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MS. CASEY KATHLEEN PATERSON MD
NPI 1235759184
Surgery in Grand Rapids, MI

Active since April 21, 2020PECOS Enrolled
4100 LAKE DR SE STE 205, GRAND RAPIDS, MI 49546(616) 267-7100 Get Directions Write a Review

NPPES record last updated: November 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 28, 2025, Jun 26, 2020, Apr 21, 2020 (3 updates tracked since 2020).

About Ms. Casey Kathleen Paterson Md NPPES

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

MS. CASEY KATHLEEN PATERSON MD (NPI 1235759184) is an individual surgery provider in Grand Rapids, Michigan, licensed in Pennsylvania (MD488426) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235759184
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameMS. CASEY KATHLEEN PATERSONCredential: MD
Location Address4100 LAKE DR SE STE 205Grand Rapids, MI 49546-8292
Mailing Address4100 Lake Dr Se Ste 205Grand Rapids, MI 49546-8292 · (616) 267-7100
Phone(616) 267-7100
Sole ProprietorNo
Enumeration DateApril 21, 2020
Last NPPES UpdateNovember 28, 20253 updates tracked since enumeration
NPPES CertifiedNovember 28, 2025
✔ NPI 1235759184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in PA · MD488426
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedColon & Rectal SurgeryTaxonomy 208C00000X · License 4301514216 (MI)
4100 LAKE DR SE STE 205, Grand Rapids, MI 49546
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Casey Kathleen Paterson 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49546 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.

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.

ROSS REYNOLDS PA
Physician Assistant
4100 LAKE DR SE STE 205
GRAND RAPIDS, MI 49546
Kent County (616) 267-7414
MRS. SHEILA MARIE ZANK NP
Nurse Practitioner (Family)
4100 LAKE DR SE STE 205
GRAND RAPIDS, MI 49546
Kent County (616) 267-7100
MS. KATHERINE A KELLEY M.D.
Colon & Rectal Surgery
4100 LAKE DR SE STE 205
GRAND RAPIDS, MI 49546
Kent County (616) 267-7100
JARED THOMAS COURTRIGHT PA
Physician Assistant
4100 LAKE DR SE STE 205
GRAND RAPIDS, MI 49546
Kent County (616) 267-7100
JASON SCOTT PUCKETT MD
Internal Medicine (Gastroenterology)
4100 LAKE DR SE STE 205
GRAND RAPIDS, MI 49546
Kent County (616) 267-7414
TONG GAN M.D.
Colon & Rectal Surgery
4100 LAKE DR SE STE 205
GRAND RAPIDS, MI 49546
Kent County (616) 267-7100
JOSHUA ALLEN THOMAS PA
Physician Assistant
4100 LAKE DR SE STE 205
GRAND RAPIDS, MI 49546
Kent County (616) 267-7100
PATRICK RAY BROWN DO
Internal Medicine (Gastroenterology)
4100 LAKE DR SE STE 205
GRAND RAPIDS, MI 49546
Kent County (616) 267-7414

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 Casey Paterson's NPI number?

The NPI number for Casey Paterson is 1235759184. It was assigned to this individual provider in the NPPES registry on April 21, 2020.

Where is Casey Paterson located?

Casey Paterson practices at 4100 Lake Dr SE Ste 205, Grand Rapids, MI 49546. The listed phone number is (616) 267-7100.

What is Casey Paterson's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Casey Paterson enrolled in Medicare?

Yes. Casey Paterson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Casey Paterson was last updated on November 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.