DR. JOHN D KOLSTOE MD
NPI 1124043229
Internal Medicine - Rheumatology in Bemidji, MN

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment
74.14/100
CMS Quality Rating
1300 ANNE ST NW, BEMIDJI, MN 56601(218) 333-6000 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 22, 2021, Mar 17, 2018, Aug 31, 2017 (3 updates tracked since 2017).

About Dr. John D Kolstoe Md NPPES

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

DR. JOHN D KOLSTOE MD (NPI 1124043229) is an individual rheumatology provider in Bemidji, Minnesota, licensed in Minnesota (29139) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Edward W Sparrow Hospital, and maintains a secondary practice location in East Lansing.

NPPES Registry Identity

NPI1124043229
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. JOHN D KOLSTOECredential: MD
Location Address1300 ANNE ST NWBemidji, MN 56601-5103
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Sole ProprietorYes
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 1980
Enumeration DateJuly 12, 2006
Last NPPES UpdateJune 22, 20213 updates tracked since enumeration
NPPES CertifiedJune 22, 2021
NPI 1124043229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in MN · 29139
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.
1300 ANNE ST NW, Bemidji, MN 56601

Secondary Practice Location 1

Location 11401 E Lansing Dr, Suite 108East Lansing, MI 48823-7787 · Phone (517) 351-9386 · Fax (517) 351-9388

Accepted Insurance

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. John D Kolstoe Md 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 ID9830192095
PECOS Enrollment IDI20060809000238
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 10

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
3,600 services56 patients
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.
227 services155 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.
112 services89 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
106 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.
75 services49 patients
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365
This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.
32 services17 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Edward W Sparrow Hospital

Acute Care Hospitals · Lansing, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230230
Location1215 E Michigan AvenueLansing, MI 48912 · Ingham County
Emergency services Birthing friendly

Sparrow Eaton Hospital

Critical Access Hospitals · Charlotte, MI
OwnershipVoluntary non-profit - Other
CMS Certification Number231327
Location321 E Harris StreetCharlotte, MI 48813 · Eaton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56601 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

74.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.07
Improvement Activities40
Cost39.03

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
1300 ANNE ST NW
BEMIDJI, MN 56601
Physician Assistant
1300 ANNE ST NW
BEMIDJI, MN 56601
Nurse Anesthetist, Certified Registered
1300 ANNE ST NW
BEMIDJI, MN 56601
Emergency Medicine
1300 ANNE ST NW, SANFORD BEMIDJI MEDICAL CENTER
BEMIDJI, MN 56601
Obstetrics & Gynecology
1300 ANNE ST NW
BEMIDJI, MN 56601
Nurse Anesthetist, Certified Registered
1300 ANNE ST NW
BEMIDJI, MN 56601
Obstetrics & Gynecology (Obstetrics)
1300 ANNE ST NW
BEMIDJI, MN 56601
Hospitalist
1300 ANNE ST NW
BEMIDJI, MN 56601

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 Kolstoe's NPI number?

The NPI number for John Kolstoe is 1124043229. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is John Kolstoe located?

John Kolstoe practices at 1300 Anne St NW, Bemidji, MN 56601. The listed phone number is (218) 333-6000.

What is John Kolstoe's specialty?

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

Is John Kolstoe enrolled in Medicare?

Yes. John Kolstoe 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.

What insurance does John Kolstoe accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list John Kolstoe as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is John Kolstoe affiliated with any hospitals?

According to CMS data, John Kolstoe is affiliated with Edward W Sparrow Hospital and Sparrow Eaton Hospital.

When was this NPI record last updated?

The NPPES record for John Kolstoe was last updated on June 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.