Doctor profile · Federal record
Dr. Kevin Wiersum, PAC
Surgical Physician Assistant (CMS: Physician Assistant) · Grand Rapids, MI
- NPI 1699762765
- Accepts Medicare
- MIPS 70.1 / 100 · 2023
- 23 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1111 Leffingwell Ave Ne, Ste 100
Grand Rapids, MI 495256406
(616) 459-7101
Credentials & registration
- NPI registered
- October 2005 — 21 yrs on file
- Profile last updated
- September 18, 2013
- Year of graduation
- 2003 — 23 yrs since
- Specialty taxonomy
- 363AS0400X — NUCC code
- State license (1)
- Michigan #5601004099
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1699762765. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
261
Distinct HCPCS
8
Medicare allowed
$14,077
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
22614 |
Fusion of additional segment of spine | 72 | 21 | $52 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 56 | 46 | $70 | |
72100 |
X-ray of lower and sacral spine, 2-3 views | 37 | 32 | $32 | |
72110 |
X-ray of lower and sacral spine, minimum of 4 views | 26 | 25 | $40 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 23 | 20 | $45 | |
22842 |
Placement of stabilizing device to back, 3-6 spine bone segments | 18 | 17 | $102 | |
72080 |
X-ray of middle and lower spine, 2 views | 17 | 14 | $27 | |
63047 |
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | 12 | 12 | $74 |
In context: peer comparison
Among 9 peers in this city , average services per provider: 49. This provider delivers 5.3× the peer median.Open Payments
Industry payments received
All-time total
$183
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Medtronic, Inc. | 2 | $183.48 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
640
Patients
448
Total drug cost
$10,824
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 200 | 104 | $1,880 |
| Methocarbamol | Generic | 113 | 99 | $870 |
| Oxycodone Hcl | Generic | 101 | 50 | $768 |
| Naloxone Hcl | Generic | 72 | 70 | $5,747 |
| Celecoxib | Generic | 42 | 38 | $816 |
| Tramadol Hcl | Generic | 33 | 24 | $81 |
| Methylprednisolone | Generic | 31 | 28 | $276 |
| Gabapentin | Generic | 26 | 19 | $211 |
| Cyclobenzaprine Hcl | Generic | 22 | 16 | $176 |
Hospital affiliations
Frequently asked questions
What is Dr. Kevin Wiersum's medical specialty?
Dr. Kevin Wiersum practices Surgical Physician Assistant in Grand Rapids, MI.
Where does Dr. Kevin Wiersum practice?
Dr. Kevin Wiersum practices at 1111 Leffingwell Ave Ne, Grand Rapids, MI 495256406. Office phone: 6164597101.
What is Dr. Kevin Wiersum's NPI?
Dr. Kevin Wiersum's National Provider Identifier (NPI) is 1699762765, issued by NPPES.
Does Dr. Kevin Wiersum accept Medicare assignment?
Yes. Dr. Kevin Wiersum accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kevin Wiersum commonly perform?
Top Medicare-reported procedures in 2023: Fusion of additional segment of spine (HCPCS 22614); Established patient office or other outpatient visit (HCPCS 99213); X-ray of lower and sacral spine, 2-3 views (HCPCS 72100). Source: CMS Medicare Physician & Other Practitioners file.