DR. JOHN WIERDSMA D.O.
NPI 1881890960
Emergency Medicine in Salida, CO
About Dr. John Wierdsma D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN WIERDSMA D.O. (NPI 1881890960) is an individual emergency medicine provider in Salida, Colorado, licensed in Michigan (5101018199) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
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. John Wierdsma 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.
Medicare Billing Reassignment
Medicare enrollment records show John Wierdsma reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Salida, CO 81201
- Reassigned Medicare billing, Colorado enrollment
- Also billed through NPI 1730258971 (Colorado)
- 206 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 81201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Wierdsma's NPI number?
The NPI number for John Wierdsma is 1881890960. It was assigned to this individual provider in the NPPES registry on June 25, 2007.
Where is John Wierdsma located?
John Wierdsma practices at 668 W Sackett Ave, Salida, CO 81201. The listed phone number is (540) 353-2916.
What is John Wierdsma's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is John Wierdsma enrolled in Medicare?
Yes. John Wierdsma 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 John Wierdsma's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Wierdsma reassigns Medicare benefits to Salida Hospital District (Salida, CO). 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 John Wierdsma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for John Wierdsma was last updated on April 5, 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.
# Dr. John Wierdsma, D.O. · NPI 1881890960
Emergency Medicine physician in Salida, Colorado. Individual provider, active in the CMS NPPES registry since June 25, 2007.
## Identity
- **NPI:** 1881890960 (Entity type: Individual)
- **Enumerated:** June 25, 2007
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 5101018199 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 668 W SACKETT AVE, Salida, CO 81201-1661
- **Phone:** (540) 353-2916
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Salida Hospital District (NPI 1740795251, Salida, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** April 5, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1881890960) · Data from the CMS NPPES public registry.