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JOSHUA STELMACK DO
NPI 1124519616
Internal Medicine in Erie, PA

Active since May 21, 2018PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating

NPPES record last updated: April 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 21, 2021, Sep 13, 2019, May 21, 2018 (3 updates tracked since 2018).

About Joshua Stelmack Do NPPES

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

JOSHUA STELMACK DO (NPI 1124519616) is an individual internal medicine provider in Erie, Pennsylvania, licensed in Pennsylvania (OS020250) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Lecom Health Corry Memorial Hospital, and maintains a secondary practice location in Corry.

NPPES Registry Identity

NPI1124519616
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOSHUA STELMACKCredential: DO
Location Address5515 PEACH STErie, PA 16509-2603
Mailing Address1 Lecom PlErie, PA 16505-2571 · (814) 868-2507 · Fax (814) 868-2522
Phone(814) 864-4031
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2018
Enumeration DateMay 21, 2018
Last NPPES UpdateApril 21, 20213 updates tracked since enumeration
NPPES CertifiedApril 21, 2021
✔ NPI 1124519616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in PA · OS020250✔ Licensed in PA · OT018237
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5515 PEACH ST, Erie, PA 16509
Open in Google Maps ↗

Secondary Practice Location 1

Location 1965 Shamrock LnCorry, PA 16407 · Phone (814) 664-4641

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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 Stelmack Do 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 ID6002163243
PECOS Enrollment IDI20191028003196, I20231006000619
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.

Hospital Affiliations CMS Care Compare

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

Lecom Health Corry Memorial Hospital

Critical Access Hospitals · Corry, PA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number391308
Location965 Shamrock LaneCorry, PA 16407 · Erie County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16509 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

EDEN KIMIAGAROV DO
Student in an Organized Health Care Education/Training Program
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 868-8217
NATALIE A KUJAN LDN
Dietitian, Registered
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 864-4031
DR. GARRETT P JAGEMAN PHARMD
Pharmacist
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 864-4031
ERIN CARLSON PHARMD
Pharmacist
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 868-8267
NICHOLAS PAUL PANICO DO
Student in an Organized Health Care Education/Training Program
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 864-4031
DALTON WADE SUMMERHILL
Student in an Organized Health Care Education/Training Program
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 864-4031
ALYSE CHRISTINE HAGGERTY RN
Registered Nurse (Psychiatric/Mental Health, Adult)
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 864-4031
JOSEPH AARON HOLMES D.O.
Psychiatry & Neurology (Psychiatry)
5515 PEACH ST
ERIE, PA 16509
Erie County (181) 486-8820

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 Stelmack's NPI number?

The NPI number for Joshua Stelmack is 1124519616. It was assigned to this individual provider in the NPPES registry on May 21, 2018.

Where is Joshua Stelmack located?

Joshua Stelmack practices at 5515 Peach St, Erie, PA 16509. The listed phone number is (814) 864-4031.

What is Joshua Stelmack's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Joshua Stelmack enrolled in Medicare?

Yes. Joshua Stelmack 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 Stelmack accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Joshua Stelmack 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 Stelmack affiliated with any hospitals?

According to CMS data, Joshua Stelmack is affiliated with Lecom Health Corry Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Joshua Stelmack was last updated on April 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.