DR. NICHOLAS F.H. STIENSTRA M.D.
NPI 1033505581
Internal Medicine - Rheumatology in Monterey, CA

Active since April 11, 2015PECOS EnrolledAccepts Medicare Assignment
77.81/100
CMS Quality Rating
2 UPPER RAGSDALE DR BLDG A, MONTEREY, CA 93940(831) 333-3040(831) 886-3639 Get Directions Write a Review

NPPES record last updated: April 9, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Nicholas F.h. Stienstra M.d. NPPES

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

DR. NICHOLAS F.H. STIENSTRA M.D. (NPI 1033505581) is an individual rheumatology provider in Monterey, California, licensed in California (A170493) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and is a graduate of New York Medical College (2015).

NPPES Registry Identity

NPI1033505581
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. NICHOLAS F.H. STIENSTRACredential: M.D.
Location Address2 UPPER RAGSDALE DR BLDG AMonterey, CA 93940-5736
Mailing Address2 Upper Ragsdale Dr Bldg AMonterey, CA 93940-5736 · (831) 333-3040 · Fax (831) 886-3639
Fax(831) 886-3639
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 2015
Enumeration DateApril 11, 2015
Last NPPES UpdateApril 9, 2021
NPPES CertifiedApril 9, 2021
NPI 1033505581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in CA · A170493
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedInternal MedicineTaxonomy 207R00000X · License A170493 (CA)
2 UPPER RAGSDALE DR BLDG A, Monterey, CA 93940

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Nicholas F.h. Stienstra M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941515167
PECOS Enrollment IDI20210504002624
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
518 services255 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
78 services68 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
64 services46 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
56 services11 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
46 services46 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
45 services45 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93940 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
$139.84 typical visit price
range $61.69 – $184.30
Typical copayment $34.96 (range $15.42 – $46.07)
Most-billed visit code 99204
Established Patient
$108.04 typical visit price
range $20.34 – $151.02
Typical copayment $27.01 (range $5.08 – $37.75)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.99
Promoting Interoperability100
Improvement Activities40
Cost57.04

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
2 UPPER RAGSDALE DR BLDG A
MONTEREY, CA 93940
Nurse Practitioner
2 UPPER RAGSDALE DR BLDG A
MONTEREY, CA 93940
Physician Assistant
2 UPPER RAGSDALE DR BLDG A
MONTEREY, CA 93940
Internal Medicine
2 UPPER RAGSDALE DR BLDG A
MONTEREY, CA 93940
Urology
2 UPPER RAGSDALE DR BLDG A
MONTEREY, CA 93940
Internal Medicine (Pulmonary Disease)
2 UPPER RAGSDALE DR BLDG A
MONTEREY, CA 93940
Marriage & Family Therapist
2 UPPER RAGSDALE DR BLDG A
MONTEREY, CA 93940
Psychiatry & Neurology (Psychiatry)
2 UPPER RAGSDALE DR BLDG A
MONTEREY, CA 93940

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 Nicholas Stienstra's NPI number?

The NPI number for Nicholas Stienstra is 1033505581. It was assigned to this individual provider in the NPPES registry on April 11, 2015.

Where is Nicholas Stienstra located?

Nicholas Stienstra practices at 2 Upper Ragsdale Dr Bldg A, Monterey, CA 93940. The listed phone number is (831) 333-3040.

What is Nicholas Stienstra's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Nicholas Stienstra enrolled in Medicare?

Yes. Nicholas Stienstra is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Nicholas Stienstra was last updated on April 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.