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DR. JAMES PHILLIP HARTZLER DO
NPI 1992142699
Psychiatry & Neurology - Psychiatry in Grand Rapids, MI

Active since June 04, 2013PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
75 SHELDON AVE SE FL 2, GRAND RAPIDS, MI 49503(616) 447-5820 Get Directions Write a Review

NPPES record last updated: March 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2021, Dec 1, 2020 (2 updates tracked since 2020).

About Dr. James Phillip Hartzler Do NPPES

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

DR. JAMES PHILLIP HARTZLER DO (NPI 1992142699) is an individual psychiatry provider in Grand Rapids, Michigan, licensed in Michigan (5101020610) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1992142699
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. JAMES PHILLIP HARTZLERCredential: DO
Location Address75 SHELDON AVE SE FL 2Grand Rapids, MI 49503-4224
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Phone(616) 447-5820
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 4, 2013
Last NPPES UpdateMarch 17, 20212 updates tracked since enumeration
NPPES CertifiedMarch 17, 2021
✔ NPI 1992142699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in MI · 5101020610
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
75 SHELDON AVE SE FL 2, Grand Rapids, MI 49503
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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, McLaren Health Plan Community and more.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

Dr. James Phillip Hartzler Do 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 ID6103106208
PECOS Enrollment IDI20161207000950
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 2

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.
120 services36 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
85 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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
$166.68 typical visit price
range $54.34 – $166.68
Typical copayment $41.67 (range $13.58 – $41.67)
Most-billed visit code 99205
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. TORI LYNAE HILDRETH LMSW
Social Worker (Clinical)
75 SHELDON AVE SE FL 2
GRAND RAPIDS, MI 49503
Kent County (616) 447-5820
ROXANNE BEATRICE AFFHOLTER LMSW
Social Worker (Clinical)
75 SHELDON AVE SE FL 2
GRAND RAPIDS, MI 49503
Kent County (616) 447-5820
JENNIFER ANNE SMEAGE LMSW
Social Worker (Clinical)
75 SHELDON AVE SE FL 2
GRAND RAPIDS, MI 49503
Kent County (616) 447-5820
DR. REID SAMPSON TAYLOR SR. D.O.
Psychiatry & Neurology (Psychiatry)
75 SHELDON AVE SE FL 2
GRAND RAPIDS, MI 49503
Kent County (616) 447-5820

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 Hartzler's NPI number?

The NPI number for James Hartzler is 1992142699. It was assigned to this individual provider in the NPPES registry on June 4, 2013.

Where is James Hartzler located?

James Hartzler practices at 75 Sheldon Ave SE Fl 2, Grand Rapids, MI 49503. The listed phone number is (616) 447-5820.

What is James Hartzler's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is James Hartzler enrolled in Medicare?

Yes. James Hartzler 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 James Hartzler accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Priority Health and Providence Health Plan list James Hartzler 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 James Hartzler was last updated on March 17, 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.