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Active NPI 1538801451 Individual Practitioner Male Practitioner

Samuel Boerckel , PA-C

Physician Assistant • Grand Rapids, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Samuel Boerckel, PA-C is a certified Physician Assistant practicing in Grand Rapids, MI. With approximately 6 years of clinical experience since completing medical education in 2020, Samuel Boerckel delivers high-quality medical care to the local community at 2332 ALPINE AVE NW.

Samuel Boerckel is affiliated with Spectrum Health Primary Care Partners and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, automated urinalysis test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2332 Alpine Ave Nw

Grand Rapids, MI 495441955

Telephone 6163916220
Associated Practice Facility / Clinic
🏢 Spectrum Health Urgent Care Facility NPI 1669603577

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Grand Rapids, MI

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -5.4 yrs vs City Avg
City Avg: 11.4 Yrs
State Avg: 12.2 Yrs
Regional Practice Density
920 Specialists

Practicing in Grand Rapids, MI (7057 Statewide)

Telehealth Adoption Rate
17.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
65.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Boerckel (6 Years) 6 Yrs
Grand Rapids Specialty Average (11.4 Years) 11.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
36 36 $192.00 $73.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
17 17 $289.00 $100.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
12 12 $288.00 $90.09

Medical Specialties & State Licenses

CMS Verified: 2022-08-10
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MI 5601010664

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.

Hospital & Practice Group Affiliations

Spectrum Health Primary Care Partners

2770 E Beltline Ave Ne, Grand Rapids, MI 495258614

Phone: 6162678860

Spectrum Health Primary Care Partners

2332 Alpine Ave Nw, Grand Rapids, MI 495441955

Phone: 6162678950

Spectrum Health Primary Care Partners

6105 Wilson Ave Sw Fl, Wyoming, MI 494189714

Phone: 6162678950

Spectrum Health Primary Care Partners

8501 Meadow Crk, Rockford, MI 493417524

Phone: 6162678950

Spectrum Health Primary Care Partners

6105 Wilson Ave Sw, Wyoming, MI 494189714

Spectrum Health Primary Care Partners

6105 Wilson Ave Sw, Grandville, MI 494189714

Phone: 6164865299

Spectrum Health Primary Care Partners

2750 E Beltline Ave Ne, Grand Rapids, MI 495258614

Phone: 6162678950

Spectrum Health Primary Care Partners

2750 E Beltline Ave Ne Fl, Grand Rapids, MI 495258614

Spectrum Health Primary Care Partners

4444 Kalamazoo Ave Se, Kentwood, MI 495084600

Phone: 6163915600

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

24 Associated Practitioners
Dr. James Pochert , MD

Internal Medicine

NPI 1053364208

Doctor of Medicine (M.D.)

Diana Lightfoot , PA

Physician Assistant

NPI 1053414128

Physician Assistant

Dr. Daniel Tome , DO

Emergency Medicine

NPI 1083666119

Doctor of Osteopathic Medicine (D.O.)

Dr. Peter Koptik , MD

Emergency Medicine

NPI 1093763252

Doctor of Medicine (M.D.)

Gregor Bennett , PA

Physician Assistant

NPI 1093828121

Physician Assistant

Erica Kuiper , PA-C

Physician Assistant

NPI 1174284012

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location June 27, 2022

Registered at 2332 ALPINE AVE NW, GRAND RAPIDS, MI 495441955 (Tel: 6163916220)

NPI Profile Active April 11, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location April 11, 2022

Registered at 100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 495032560 (Tel: 6164866790)

📍
Updated Business Mailing Address April 11, 2022

Registered at 100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 495032560 (Tel: 6164866790)

👤
Provider Name / Credentials Updated April 11, 2022

Recorded as SAMUEL BOERCKEL, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2022

Physician Assistant (License #5601010664 in MI)

🟢
Initial NPI Registration & Enumeration April 11, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538801451
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 11, 2022
Last Update: August 10, 2022
Sole Proprietor: No

Mailing Address

100 Michigan St Ne # Mc845

Grand Rapids, MI 495032560

Phone: 6164866790

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.