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DR. JOHN M PIERSMA M.D.
NPI 1023130499
Internal Medicine in Cincinnati, OH

Active since April 04, 2007Opted out of Medicare · through Oct 1, 2027CLIA 36D2214089 · Waiver
2727 MADISON RD STE 205, CINCINNATI, OH 45209(513) 854-0100(513) 586-4904 Get Directions Write a Review

NPPES record last updated: September 4, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. John M Piersma M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN M PIERSMA M.D. (NPI 1023130499) is an individual internal medicine provider in Cincinnati, Ohio, licensed in Ohio (35095620) and active in the NPI registry since April 2007. He has opted out of Medicare through October 1, 2027 and holds a CLIA Waiver certificate valid through February 17, 2027.

NPPES Registry Identity

NPI1023130499
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JOHN M PIERSMACredential: M.D.
Location Address2727 MADISON RD STE 205Cincinnati, OH 45209-2276
Mailing Address2727 Madison Rd Ste 205Cincinnati, OH 45209-2276 · (513) 854-0100 · Fax (513) 586-4904
Phone(513) 854-0100
Fax(513) 586-4904
Sole ProprietorNo
Enumeration DateApril 4, 2007
Last NPPES UpdateSeptember 4, 2019
✔ NPI 1023130499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35095620
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2727 MADISON RD STE 205, Cincinnati, OH 45209
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Other Identifiers 2

Medicaid7100108430KY
Medicaid3111420OH

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. John M Piersma M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2019 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2019
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2214089

John M Piersma MD LLC · Cincinnati, OH
Active · expires Feb 17, 2027
CLIA Number36D2214089
Laboratory TypePhysician Office
Certificate Effective DateFebruary 18, 2025
Certificate Expiration DateFebruary 17, 2027
Laboratory DirectorJohn M. Piersma
Laboratory Phone(513) 854-0100
Laboratory LocationJohn M Piersma MD LLC2727 Madison Rd Ste 205, Cincinnati, OH 45209
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45209 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Piersma's NPI number?

The NPI number for John Piersma is 1023130499. It was assigned to this individual provider in the NPPES registry on April 4, 2007.

Where is John Piersma located?

John Piersma practices at 2727 Madison Rd Ste 205, Cincinnati, OH 45209. The listed phone number is (513) 854-0100.

What is John Piersma's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is John Piersma enrolled in Medicare?

No. John Piersma has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Does John Piersma hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2214089) is associated with this NPI, valid through February 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for John Piersma was last updated on September 4, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.