Dr. John Nienow, MD
2186 Geary Blvd Ste 314, San Francisco, CA 94115 • +1-348-555-6504
Medical Education: Accredited U.S. Medical School (Class of 1992)
What This Doctor Actually Performs: CMS Medicare Utilization & San Francisco Percentiles
NPI #1861472649 • CBSA 41860 • Internal Medicine
Anchored in San Francisco, CA 94115, Dr. John Nienow, MD (NPI 1861472649) logged 1,051 annual procedures (mid-cohort balanced caseload (45.51th San Francisco percentile), 32.42th CA percentile, -0.10σ) with sub-specialty concentration in 12 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1861472649 highlights 473 annual claims for 99214 (45.51th San Francisco percentile; $226–$309 self-pay corridor) plus 273 encounters under 99213 and 137 under 93000.
Self-pay new patient consultations with Dr. Nienow (CPT 99204 GPCI-adjusted benchmark) estimate around $250.00 (community reported average: $250.00) with in-person clinic visits only, 11-minute average reception wait, and a 4.44/5 modern protocol openness score across 9 patient logs.
Clinical background for Dr. Nienow (MD, NPI #1861472649) includes accredited doctoral training (1992, 34 yrs in practice) and dedicated on-site consultations at 2186 Geary Blvd Ste 314.
Compared against San Francisco, CA Internal Medicine peers
1,051 annual services across 192 beneficiaries
Standard deviations from CA Internal Medicine mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 473 | 45.51th | $226 – $309 |
| 99213 | Established Preventive & Chronic Care Visit | 273 | 47.51th | $173 – $237 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 137 | 49.51th | $82 – $113 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 105 | 43.51th | $265 – $363 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 63 | 46.51th | $314 – $430 |
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Dr. John Nienow, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Nienow National Provider Identifier | NPI #1861472649 (MD) | CMS NPPES Registry (94115) |
| Dr. Nienow San Francisco CMS Volume Rank | 45.51th Pct (1,051 CMS svcs; Z -0.098σ) | CMS Medicare Part B (CA Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $250.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (San Francisco, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $250.00 avg paid • 11 min lobby wait | 9 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.58/5 Listening • 4.44/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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