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Ian Degram , PA-C

Physician Assistant β€’ Big Rapids, MI

Active NPI 1073314043 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

14755 215th Ave
Big Rapids, MI 493079224

Call 2317963200 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

14755 215th Ave

Big Rapids, MI 493079224

Telephone 2317963200
Organization at the Same NPPES Address or Phone
Mecosta County Medical Center Facility NPI 1184912396

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Mecosta County Medical Center. See the list

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Graduation Year

2023

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

3 years (graduated 2023)

CMS Doctors and Clinicians data list 2023 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Ian Degram has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Ian Degram as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Big Rapids and Michigan

20 active clinicians are listed under Physician Assistant with a practice address in Big Rapids, MI (7,169 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Big Rapids

0% of these 20 clinicians have the CMS telehealth indicator.

75% of these 20 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-07-14
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES MI 2545130259

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20250515000902

Enrollment State Jurisdiction

MI

PECOS Control ID

6800314667

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Mecosta County Medical Center

14755 215th Ave, Big Rapids, MI 493079224

Phone: 2317963200

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

20 listed
Dr. Robert Bach , DO

Family Medicine

NPI 1275581373

Doctor of Osteopathic Medicine (D.O.)

Henry Birchmeier , FNP

Nurse Practitioner - Family

NPI 1497442271

Family Nurse Practitioner

Sara Fritch , PA-C

Physician Assistant

NPI 1831721679

Physician Assistant (Certified)

Ann Johnson

Physician Assistant

NPI 1699175471
Andria Keusch , PA-C

Physician Assistant

NPI 1225057409

Physician Assistant (Certified)

Dr. Kory Kropman , MD

Internal Medicine

NPI 1811568801

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Practice Location July 14, 2025

Registered at 14755 215TH AVE, BIG RAPIDS, MI 493079224 (Tel: 2317963200)

βœ…
NPI Profile Active March 24, 2025

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 24, 2025

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

πŸ“
Business Mailing Address (Initial Record) March 24, 2025

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

πŸ‘€
Provider Name / Credentials (Initial Record) March 24, 2025

Recorded as IAN DEGRAM, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2025

Physician Assistant (license number reported to NPPES: MI 2545130259)

🟒
Initial NPI Registration & Enumeration March 24, 2025

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1073314043
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 24, 2025
Last Update: July 14, 2025
Sole Proprietor: No

Other Physician Assistants in Big Rapids

All Physician Assistants in Big Rapids

Mailing Address

100 Michigan St Ne # Mc845

Grand Rapids, MI 495032560

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.