MATTHEW SCOTT RETTKE M.D.
NPI 1548250020
Pediatrics in Grayling, MI

Active since October 25, 2005PECOS Enrolled
1250 E MICHIGAN AVE, GRAYLING, MI 49738(989) 348-0550(989) 348-0473 Get Directions Write a Review

NPPES record last updated: December 29, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Matthew Scott Rettke M.d. NPPES

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

MATTHEW SCOTT RETTKE M.D. (NPI 1548250020) is an individual pediatrics provider in Grayling, Michigan, licensed in Michigan (4301064367) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548250020
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMATTHEW SCOTT RETTKECredential: M.D.
Location Address1250 E MICHIGAN AVEGrayling, MI 49738-7074
Mailing Address3781 Momentum PlaceChicago, IL 60689-5337 · (231) 935-6080 · Fax (231) 935-6081
Fax(989) 348-0473
Sole ProprietorNo
Enumeration DateOctober 25, 2005
Last NPPES UpdateDecember 29, 2020
NPPES CertifiedDecember 29, 2020
✔ NPI 1548250020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MI · 4301064367
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1250 E MICHIGAN AVE, Grayling, MI 49738

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Scott Rettke M.d. 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 Reassignment

Medicare enrollment records show Matthew Rettke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
1100 E MICHIGAN AVE
Grayling, MI 49738
  • Reassigned Medicare billing, Michigan enrollment
  • 123 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49738 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 20

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

Obstetrics & Gynecology
1250 E MICHIGAN AVE
GRAYLING, MI 49738
Physician Assistant
1250 E MICHIGAN AVE
GRAYLING, MI 49738
Physical Therapist
1250 E MICHIGAN AVE
GRAYLING, MI 49738
Physician Assistant
1250 E MICHIGAN AVE
GRAYLING, MI 49738
Pediatrics
1250 E MICHIGAN AVE
GRAYLING, MI 49738
Clinic/Center (Rural Health)
1250 E MICHIGAN AVE
GRAYLING, MI 49738
Physical Therapist
1250 E MICHIGAN AVE
GRAYLING, MI 49738
Internal Medicine
1250 E MICHIGAN AVE
GRAYLING, MI 49738

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 Matthew Rettke's NPI number?

The NPI number for Matthew Rettke is 1548250020. It was assigned to this individual provider in the NPPES registry on October 25, 2005.

Where is Matthew Rettke located?

Matthew Rettke practices at 1250 E Michigan Ave, Grayling, MI 49738. The listed phone number is (989) 348-0550.

What is Matthew Rettke's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Matthew Rettke enrolled in Medicare?

Yes. Matthew Rettke is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Matthew Rettke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Rettke reassigns Medicare benefits to Munson Healthcare Grayling (Grayling, MI). The 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 Matthew Rettke'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 Matthew Rettke was last updated on December 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.