JOHN M KOOSTRA (M.D.) – Pulmonary Disease Physician, NPI 1922058437

JOHN M KOOSTRA (M.D.) is a healthcare provider. based in Monterey, California. specializing in PULMONARY DISEASE, CRITICAL CARE (INTENSIVISTS). They hold the professional credentials M.D.. They hold a License No. G75276 (CA). The NPI Number for JOHN M KOOSTRA (M.D.) is 1922058437

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
JOHN M KOOSTRA (M.D.)
NPI
1922058437
Phone
(831) 646-8570
Address
30 GARDEN CT
Enumeration Date
12 May 2006
Last Update Date
19 May 2016

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Secondary Phone
8317554235
Graduation Year
1991 (35 years ago)
PAC ID
5193801900
Group Practice PAC ID
2466345632
Professional Enrollment ID
I20080613000573
Address ID
CA939120000SA1441XBLVD300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,781 PULMONARY DISEASE in CA

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Provider Addresses for JOHN M KOOSTRA (M.D.)

  • 30, Garden Court, Monterey, Monterey County, California, 93940, United States

    MONTEREY, CA 939405302

    Phone: (831) 646-8570

    Fax: (831) 646-5435

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 336 Open Payments records for all available years, with a total value of $8,686.

Total Amount is formed as General ($8,686) + Research ($0) + Ownership ($0) = $8,686.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($1,163).

Total Amount

$8,686

General + Research + Ownership

Payments

336

Total payment records

General Amount

$8,686

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-06-13

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080613000573IPulmonary DiseaseCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes1,733684$0
94010Test to measure expiratory airflow and volume1,411637$0
J1040Injection, methylprednisolone acetate, 80 mg17781$0
96372Injection of drug or substance under skin or into muscle16276$0
99211Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional11126$0
View full utilization report →

Insurance plans in this area (ZIP 93940)

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Provider's Procedures

JOHN M KOOSTRA (M.D.) performs procedures in PULMONARY DISEASE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PULMONARY DISEASECA94060Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration8381

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466345632View full group profile
NameSpecialtyState
Interventional Radiology, Diagnostic RadiologyVA
-CA
-CA
-CA
Nurse PractitionerCA
-CA
Interventional Radiology, Diagnostic RadiologyIL
-CA
Diagnostic RadiologyCA
Diagnostic RadiologyCA

Reviews

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Frequently asked questions

What federal number belongs to JOHN M KOOSTRA (M.D.)?
The federal identifier for JOHN M KOOSTRA (M.D.) is NPI 1922058437.
Does this profile mean JOHN M KOOSTRA (M.D.) is currently active?
Yes — JOHN M KOOSTRA (M.D.) appears active in the national provider directory.
Can you summarize JOHN M KOOSTRA (M.D.)'s specialty in plain language?
Clinically, the directory lists JOHN M KOOSTRA (M.D.) with Pulmonary Disease Physician. Clinical services aligned with this taxonomy classification.
Does JOHN M KOOSTRA (M.D.) practice in California?
You will see Monterey, California on file for JOHN M KOOSTRA (M.D.) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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