JAMES PETER HEYBOER II MD
NPI 1255548442
Internal Medicine in Grand Haven, MI

Q: What is James Heyboer's NPI number?

The NPI number for James Heyboer is 1255548442. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Q: What is James Heyboer's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for James Heyboer was last updated on August 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 17, 2007PECOS EnrolledAccepts Medicare Assignment

1310 WISCONSIN ST STE 100, GRAND HAVEN, MI 49417(616) 296-1600(616) 296-1602 Get Directions Write a Review

NPPES record last updated: August 18, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 18, 2023, Jun 26, 2020 (2 updates tracked since 2020).

On this page

About James Peter Heyboer Ii Md NPPES

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

JAMES PETER HEYBOER II MD (NPI 1255548442) is an individual internal medicine provider in Grand Haven, Michigan, licensed in Michigan (4301509045) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and maintains a secondary practice location in Muskegon.

NPPES Registry Identity

NPI1255548442

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameJAMES PETER HEYBOER IICredential: MD

Location Address1310 WISCONSIN ST STE 100Grand Haven, MI 49417-2472

Mailing Address1310 Wisconsin StGrand Haven, MI 49417-2472 · (616) 296-1600 · Fax (616) 296-1602

Phone(616) 296-1600

Fax(616) 296-1602

Sole ProprietorNo

Medical School CMSMedical College Of WisconsinGraduated 2006

Enumeration DateMay 17, 2007

Last NPPES UpdateAugust 18, 20232 updates tracked since enumeration

NPPES CertifiedAugust 18, 2023

✔ NPI 1255548442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MI · 4301509045

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.

Also ListedPediatricsTaxonomy 208000000X · License 4301509045 (MI)

1310 WISCONSIN ST STE 100, Grand Haven, MI 49417

Open in Google Maps ↗

Secondary Practice Location 1

Location 11150 E Sherman Blvd Ste 1100Muskegon, MI 49444-4607 · Phone (231) 672-7800 · Fax (231) 672-7801

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James Peter Heyboer Ii 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 ID42335903

PECOS Enrollment IDI20230517001839

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.

Medicare Billing Reassignments

Medicare enrollment records show James Heyboer reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Noch Physician Billing Company LLC

0.1 mi

Family Medicine

1309 SHELDON RD
Grand Haven, MI 49417

Reassigned Medicare billing, Michigan enrollment
28 clinicians in this Medicare group

NPI 1972550580 (616) 844-4528

Mercy Physician Network

7.0 mi

Family Medicine

3443 FARR RD
Fruitport, MI 49415

Reassigned Medicare billing, Michigan enrollment
130 clinicians in this Medicare group

NPI 1639502701 (231) 672-2900

Mercy Specialty Services

11 mi

Internal Medicine

1150 E SHERMAN BLVD STE 2400
Muskegon, MI 49444

Reassigned Medicare billing, Michigan enrollment
72 clinicians in this Medicare group

NPI 1629010384 (231) 672-6336

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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 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.

91 services69 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.

39 services34 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

14 services14 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230038

Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County

Emergency services Birthing friendly

Trinity Health Muskegon Hospital

Acute Care Hospitals · Muskegon, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230066

Location1500 E Sherman BlvdMuskegon, MI 49441 · Muskegon County

Emergency services Birthing friendly

Trinity Health Grand Haven Hospital

Acute Care Hospitals · Grand Haven, MI

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number230174

Location1309 Sheldon RdGrand Haven, MI 49417 · Ottawa County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49417 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

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.09 – $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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

8 suppliers34 claims65 services$4.76 avg. paid by Medicare

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394

DME-Orthotic Devices · category DF010N

2 suppliers11 claims263 services$2.51 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

2 suppliers17 claims42 services$2.85 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers13 claims13 services$201.06 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

NAOME J HOLT

Pharmacist