ABIGAIL MATOVICH PA-C
NPI 1467161620
Physician Assistant in Grand Rapids, MI

Q: What is Abigail Matovich's NPI number?

The NPI number for Abigail Matovich is 1467161620. It was assigned to this individual provider in the NPPES registry on November 16, 2022.

Q: What is Abigail Matovich's specialty?

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

Q: Is Abigail Matovich enrolled in Medicare?

No. Abigail Matovich has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Abigail Matovich was last updated on November 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 November 16, 2022Opted out of Medicare · through Jul 1, 2028

3700 52ND ST SE, GRAND RAPIDS, MI 49512(616) 656-3700 Get Directions Write a Review

NPPES record last updated: November 29, 2022. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Nov 29, 2022, Nov 17, 2022 (2 updates tracked since 2022).

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About Abigail Matovich Pa-c NPPES

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

ABIGAIL MATOVICH PA-C (NPI 1467161620) is an individual physician assistant in Grand Rapids, Michigan, licensed in Michigan (5601011407) and active in the NPI registry since November 2022. She has opted out of Medicare through July 1, 2028.

NPPES Registry Identity

NPI1467161620

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameABIGAIL MATOVICHCredential: PA-C

Location Address3700 52ND ST SEGrand Rapids, MI 49512-9637

Mailing Address447 Wealthy St SeGrand Rapids, MI 49503-6002 · (260) 415-3228

Phone(616) 656-3700

Sole ProprietorNo

Enumeration DateNovember 16, 2022

Last NPPES UpdateNovember 29, 20222 updates tracked since enumeration

NPPES CertifiedNovember 29, 2022

✔ NPI 1467161620 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 · 5601011407

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.

3700 52ND ST SE, Grand Rapids, MI 49512

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Abigail Matovich Pa-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2024 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2024

Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49512 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 12

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

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