicare?

Yes. Kimberly Decker 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 Kimberly Decker accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Kimberly Decker 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 Kimberly Decker affiliated with any hospitals?

According to CMS data, Kimberly Decker is affiliated with Spectrum Health United Hospital, Mymichigan Medical Center Alpena, Spectrum Health and Corewell Health Gerber Hospital.

When was this NPI record last updated?

The NPPES record for Kimberly Decker was last updated on May 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.