GARY DETWEILER PA-C
NPI 1396797924
Physician Assistant in Sparta, MI

Q: What is Gary Detweiler's NPI number?

The NPI number for Gary Detweiler is 1396797924. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Q: What is Gary Detweiler'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 Gary Detweiler was last updated on June 26, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 May 16, 2006PECOS EnrolledAccepts Medicare Assignment

475 S STATE ST, SPARTA, MI 49345(616) 685-1300(616) 887-5989 Get Directions Write a Review

NPPES record last updated: June 26, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Gary Detweiler Pa-c NPPES

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

GARY DETWEILER PA-C (NPI 1396797924) is an individual physician assistant in Sparta, Michigan, licensed in Michigan (5601002961) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1396797924

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameGARY DETWEILERCredential: PA-C

Location Address475 S STATE STSparta, MI 49345-1549

Mailing Address245 State St SeGrand Rapids, MI 49503-4328 · (616) 685-1808 · Fax (616) 685-1850

Phone(616) 685-1300

Fax(616) 887-5989

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateMay 16, 2006

Last NPPES UpdateJune 26, 2009

✔ NPI 1396797924 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 · 5601002961

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.

475 S STATE ST, Sparta, MI 49345

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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 Blue Shield of Michigan Mutual Insurance Company, Oscar 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

Gary Detweiler 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 ID9436210408

PECOS Enrollment IDI20240327002605

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 2

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

Presbyterian Hospital

Acute Care Hospitals · Albuquerque, NM

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number320021

Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo County

Emergency services Birthing friendly

Socorro General Hospital

Critical Access Hospitals · Socorro, NM

OwnershipVoluntary non-profit - Private

CMS Certification Number321301

Location1202 Highway 60 WestSocorro, NM 87801 · Socorro County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49345 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 13

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

TRINITY HEALTH - MICHIGAN

Clinic/Center (Federally Qualified Health Center (FQHC))