JAMES CALVIN NIEWENHUIS M.D.
NPI 1356367924
Pathology - Anatomic Pathology & Clinical Pathology in Grand Haven, MI

Q: What is James Niewenhuis's NPI number?

The NPI number for James Niewenhuis is 1356367924. It was assigned to this individual provider in the NPPES registry on July 15, 2006.

Q: What is James Niewenhuis's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for James Niewenhuis was last updated on June 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 July 15, 2006PECOS Enrolled

83.88/100

CMS Quality Rating

1309 SHELDON RD, GRAND HAVEN, MI 49417(616) 847-5257(419) 866-5453 Get Directions Write a Review

NPPES record last updated: June 16, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About James Calvin Niewenhuis M.d. NPPES

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

JAMES CALVIN NIEWENHUIS M.D. (NPI 1356367924) is an individual anatomic pathology & clinical pathology provider in Grand Haven, Michigan, licensed in Michigan (4301055088) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356367924

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NameJAMES CALVIN NIEWENHUISCredential: M.D.

Location Address1309 SHELDON RDGrand Haven, MI 49417-2404

Mailing Address5700 Southwyck BlvdToledo, OH 43614-1509 · (800) 288-8325 · Fax (419) 866-5453

Phone(616) 847-5257

Fax(419) 866-5453

Sole ProprietorNo

Enumeration DateJuly 15, 2006

Last NPPES UpdateJune 16, 2014

✔ NPI 1356367924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

License✔ Licensed in MI · 4301055088

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

1309 SHELDON RD, Grand Haven, MI 49417

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Other Identifiers 9

Other220A360250MI · Bcbsm

Medicare UPINF86665MI

Medicare ID-Type Unspecified0A36025008MI · Medicare

Other220B376060MI · Bcbsm

Medicare ID-Type Unspecified0A36018007MI · Medicare

Medicaid4197568MI

Other220A360180MI · Bcbsm

Medicare ID-Type Unspecified0B37606005MI · Medicare

Medicare ID-Type Unspecified0M17120005MI · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James Calvin Niewenhuis M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 3

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

266 services137 patients

Pathology examination of tissue using a microscope, moderately high complexity 88307

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

44 services22 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

11 services11 patients

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.

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.

83.88/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

86.28

Improvement Activities

Cost

67.44

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.

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