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DR. JAMES THOMAS VANHUYSEN D.O.
NPI 1871619965
Family Medicine - Sports Medicine in Kalamazoo, MI

Active since March 21, 2007PECOS EnrolledAccepts Medicare Assignment
84.88/100
CMS Quality Rating
601 JOHN ST, SUITE M-424, KALAMAZOO, MI 49007(269) 349-3350(269) 349-2403 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. James Thomas Vanhuysen D.o. NPPES

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

DR. JAMES THOMAS VANHUYSEN D.O. (NPI 1871619965) is an individual sports medicine provider in Kalamazoo, Michigan, licensed in Michigan (5101015731) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Bronson Methodist Hospital, and is a graduate of Michigan State University College Of Osteopathic Medicine (2003).

NPPES Registry Identity

NPI1871619965
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameDR. JAMES THOMAS VANHUYSENCredential: D.O.
Location Address601 JOHN ST, SUITE M-424Kalamazoo, MI 49007-5341
Mailing Address601 John St, Box 42Kalamazoo, MI 49007-5341 · (269) 349-3350 · Fax (269) 349-2403
Phone(269) 349-3350
Fax(269) 349-2403
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2003
Enumeration DateMarch 21, 2007
Last NPPES UpdateNovember 27, 2023
NPPES CertifiedSeptember 28, 2020
✔ NPI 1871619965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in MI · 5101015731
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 5101015731 (MI)
601 JOHN ST, Kalamazoo, MI 49007
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Other Identifiers 4

Other200C911390MI · Bcbs
Other0C97618MI · Bcbs
Medicaid0C97618269MI
Medicaid1871619965MI

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, Priority Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. James Thomas Vanhuysen 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 ID7517988322
PECOS Enrollment IDI20051208000324
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.

Medicare Billing Reassignment

Medicare enrollment records show James Vanhuysen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bronson Methodist Hospital
Same address
Hospitalist
601 JOHN STREET
Kalamazoo, MI 49007
  • Reassigned Medicare billing, Michigan enrollment
  • 1,133 clinicians in this Medicare group
NPI 1417961137 (269) 341-7654

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
230 services112 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
156 services78 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
93 services52 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.
93 services75 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
80 services80 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.
38 services38 patients

Hospital Affiliations CMS Care Compare 3

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

Bronson Methodist Hospital

Acute Care Hospitals · Kalamazoo, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230017
Location601 John StreetKalamazoo, MI 49007 · Kalamazoo County
Emergency services Birthing friendly

Bronson Battle Creek Hospital

Acute Care Hospitals · Battle Creek, MI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number230075
Location300 North AvenueBattle Creek, MI 49017 · Calhoun County
Emergency services Birthing friendly

Bronson Lakeview Hospital

Critical Access Hospitals · Paw Paw, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231332
Location408 Hazen StreetPaw Paw, MI 49079 · Van Buren County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49007 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
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.

84.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.29
Promoting Interoperability100
Improvement Activities40
Cost68.32

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.

DR. AMANDA KEATING WALKER D.O.
Obstetrics & Gynecology
601 JOHN ST, SUITE N1200
KALAMAZOO, MI 49007
Kalamazoo County (269) 341-7979
ANDREW W. WALKER MD
Emergency Medicine
601 JOHN ST
KALAMAZOO, MI 49007
Kalamazoo County (847) 404-6853
JUSTINE MELODIE OUDSEMA PA-C
Physician Assistant
601 JOHN ST, BOX 74
KALAMAZOO, MI 49007
Kalamazoo County (269) 341-8481
OCHUKO ANDREW OGHOR CRNA
Nurse Anesthetist, Certified Registered
601 JOHN ST
KALAMAZOO, MI 49007
Kalamazoo County (239) 341-7654
MARK J TIESZEN MD
Internal Medicine (Critical Care Medicine)
601 JOHN ST, SUITE M-510
KALAMAZOO, MI 49007
Kalamazoo County (269) 341-7762
DR. ERIC S SHAY M.D.
Internal Medicine
601 JOHN ST, SUITE M-170
KALAMAZOO, MI 49007
Kalamazoo County (269) 381-5060
EVGENIIA MORLEY RD
Dietitian, Registered
601 JOHN ST
KALAMAROO, MI 49007
Kalamazoo County (269) 341-6615
SELECT HOSPITALISTS, PLLC
Internal Medicine
601 JOHN ST
KALAMAZOO, MI 49007
Kalamazoo County (269) 341-7100

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 James Vanhuysen's NPI number?

The NPI number for James Vanhuysen is 1871619965. It was assigned to this individual provider in the NPPES registry on March 21, 2007.

Where is James Vanhuysen located?

James Vanhuysen practices at 601 John St Suite M-424, Kalamazoo, MI 49007. The listed phone number is (269) 349-3350.

What is James Vanhuysen's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is James Vanhuysen enrolled in Medicare?

Yes. James Vanhuysen 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.

Which organization bills Medicare for James Vanhuysen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Vanhuysen reassigns Medicare benefits to Bronson Methodist Hospital (Kalamazoo, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Vanhuysen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Vanhuysen accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and UnitedHealthcare list James Vanhuysen 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 James Vanhuysen affiliated with any hospitals?

According to CMS data, James Vanhuysen is affiliated with Bronson Methodist Hospital, Bronson Battle Creek Hospital and Bronson Lakeview Hospital.

When was this NPI record last updated?

The NPPES record for James Vanhuysen was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.