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Active NPI 1982950960 Individual Practitioner Male Practitioner

Jack Daniel Degroot , PA-C

Physician Assistant • Grand Rapids, MI

Professional Overview & Biography Verified Profile Summary

Jack Degroot, PA-C is a registered healthcare professional specializing in Physician Assistant in Grand Rapids, MI. Practice services are available at 1545 68TH ST SE STE 100 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, routine electrocardiogram (ecg) using at least 12 leads with tracing, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1545 68th St Se Ste 100

Grand Rapids, MI 495087896

Telephone 6162677881
Associated Practice Facility / Clinic
🏢 Spectrum Health Hospitals Facility NPI 1962494120

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Grand Rapids, MI

Active Practitioner
Practitioner Clinical Experience
Active
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
63.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
51 48 $219.88 $78.71
99213 Established patient office or other outpatient visit, typically 15 minutes
35 31 $150.03 $60.24
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing
12 12 $30.50 $5.72

Medical Specialties & State Licenses

CMS Verified: 2022-02-14
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MI 5601006401

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.

Practice Associates & Co-Workers

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

8 Associated Practitioners
Beth Shepherd , LMSW

Social Worker - Clinical

NPI 1134673361

Licensed Master Social Worker

NPI 1225534209

Doctor of Medicine (M.D.)

Brittney Reynolds , LMSW

Social Worker - Clinical

NPI 1316579758

Licensed Master Social Worker

NPI 1366641649

Doctor of Medicine (M.D.)

Emily Jones

Social Worker - Clinical

NPI 1407442247
Elizabeth Anderson , PA-C

Physician Assistant - Medical

NPI 1629158399

Physician Assistant (Certified)

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location February 14, 2022

Registered at 1545 68TH ST SE STE 100, GRAND RAPIDS, MI 495087896 (Tel: 6162677881)

NPI Profile Active June 05, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 05, 2017

Registered at 426 MICHIGAN ST NE, GRAND RAPIDS, MI 495035609 (Tel: 6162677888)

📍
Updated Business Mailing Address June 05, 2017

Registered at 100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 495032560

👤
Provider Name / Credentials Updated June 05, 2017

Recorded as JACK DEGROOT, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2017

Physician Assistant (License #5601006401 in MI)

NPI Profile Active October 29, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location October 29, 2012

Registered at 1300 MICHIGAN ST NE, SUITE 103, GRAND RAPIDS, MI 495032026 (Tel: 6162678338)

📍
Updated Business Mailing Address October 29, 2012

Registered at 100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 495032560

👤
Provider Name / Credentials Updated October 29, 2012

Recorded as JACK DEGROOT, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2012

Physician Assistant (License #5601006401 in MI)

🟢
Initial NPI Registration & Enumeration July 27, 2012

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: 1982950960
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 27, 2012
Last Update: February 14, 2022
Sole Proprietor: No

Mailing Address

100 Michigan St Ne, Mc 845

Grand Rapids, MI 495032560

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.