JOHN M HEUSINKVELD MD
NPI 1922082973
Obstetrics & Gynecology in Tuba City, AZ

Active since December 02, 2005PECOS EnrolledAccepts Medicare Assignment
97.64/100
CMS Quality Rating
167 NORTH MAIN STREET, TUBA CITY, AZ 86045(928) 283-2501(928) 283-2677 Get Directions Write a Review

NPPES record last updated: June 23, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About John M Heusinkveld Md NPPES

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

JOHN M HEUSINKVELD MD (NPI 1922082973) is an individual obstetrics & gynecology provider in Tuba City, Arizona, licensed in Arizona (31147) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Vanderbilt University School Of Medicine (1996).

NPPES Registry Identity

NPI1922082973
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameJOHN M HEUSINKVELDCredential: MD
Location Address167 NORTH MAIN STREETTuba City, AZ 86045-0600
Mailing AddressPo Box 600Tuba City, AZ 86045-0600 · (928) 283-2501 · Fax (928) 283-2677
Fax(928) 283-2677
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 1996
Enumeration DateDecember 2, 2005
Last NPPES UpdateJune 23, 2011
NPI 1922082973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses Licensed in AZ · 31147 Licensed in CO · 41276
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

167 NORTH MAIN STREET, Tuba City, AZ 86045

Other Identifiers 6

Medicare UPINH97624
Medicaid49602021CO
Medicaid813940AZ
Medicaid83538577NM
Medicare OSCAR/certification320059
Medicare PIN8HBU33

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 M Heusinkveld 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 ID6002718095
PECOS Enrollment IDI20150128001625
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 10

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 20-29 minutes 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.
88 services77 patients
New patient office or other outpatient visit, 45-59 minutes 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.
40 services40 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
34 services34 patients
Surgical repair of vaginal defect using an endoscope 57425
This procedure involves the use of a special instrument, an endoscope, to help fix an issue within your body. It's a minimally invasive method, meaning less discomfort and quicker recovery compared to traditional surgery.
33 services32 patients
New patient office or other outpatient visit, 30-44 minutes 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.
28 services28 patients
Established patient office or other outpatient visit, 10-19 minutes 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
20 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86045 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
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.

97.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.77
Promoting Interoperability98.67
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.

Orthopaedic Surgery
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Otolaryngology
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Dentist
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Dentist
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Dentist (Oral and Maxillofacial Surgery)
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Dentist
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Dentist
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Dietitian, Registered
167 NORTH MAIN STREET
TUBA CITY, AZ 86045

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922082973, enumerated as an "individual" on December 02, 2005.

The provider is located at 167 NORTH MAIN STREET TUBA CITY, AZ 86045 and the phone number is (928) 283-2501.

Obstetrics & Gynecology with taxonomy code 207V00000X.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Blue Cross. Please consult your insurance carrier or call the provider to verify.