JOHN SAMUEL FLEMING DO
NPI 1295145803
Internal Medicine - Rheumatology in Grand Rapids, MI

Active since May 05, 2014PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3271 CLEAR VISTA CT NE, GRAND RAPIDS, MI 49525(616) 267-7293 Get Directions Write a Review

NPPES record last updated: March 17, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2021, Jul 30, 2019 (2 updates tracked since 2019).

About John Samuel Fleming Do NPPES

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

JOHN SAMUEL FLEMING DO (NPI 1295145803) is an individual rheumatology provider in Grand Rapids, Michigan, licensed in Michigan (5101024591) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Corewell Health Zeeland Hospital, and is a graduate of Michigan State University College Of Human Medicine (2014).

NPPES Registry Identity

NPI1295145803
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameJOHN SAMUEL FLEMINGCredential: DO
Location Address3271 CLEAR VISTA CT NEGrand Rapids, MI 49525-9477
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2014
Enumeration DateMay 5, 2014
Last NPPES UpdateMarch 17, 20212 updates tracked since enumeration
NPPES CertifiedMarch 17, 2021
NPI 1295145803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in MI · 5101024591
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 5101020871 (MI)
3271 CLEAR VISTA CT NE, Grand Rapids, MI 49525

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

John Samuel Fleming Do 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 ID7113143355
PECOS Enrollment IDI20190731000226
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 2

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.
172 services98 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.
31 services31 patients

Hospital Affiliations CMS Care Compare 5

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

Corewell Health Zeeland Hospital

Acute Care Hospitals · Zeeland, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number230003
Location8333 Felch StZeeland, MI 49464 · Ottawa County
Emergency services Birthing friendly

Spectrum Health United Hospital

Acute Care Hospitals · Greenville, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230035
Location615 S Bower StreetGreenville, MI 48838 · Montcalm County
Birthing friendly

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

Corewell Health Big Rapids Hospital

Acute Care Hospitals · Big Rapids, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230093
Location605 Oak StreetBig Rapids, MI 49307 · Mecosta County
Emergency services Birthing friendly

Corewell Health Gerber Hospital

Critical Access Hospitals · Fremont, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231338
Location212 S Sullivan StFremont, MI 49412 · Newaygo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49525 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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine
3271 CLEAR VISTA CT NE, SUMMIT PARK CENTER-INTERNAL MED & PEDS
GRAND RAPIDS, MI 49525
Allergy & Immunology
3271 CLEAR VISTA CT NE
GRAND RAPIDS, MI 49525
Internal Medicine (Rheumatology)
3271 CLEAR VISTA CT NE
GRAND RAPIDS, MI 49525
Internal Medicine (Rheumatology)
3271 CLEAR VISTA CT NE
GRAND RAPIDS, MI 49525
Allergy & Immunology
3271 CLEAR VISTA CT NE
GRAND RAPIDS, MI 49525
Internal Medicine (Rheumatology)
3271 CLEAR VISTA CT NE
GRAND RAPIDS, MI 49525
Allergy & Immunology
3271 CLEAR VISTA CT NE
GRAND RAPIDS, MI 49525
Internal Medicine (Rheumatology)
3271 CLEAR VISTA CT NE
GRAND RAPIDS, MI 49525

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 Fleming's NPI number?

The NPI number for John Fleming is 1295145803. It was assigned to this individual provider in the NPPES registry on May 5, 2014.

Where is John Fleming located?

John Fleming practices at 3271 Clear Vista Ct NE, Grand Rapids, MI 49525. The listed phone number is (616) 267-7293.

What is John Fleming's specialty?

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

Is John Fleming enrolled in Medicare?

Yes. John Fleming 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 Fleming 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 2 other insurers list John Fleming 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 Fleming affiliated with any hospitals?

According to CMS data, John Fleming is affiliated with Corewell Health Zeeland Hospital, Spectrum Health United Hospital, Spectrum Health, Corewell Health Big Rapids Hospital and Corewell Health Gerber Hospital.

When was this NPI record last updated?

The NPPES record for John Fleming was last updated on March 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.