Individual provider Active NPI

John Stephen Visger, M.D.

  • Surgery Physician
  • Pullman, WA
National Provider Identifier
1902899982
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD00045670 Issued in WA
Practice address
825 SE Bishop Blvd
Suite 130
Pullman, WA 99163-5517
Phone
(509) 338-0632
Fax
(509) 715-2130
NPI assigned
Aug 25, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD00045670 WA Primary

Addresses

Primary practice location

825 SE Bishop Blvd
Suite 130
Pullman, WA 99163-5517

Mailing address

825 SE Bishop Blvd Ste 130
Pullman, WA 99163-5517
Phone (509) 338-0632

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060412000401 WA Practitioner - General Surgery 4284643651 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Northeastern Ohio University College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Public Hospital District 1-a of Whitman CountyGroup PAC ID 8325934987, 86 clinicians

Practice addresses (Care Compare)

825 SE Bishop Blvd
Pullman, WA 99163-5517

835 SE Bishop Blvd
Pullman, WA 99163-5512
Phone (509) 332-2541

Hospital & facility affiliations

  • Pullman Regional Hospital Hospital, Pullman, WA, CCN 501331

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy13
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)13
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux14
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital District #1-a of Whitman County CurrentSince Oct 1, 2023 Accepting new patients
Public Hospital District #1-a of Whitman County Past Accepting new patients
Public Hospital District # 1-a Past Accepting new patients

Locations

825 SE Bishop Blvd
Ste 140
Pullman, WA 99163
Phone (509) 334-4498

840 SE Bishop Blvd
Ste 101
Pullman, WA 99163
Phone (509) 332-6139

835 SE Bishop Blvd
Pullman, WA 99163
Phone (509) 332-2541

825 SE Bishop Blvd
Ste 601
Pullman, WA 99163
Phone (509) 334-5876

825 SE Bishop Blvd
Ste 201
Pullman, WA 99163
Phone (509) 336-7577

825 SE Bishop Blvd
Ste 130
Pullman, WA 99163
Phone (509) 338-0632

Interoperability endpoints

  • Direct secure messaging: jvisger2629926@wm.providencedirect.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1902899982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 SE BISHOP BLVD STE 130",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635517",
            "telephone_number": "509-338-0632",
            "fax_number": "509-715-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 SE BISHOP BLVD",
            "address_2": "SUITE 130",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635517",
            "telephone_number": "509-338-0632",
            "fax_number": "509-715-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISGER",
        "first_name": "JOHN",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD00045670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pullman, WA

Sources for this page

Verify at the official NPI Registry.