JOHN ROBERT HIMBERGER FNP
NPI 1659351047
Nurse Practitioner - Family in Colorado Springs, CO

Active since January 20, 2006PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
1400 E BOULDER ST STE 700, COLORADO SPRINGS, CO 80909(719) 365-5000(719) 365-8445 Get Directions Write a Review

NPPES record last updated: February 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John Robert Himberger Fnp NPPES

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

JOHN ROBERT HIMBERGER FNP (NPI 1659351047) is an individual family provider in Colorado Springs, Colorado, licensed in Colorado (99711) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Colorado Springs, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1659351047
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJOHN ROBERT HIMBERGERCredential: FNP
Location Address1400 E BOULDER ST STE 700Colorado Springs, CO 80909-5599
Mailing Address4575 Star Ranch RdColorado Springs, CO 80906-7651 · (719) 216-3012
Fax(719) 365-8445
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJanuary 20, 2006
Last NPPES UpdateFebruary 22, 2021
NPPES CertifiedFebruary 22, 2021
NPI 1659351047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CO · 99711
1400 E BOULDER ST STE 700, Colorado Springs, CO 80909

Secondary Practice Location 1

Location 11400 East BoulderColorado Springs, CO 80909-5599 · Phone (719) 365-6568

Other Identifiers 1

Medicaid21276749CO

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 Robert Himberger Fnp 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 ID42308108
PECOS Enrollment IDI20071127000052
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 8

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
111 services65 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
61 services46 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
50 services50 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
34 services33 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
19 services18 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
17 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80909 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
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 (Cardiovascular Disease)
1400 E BOULDER ST STE 700
COLORADO SPRINGS, CO 80909
Nuclear Medicine (Nuclear Cardiology)
1400 E BOULDER ST STE 700
COLORADO SPRINGS, CO 80909
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1400 E BOULDER ST STE 700
COLORADO SPRINGS, CO 80909
Psychiatry & Neurology (Neurology)
1400 E BOULDER ST STE 700
COLORADO SPRINGS, CO 80909
Internal Medicine (Cardiovascular Disease)
1400 E BOULDER ST STE 700
COLORADO SPRINGS, CO 80909
Physician Assistant
1400 E BOULDER ST STE 700
COLORADO SPRINGS, CO 80909
Internal Medicine (Cardiovascular Disease)
1400 E BOULDER ST STE 700
COLORADO SPRINGS, CO 80909
Internal Medicine
1400 E BOULDER ST STE 700
COLORADO SPRINGS, CO 80909

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 Himberger's NPI number?

The NPI number for John Himberger is 1659351047. It was assigned to this individual provider in the NPPES registry on January 20, 2006.

Where is John Himberger located?

John Himberger practices at 1400 E Boulder St Ste 700, Colorado Springs, CO 80909. The listed phone number is (719) 365-5000.

What is John Himberger's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is John Himberger enrolled in Medicare?

Yes. John Himberger 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 Himberger accept?

Health plans from UnitedHealthcare list John Himberger 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.

When was this NPI record last updated?

The NPPES record for John Himberger was last updated on February 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.