Matthew Eisen, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

52281 Issued in CA

Practice address

1560 E Sherman Blvd Ste 9
Muskegon, MI 49444-1867

Phone

(231) 672-8643

Fax

(231) 672-8651

NPI assigned

Feb 6, 2015

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Health Partners Sub-Specialty ServicesGroup PAC ID 3274504105, 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinity Health Muskegon Hospital Hospital, Muskegon, MI, CCN 230066

Merit-based Incentive Payment System (MIPS)

Final score

97.79 of 100Reported as group

Quality

96.38

Improvement activities

40

Cost

77.38

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mercy Health Partners Sub-Specialty Services

  • Internal Medicine Physician
  • Muskegon, MI
  • NPI 1124042700
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Health Partners

  • General Acute Care Hospital
  • Muskegon, MI
  • NPI 1831132133
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1619368008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 S CEDAR BLUFF RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223697",
            "telephone_number": "863-409-1724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 E SHERMAN BLVD STE 9",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441867",
            "telephone_number": "231-672-8643",
            "fax_number": "231-672-8651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1560 E Sherman Blvd Ste 9",
            "address_purpose": "LOCATION",
            "city": "Muskegon",
            "state": "MI",
            "postal_code": "494441867",
            "country_code": "US",
            "telephone_number": "231-672-8643",
            "fax_number": "231-672-8651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EISEN",
        "first_name": "MATTHEW",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-06",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "52281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward J. Stehouwer, M.D., P.L.L.C.
• John P Egan Jr., MD
• Eric Egeler, PHARMD
• Carley Nicole Eggleton
• Robert Leslie Eichelberger, P.A.
• Justin Eisenberg, D.O.
• Mohamad E El Mortada, MD
• Joseph Anthony El-Ghoubaira, MD
• Elevated Wellness Counseling LLC
• Elizabeth Dunnuck Counseling Services

• Surgical Physician Assistant in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Surgical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.