KATHLEEN P TOEPKE PA
NPI 1326474172
Physician Assistant in Midland, MI

Active since September 24, 2013PECOS EnrolledAccepts Medicare Assignment
4401 CAMPUS RIDGE DR STE 1100, MIDLAND, MI 48640(989) 837-9200(989) 837-9205 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Jun 2, 2017, Sep 28, 2015 (3 updates tracked since 2015).

About Kathleen P Toepke Pa NPPES

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

KATHLEEN P TOEPKE PA (NPI 1326474172) is an individual physician assistant in Midland, Michigan, licensed in Michigan (5601006777) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS, is affiliated with Mymichigan Medical Center Clare, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1326474172
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATHLEEN P TOEPKECredential: PA
Location Address4401 CAMPUS RIDGE DR STE 1100Midland, MI 48640-6125
Mailing Address4401 Campus Ridge Dr Ste 1100Midland, MI 48640-6125 · (989) 837-9200 · Fax (989) 837-9205
Fax(989) 837-9205
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 24, 2013
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1326474172 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 · 5601006777
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.

4401 CAMPUS RIDGE DR STE 1100, Midland, MI 48640

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

Kathleen P Toepke 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 ID1951538693
PECOS Enrollment IDI20131230000621
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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
125 services78 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
75 services52 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
44 services44 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
17 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Mymichigan Medical Center Clare

Acute Care Hospitals · Clare, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230180
Location703 N Mcewan StClare, MI 48617 · Clare County

Mymichigan Medical Center Midland

Acute Care Hospitals · Midland, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230222
Location4000 Wellness DriveMidland, MI 48670 · Midland County
Birthing friendly

Mymichigan Medical Center Gladwin

Critical Access Hospitals · Gladwin, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231325
Location515 Quarter StreetGladwin, MI 48624 · Gladwin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48640 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.

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers43 claims106 services$6.09 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers14 claims19 services$1.08 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers12 claims12 services$36.82 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers15 claims15 services$62.72 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers19 claims98 services$2.20 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$16.26 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

Nurse Practitioner
4401 CAMPUS RIDGE DR STE 1100
MIDLAND, MI 48640
Pharmacist (Ambulatory Care)
4401 CAMPUS RIDGE DR STE 1100
MIDLAND, MI 48640
Internal Medicine (Infectious Disease)
4401 CAMPUS RIDGE DR STE 1100
MIDLAND, MI 48640
Internal Medicine
4401 CAMPUS RIDGE DR STE 1100
MIDLAND, MI 48640
Internal Medicine
4401 CAMPUS RIDGE DR STE 1100
MIDLAND, MI 48640
Internal Medicine
4401 CAMPUS RIDGE DR STE 1100
MIDLAND, MI 48640
Speech-Language Pathologist
4401 CAMPUS RIDGE DR STE 1100
MIDLAND, MI 48640

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 Kathleen Toepke's NPI number?

The NPI number for Kathleen Toepke is 1326474172. It was assigned to this individual provider in the NPPES registry on September 24, 2013.

Where is Kathleen Toepke located?

Kathleen Toepke practices at 4401 Campus Ridge Dr Ste 1100, Midland, MI 48640. The listed phone number is (989) 837-9200.

What is Kathleen Toepke's specialty?

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

Is Kathleen Toepke enrolled in Medicare?

Yes. Kathleen Toepke 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 Kathleen Toepke accept?

Health plans from Priority Health list Kathleen Toepke 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 Kathleen Toepke affiliated with any hospitals?

According to CMS data, Kathleen Toepke is affiliated with Mymichigan Medical Center Clare, Mymichigan Medical Center Midland and Mymichigan Medical Center Gladwin.

When was this NPI record last updated?

The NPPES record for Kathleen Toepke was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.