THOMAS JAY BEVERWYK PA-C
NPI 1699001156
Physician Assistant in Grand Rapids, MI

Q: What is Thomas Beverwyk's NPI number?

The NPI number for Thomas Beverwyk is 1699001156. It was assigned to this individual provider in the NPPES registry on October 19, 2009.

Q: What is Thomas Beverwyk'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 Thomas Beverwyk was last updated on July 21, 2021. 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.

Active since October 19, 2009PECOS EnrolledAccepts Medicare Assignment

4100 LAKE DR SE STE 205, GRAND RAPIDS, MI 49546(515) 267-7414(616) 267-7137 Get Directions Write a Review

NPPES record last updated: July 21, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2021, Mar 4, 2021, Apr 10, 2019 (3 updates tracked since 2019).

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About Thomas Jay Beverwyk Pa-c NPPES

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

THOMAS JAY BEVERWYK PA-C (NPI 1699001156) is an individual physician assistant in Grand Rapids, Michigan, licensed in Michigan (5601005649) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1699001156

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameTHOMAS JAY BEVERWYKCredential: PA-C

Location Address4100 LAKE DR SE STE 205Grand Rapids, MI 49546-8292

Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560

Phone(515) 267-7414

Fax(616) 267-7137

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateOctober 19, 2009

Last NPPES UpdateJuly 21, 20213 updates tracked since enumeration

NPPES CertifiedJuly 21, 2021

✔ NPI 1699001156 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 · 5601005649

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.

4100 LAKE DR SE STE 205, Grand Rapids, MI 49546

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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, Priority Health 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

Thomas Jay Beverwyk 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 ID3274675178

PECOS Enrollment IDI20100114000596

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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

374 services54 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

173 services44 patients

Hospital Affiliations CMS Care Compare

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

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230038

Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County

Emergency services Birthing friendly

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