MR. JOSHUA LUPTON
NPI 1144612094
Obstetrics & Gynecology in Hyannis, MA

Active since March 02, 2015PECOS EnrolledAccepts Medicare Assignment
85.73/100
CMS Quality Rating

NPPES record last updated: November 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 24, 2021, Apr 22, 2019, Mar 15, 2018 (3 updates tracked since 2018).

About Mr. Joshua Lupton NPPES

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

MR. JOSHUA LUPTON (NPI 1144612094) is an individual obstetrics & gynecology provider in Hyannis, Massachusetts, licensed in Michigan (5151012437) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, is affiliated with Cape Cod Hospital, and is a graduate of University Of New England, College Of Osteo Medicine (2015).

NPPES Registry Identity

NPI1144612094
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameMR. JOSHUA LUPTON
Location Address27 PARK STHyannis, MA 02601-5230
Mailing Address297 North St Ste 221Hyannis, MA 02601-5133 · (207) 205-0614
Sole ProprietorNo
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2015
Enumeration DateMarch 2, 2015
Last NPPES UpdateNovember 24, 20213 updates tracked since enumeration
NPPES CertifiedNovember 24, 2021
NPI 1144612094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses Licensed in MI · 5151012437 Licensed in MI · 5101021771
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
27 PARK ST, Hyannis, MA 02601

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

Mr. Joshua Lupton 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 ID4183934870
PECOS Enrollment IDI20190812002956
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 4

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.

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.
41 services32 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
25 services25 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
20 services20 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Cape Cod Hospital

Acute Care Hospitals · Hyannis, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220012
Location27 Park StreetHyannis, MA 02601 · Barnstable County
Emergency services Birthing friendly

Southcoast Hospitals Group

Acute Care Hospitals · Fall River, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220074
Location363 Highland AvenueFall River, MA 02720 · Bristol County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02601 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
Most-billed visit code 99213
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.

85.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.06
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.

Anesthesiology
27 PARK ST
HYANNIS, MA 02601
Emergency Medicine
27 PARK ST
HYANNIS, MA 02601
Nurse Anesthetist, Certified Registered
27 PARK ST
HYANNIS, MA 02601
Physician Assistant
27 PARK ST, PHS PROVIDER ENROLLMENT
HYANNIS, MA 02601
Nurse Anesthetist, Certified Registered
27 PARK ST
HYANNIS, MA 02601
Hospitalist
27 PARK ST
HYANNIS, MA 02601
Anesthesiology
27 PARK ST
HYANNIS, MA 02601
Social Worker (Clinical)
27 PARK ST
HYANNIS, MA 02601

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 Lupton's NPI number?

The NPI number for Joshua Lupton is 1144612094. It was assigned to this individual provider in the NPPES registry on March 2, 2015.

Where is Joshua Lupton located?

Joshua Lupton practices at 27 Park St, Hyannis, MA 02601. The listed phone number is (207) 205-0614.

What is Joshua Lupton's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Joshua Lupton enrolled in Medicare?

Yes. Joshua Lupton 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 Lupton accept?

Health plans from Anthem Blue Cross and Blue Shield list Joshua Lupton 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 Lupton affiliated with any hospitals?

According to CMS data, Joshua Lupton is affiliated with Cape Cod Hospital and Southcoast Hospitals Group.

When was this NPI record last updated?

The NPPES record for Joshua Lupton was last updated on November 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.