DR. JOSEPH E TIENSTRA (MD) – Diagnostic Radiology Physician, NPI 1366499329
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. JOSEPH E TIENSTRA (MD)
8791 CONFERENCE DR
SUITE 1
FORT MYERS, FL 339195822
Phone: (239) 938-3506
Type: Mailing
63, Barkley Circle, Fort Myers, Lee County, Florida, 33907, United States
STE. 100 & 101
FORT MYERS, FL 339074514
Phone: (239) 938-3500
Fax: (239) 278-0055
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $49.
Total Amount is formed as General ($49) + Research ($0) + Ownership ($0) = $49.
Last reported payment date: 2024-01-18 • Largest payer in this snapshot: Boston Scientific Corporation ($49).
Total Amount
$49
General + Research + Ownership
Payments
1
Total payment records
General Amount
$49
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $49 |
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: 2003-12-29
PECOS data refreshed: 2026-05-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20031229000609 | I | Diagnostic Radiology | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 77063 | Screening 3d breast mammography | 430 | 430 | $0 |
| 77067 | Screening mammography | 426 | 426 | $0 |
| 71250 | Ct scan of chest without contrast | 132 | 126 | $0 |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 126 | 121 | $0 |
| 77065 | Diagnostic mammography of 1 breast | 94 | 90 | $0 |
Insurance plans in this area (ZIP 33919)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | FL | 71250 | CT scan chest | 46 | 46 |
| DIAGNOSTIC RADIOLOGY | FL | 73110 | X-ray of wrist, minimum of 3 views | 17 | 17 |
| DIAGNOSTIC RADIOLOGY | FL | 73562 | X-ray of knee, 3 views | 60 | 53 |
| DIAGNOSTIC RADIOLOGY | FL | 73630 | X-ray of foot, minimum of 3 views | 22 | 22 |
| DIAGNOSTIC RADIOLOGY | FL | 74177 | CT scan of abdomen and pelvis with contrast | 214 | 210 |
| DIAGNOSTIC RADIOLOGY | FL | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 21 | 21 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | MA | |
| Physician Assistant | FL | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | AK | |
| Diagnostic Radiology, Interventional Radiology | IL | |
| Diagnostic Radiology | GA | |
| Interventional Radiology, Diagnostic Radiology | TN | |
| Diagnostic Radiology | FL |
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