DR. MICHAEL KOOISTRA JR. MD
NPI 1508864380
Family Medicine in Auburn, IN

Active since July 14, 2005PECOS EnrolledAccepts Medicare Assignment
1306 E 7TH ST STE A, AUBURN, IN 46706(260) 925-1255(260) 925-1256 Get Directions Write a Review

NPPES record last updated: January 2, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 2, 2024, Dec 5, 2023 (2 updates tracked since 2023).

About Dr. Michael Kooistra Jr. Md NPPES

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

DR. MICHAEL KOOISTRA JR. MD (NPI 1508864380) is an individual family medicine provider in Auburn, Indiana, licensed in Indiana (01045333A) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Parkview Regional Medical Center, and is a graduate of Indiana University School Of Medicine (1995).

NPPES Registry Identity

NPI1508864380
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MICHAEL KOOISTRA JR.Credential: MD
Location Address1306 E 7TH ST STE AAuburn, IN 46706-2537
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Fax(260) 925-1256
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1995
Enumeration DateJuly 14, 2005
Last NPPES UpdateJanuary 2, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2024
NPI 1508864380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IN · 01045333A
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1306 E 7TH ST STE A, Auburn, IN 46706

Other Identifiers 2

Medicaid200115800IN
Medicaid01045333AIN

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. Michael Kooistra Jr. 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 ID8527166719
PECOS Enrollment IDI20070612000566
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 19

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.
580 services315 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.
158 services121 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.
148 services148 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.
141 services141 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
127 services127 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
127 services127 patients

Hospital Affiliations CMS Care Compare 5

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 Dekalb Hospital

Acute Care Hospitals · Auburn, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number150045
Location1316 E Seventh StAuburn, IN 46706 · De Kalb 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

Community Hospitals And Wellness Centers

Acute Care Hospitals · Bryan, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360121
Location433 West High StreetBryan, OH 43506 · Williams County
Birthing friendly

Community Hospitals And Wellness Centers

Critical Access Hospitals · Montpelier, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361327
Location909 East Snyder AvenueMontpelier, OH 43543 · Williams County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46706 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.

Referred Medical Equipment & Supplies CMS DME claims 19

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
13 suppliers54 claims126 services$5.04 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers12 claims14 services$1.11 avg. paid by Medicare
Urinary catheter anchoring device, leg strap, each A4334
DME-Orthotic Devices · category DF000N
1 supplier12 claims12 services$4.77 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers18 claims18 services$44.53 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers23 claims23 services$104.93 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers25 claims64 services$40.38 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 3

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

Nurse Practitioner
1306 E 7TH ST STE A
AUBURN, IN 46706
Nurse Practitioner
1306 E 7TH ST STE A
AUBURN, IN 46706
Nurse Practitioner
1306 E 7TH ST STE A
AUBURN, IN 46706

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 Michael Kooistra's NPI number?

The NPI number for Michael Kooistra is 1508864380. It was assigned to this individual provider in the NPPES registry on July 14, 2005.

Where is Michael Kooistra located?

Michael Kooistra practices at 1306 E 7th St Ste A, Auburn, IN 46706. The listed phone number is (260) 925-1255.

What is Michael Kooistra's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michael Kooistra enrolled in Medicare?

Yes. Michael Kooistra 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 Michael Kooistra accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Michael Kooistra 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 Michael Kooistra affiliated with any hospitals?

According to CMS data, Michael Kooistra is affiliated with Parkview Regional Medical Center, Parkview Dekalb Hospital, Parkview Noble Hospital and Community Hospitals And Wellness Centers.

When was this NPI record last updated?

The NPPES record for Michael Kooistra was last updated on January 2, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.