JOHN R HIEMSTRA D.O.
NPI 1639102502
Family Medicine in Lynden, WA

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
83.81/100
CMS Quality Rating
1610 GROVER ST STE D1, LYNDEN, WA 98264(360) 354-1333(360) 354-5399 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John R Hiemstra D.o. NPPES

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

JOHN R HIEMSTRA D.O. (NPI 1639102502) is an individual family medicine provider in Lynden, Washington, licensed in Washington (OP00002028) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1639102502
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHN R HIEMSTRACredential: D.O.
Location Address1610 GROVER ST STE D1Lynden, WA 98264-1539
Mailing Address3610 Meridian StBellingham, WA 98225-1732 · (360) 318-8800
Fax(360) 354-5399
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJuly 7, 2006
Last NPPES UpdateApril 27, 2026
NPPES CertifiedApril 27, 2026
NPI 1639102502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WA · OP00002028
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.
1610 GROVER ST STE D1, Lynden, WA 98264

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 R Hiemstra D.o. 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 ID7113919515
PECOS Enrollment IDI20040402000799, I20050830000825
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 30

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
559 services387 patients
Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
450 services54 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
394 services328 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
349 services322 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
316 services279 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
251 services172 patients

Hospital Affiliations CMS Care Compare

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

St Joseph Hospital

Acute Care Hospitals · Bellingham, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number500030
Location2901 Squalicum ParkwayBellingham, WA 98225 · Whatcom County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98264 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

83.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.26
Promoting Interoperability80
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

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 suppliers42 claims82 services$5.55 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier22 claims23 services$13.48 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier11 claims11 services$767.77 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier22 claims23 services$67.04 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
1 supplier12 claims12 services$169.80 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.

Nurse Practitioner (Family)
1610 GROVER ST STE D1
LYNDEN, WA 98264
Nurse Practitioner (Family)
1610 GROVER ST STE D1
LYNDEN, WA 98264
Family Medicine
1610 GROVER ST STE D1
LYNDEN, WA 98264
Family Medicine
1610 GROVER ST STE D1
LYNDEN, WA 98264
Family Medicine
1610 GROVER ST STE D1
LYNDEN, WA 98264
Family Medicine
1610 GROVER ST STE D1
LYNDEN, WA 98264

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 Hiemstra's NPI number?

The NPI number for John Hiemstra is 1639102502. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is John Hiemstra located?

John Hiemstra practices at 1610 Grover St Ste D1, Lynden, WA 98264. The listed phone number is (360) 354-1333.

What is John Hiemstra's specialty?

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

Is John Hiemstra enrolled in Medicare?

Yes. John Hiemstra 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 Hiemstra accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list John Hiemstra 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 Hiemstra affiliated with any hospitals?

According to CMS data, John Hiemstra is affiliated with St Joseph Hospital.

When was this NPI record last updated?

The NPPES record for John Hiemstra was last updated on April 27, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.