JOHN HEEMSTRA M.D.
NPI 1356724892
Emergency Medicine in Fort Wayne, IN

Active since July 01, 2015PECOS EnrolledAccepts Medicare Assignment
98.41/100
CMS Quality Rating
10343 DAWSONS CREEK BLVD, FORT WAYNE, IN 46825(260) 203-9600(260) 739-6167 Get Directions Write a Review

NPPES record last updated: June 26, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 26, 2018, Jun 20, 2018 (2 updates tracked since 2018).

About John Heemstra M.d. NPPES

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

JOHN HEEMSTRA M.D. (NPI 1356724892) is an individual emergency medicine provider in Fort Wayne, Indiana, licensed in Indiana (01079987A) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, is affiliated with Parkview Regional Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1356724892
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJOHN HEEMSTRACredential: M.D.
Location Address10343 DAWSONS CREEK BLVDFort Wayne, IN 46825
Mailing Address10343 Dawsons Creek BlvdFort Wayne, IN 46825-1906 · (260) 739-6167
Fax(260) 739-6167
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 1, 2015
Last NPPES UpdateJune 26, 20182 updates tracked since enumeration
NPI 1356724892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in IN · 01079987A Licensed in MI · 4301108240
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
10343 DAWSONS CREEK BLVD, Fort Wayne, IN 46825

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 Heemstra 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 ID446540512
PECOS Enrollment IDI20180614001058
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 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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
392 services384 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
375 services348 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
87 services86 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
22 services22 patients

Hospital Affiliations CMS Care Compare 4

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

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150021
Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County
Emergency services Birthing friendly

Parkview Huntington Hospital

Acute Care Hospitals · Huntington, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number150091
Location2001 Stults RdHuntington, IN 46750 · Huntington County
Emergency services Birthing friendly

Parkview Whitley Hospital

Acute Care Hospitals · Columbia City, IN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150101
Location1260 E Sr 205Columbia City, IN 46725 · Whitley County
Emergency services Birthing friendly

Parkview Noble Hospital

Acute Care Hospitals · Kendallville, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150146
Location401 Sawyer RdKendallville, IN 46755 · Noble County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46825 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

98.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.99
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 7

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

Emergency Medicine
10343 DAWSONS CREEK BLVD, SUITE A
FORT WAYNE, IN 46825
Nurse Practitioner
10343 DAWSONS CREEK BLVD, SUITE A
FORT WAYNE, IN 46825
Optometrist (Vision Therapy)
10343 DAWSONS CREEK BLVD, STE B, BLDG 6
FORT WAYNE, IN 46825
Nurse Practitioner
10343 DAWSONS CREEK BLVD, SUITE A
FORT WAYNE, IN 46825
Obstetrics & Gynecology (Gynecology)
10343 DAWSONS CREEK BLVD, #6C
FORT WAYNE, IN 46825
Optometrist
10343 DAWSONS CREEK BLVD, STE B BLDG 6
FORT WAYNE, IN 46825
Obstetrics & Gynecology (Gynecology)
10343 DAWSONS CREEK BLVD, #6C
FORT WAYNE, IN 46825

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 Heemstra's NPI number?

The NPI number for John Heemstra is 1356724892. It was assigned to this individual provider in the NPPES registry on July 1, 2015.

Where is John Heemstra located?

John Heemstra practices at 10343 Dawsons Creek Blvd, Fort Wayne, IN 46825. The listed phone number is (260) 203-9600.

What is John Heemstra's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is John Heemstra enrolled in Medicare?

Yes. John Heemstra 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 Heemstra accept?

Health plans from CareSource list John Heemstra 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 Heemstra affiliated with any hospitals?

According to CMS data, John Heemstra is affiliated with Parkview Regional Medical Center, Parkview Huntington Hospital, Parkview Whitley Hospital and Parkview Noble Hospital.

When was this NPI record last updated?

The NPPES record for John Heemstra was last updated on June 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.