MARY WALTER PA-C
NPI 1740688209
Physician Assistant in Grand Rapids, MI

Active since December 16, 2014PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503(616) 486-6790(616) 486-6702 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mary Walter Pa-c NPPES

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

MARY WALTER PA-C (NPI 1740688209) is an individual physician assistant in Grand Rapids, Michigan, licensed in Michigan (5601007281) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1740688209
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARY WALTERCredential: PA-C
Location Address100 MICHIGAN ST NE # MC845Grand Rapids, MI 49503-2560
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Fax(616) 486-6702
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 16, 2014
Last NPPES UpdateAugust 26, 2024
NPPES CertifiedAugust 26, 2024
NPI 1740688209 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 · 5601007281
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.

100 MICHIGAN ST NE # MC845, Grand Rapids, MI 49503

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

Mary Walter 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 ID1052635976
PECOS Enrollment IDI20150126001066
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 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Follow-up hospital inpatient care per day, typically 35 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.
37 services21 patients
Initial hospital inpatient care per day, typically 70 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
20 services20 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
13 services13 patients
Follow-up hospital inpatient care per day, typically 25 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.
12 services11 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 49503 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

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.

Physician Assistant
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503
Speech-Language Pathologist
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503
Dietitian, Registered
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503
Technician/Technologist (Orthoptist)
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503
Speech-Language Pathologist
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503
Dietitian, Registered
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503
Nurse Practitioner (Gerontology)
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503
Physical Therapist
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740688209, enumerated as an "individual" on December 16, 2014.

The provider is located at 100 MICHIGAN ST NE # MC845 GRAND RAPIDS, MI 49503 and the phone number is (616) 486-6790.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield of Michigan Mutual. Please consult your insurance carrier or call the provider to verify.

Mary Walter is affiliated with: SPECTRUM HEALTH.