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JERRY EVANS MD
NPI 1194827808
Emergency Medicine - Emergency Medical Services in Muskegon, MI

Active since September 02, 2006PECOS Enrolled
1700 CLINTON ST, MUSKEGON, MI 49443(231) 728-4601 Get Directions Write a Review

NPPES record last updated: August 17, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jerry Evans Md NPPES

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

JERRY EVANS MD (NPI 1194827808) is an individual emergency medical services provider in Muskegon, Michigan, licensed in Michigan (4301057209) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194827808
Entity TypeIndividualMale
Primary Taxonomy207PE0004X
Provider Legal NameJERRY EVANSCredential: MD
Location Address1700 CLINTON STMuskegon, MI 49443
Mailing AddressPo Box 1487Muskegon, MI 49443-1487 · (616) 975-1845 · Fax (616) 975-1870
Phone(231) 728-4601
Sole ProprietorNo
Enumeration DateSeptember 2, 2006
Last NPPES UpdateAugust 17, 2010
✔ NPI 1194827808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
License✔ Licensed in MI · 4301057209
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
1700 CLINTON ST, Muskegon, MI 49443
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Other Identifiers 3

Medicare UPINF49596MI
Other930035897MI · Railroad Medicare
Medicare PINF16008049MI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jerry Evans Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jerry Evans reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lake Michigan Emergency Specialists, PLLC
Same address
Emergency Medicine
1700 CLINTON ST, EMERGENCY DEPARTMENT
Muskegon, MI 49442
  • Reassigned Medicare billing, Michigan enrollment
  • 83 clinicians in this Medicare group
NPI 1124574520 (231) 728-4601
Lake Michigan Observation Services PLLC
1.9 mi
Emergency Medical Services
1500 E SHERMAN BLVD
Muskegon, MI 49444
  • Reassigned Medicare billing, Michigan enrollment
  • 61 clinicians in this Medicare group
NPI 1518626043 (231) 672-3916

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
85 services83 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
54 services54 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49443 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
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

ERIK SIEVERTSEN MD
Emergency Medicine
1700 CLINTON ST
MUSKEGON, MI 49443
Muskegon County (231) 728-4601
BRIAN SMITH MD
Emergency Medicine (Emergency Medical Services)
1700 CLINTON ST
MUSKEGON, MI 49443
Muskegon County (231) 728-4601
SCOTT ARNOLD BENTZ MD
Emergency Medicine
1700 CLINTON ST
MUSKEGON, MI 49443
Muskegon County (231) 728-4601
KATHRYN KAMPEN MD
Emergency Medicine (Emergency Medical Services)
1700 CLINTON ST
MUSKEGON, MI 49443
Muskegon County (231) 728-4601

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 Jerry Evans's NPI number?

The NPI number for Jerry Evans is 1194827808. It was assigned to this individual provider in the NPPES registry on September 2, 2006.

Where is Jerry Evans located?

Jerry Evans practices at 1700 Clinton St, Muskegon, MI 49443. The listed phone number is (231) 728-4601.

What is Jerry Evans's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Is Jerry Evans enrolled in Medicare?

Yes. Jerry Evans is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jerry Evans's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jerry Evans reassigns Medicare benefits to 2 organizations: Lake Michigan Emergency Specialists, PLLC (Muskegon, MI) and Lake Michigan Observation Services PLLC (Muskegon, 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 Jerry Evans's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jerry Evans was last updated on August 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.