JOSHUA AUGUSTINE MUETZEL MD
NPI 1013396670
Family Medicine - Sports Medicine in Vermilion, OH

Active since May 28, 2015PECOS EnrolledAccepts Medicare Assignment
93/100
CMS Quality Rating
1607 STATE RD STE 6, VERMILION, OH 44089(440) 967-8713(440) 967-1938 Get Directions Write a Review

NPPES record last updated: September 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 21, 2023, Jul 17, 2019 (2 updates tracked since 2019).

About Joshua Augustine Muetzel Md NPPES

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

JOSHUA AUGUSTINE MUETZEL MD (NPI 1013396670) is an individual sports medicine provider in Vermilion, Ohio, licensed in Ohio (35.141543) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Mercy Regional Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1013396670
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameJOSHUA AUGUSTINE MUETZELCredential: MD
Location Address1607 STATE RD STE 6Vermilion, OH 44089-9142
Mailing Address1607 State Rd Ste 6Vermilion, OH 44089-9142 · (440) 967-8713 · Fax (440) 967-1938
Fax(440) 967-1938
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 28, 2015
Last NPPES UpdateSeptember 14, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2023
NPI 1013396670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License Licensed in OH · 35.141543
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 35.141543 (OH)
1607 STATE RD STE 6, Vermilion, OH 44089

Accepted 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

Joshua Augustine Muetzel Md 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 ID547573115
PECOS Enrollment IDI20231211002054
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 9

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
220 services23 patients
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.
165 services102 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
97 services81 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
35 services23 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
30 services15 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
16 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Regional Medical Center

Acute Care Hospitals · Lorain, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360172
Location3700 Kolbe RoadLorain, OH 44053 · Lorain County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44089 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
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.

93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.36
Promoting Interoperability98
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Knee orthosis, elastic with joints, prefabricated, off-the-shelf L1812
DME-Orthotic Devices · category DF011N
1 supplier17 claims17 services$61.29 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Family)
1607 STATE RD STE 6
VERMILION, OH 44089
Nurse Practitioner (Family)
1607 STATE RD STE 6
VERMILION, OH 44089
Family Medicine
1607 STATE RD STE 6
VERMILION, OH 44089
Nurse Practitioner (Family)
1607 STATE RD STE 6
VERMILION, OH 44089
Nurse Practitioner (Family)
1607 STATE RD STE 6
VERMILION, OH 44089

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 Joshua Muetzel's NPI number?

The NPI number for Joshua Muetzel is 1013396670. It was assigned to this individual provider in the NPPES registry on May 28, 2015.

Where is Joshua Muetzel located?

Joshua Muetzel practices at 1607 State Rd Ste 6, Vermilion, OH 44089. The listed phone number is (440) 967-8713.

What is Joshua Muetzel's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Joshua Muetzel enrolled in Medicare?

Yes. Joshua Muetzel 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 Joshua Muetzel accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and UnitedHealthcare list Joshua Muetzel 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.

Is Joshua Muetzel affiliated with any hospitals?

According to CMS data, Joshua Muetzel is affiliated with Mercy Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Joshua Muetzel was last updated on September 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.