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JOSEPH KULPEKSA M.D.
NPI 1154388056
Internal Medicine in Bay St Louis, MS

Active since April 26, 2006PECOS EnrolledAccepts Medicare Assignment
149 DRINKWATER RD, BAY ST LOUIS, MS 39520(228) 467-8600 Get Directions Write a Review

NPPES record last updated: July 16, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 16, 2019, Oct 10, 2016 (2 updates tracked since 2016).

About Joseph Kulpeksa M.d. NPPES

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

JOSEPH KULPEKSA M.D. (NPI 1154388056) is an individual internal medicine provider in Bay St Louis, Mississippi, licensed in Mississippi (25600) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Tishomingo Health Services Inc, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1154388056
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOSEPH KULPEKSACredential: M.D.
Location Address149 DRINKWATER RDBay St Louis, MS 39520-1658
Mailing Address149 Drinkwater RdBay St Louis, MS 39520-1658 · (573) 359-2930 · Fax (573) 359-1304
Phone(228) 467-8600
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateApril 26, 2006
Last NPPES UpdateJuly 16, 20192 updates tracked since enumeration
✔ NPI 1154388056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in MS · 25600✔ Licensed in AR · E-2296✔ Licensed in MO · 117451
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License E2296 (AR)
149 DRINKWATER RD, Bay St Louis, MS 39520
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Other Identifiers 2

Medicaid139330001AR
Other000033032MO · Medicare Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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

Joseph Kulpeksa M.d. 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 ID9234125378
PECOS Enrollment IDI20180329000231
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 10

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
184 services76 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
93 services88 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
86 services81 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
84 services38 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
64 services59 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
61 services53 patients

Hospital Affiliations CMS Care Compare 2

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

Tishomingo Health Services Inc

Acute Care Hospitals · Iuka, MS
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250002
Location1777 Curtis DriveIuka, MS 38852 · Tishomingo County
Emergency services

Saint Francis Medical Center

Acute Care Hospitals · Cape Girardeau, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260183
Location211 St Francis DrCape Girardeau, MO 63703 · Cape Girardeau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39520 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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%97 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
6 suppliers42 claims42 services$20.36 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
3 suppliers12 claims12 services$772.23 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
6 suppliers42 claims42 services$110.55 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$31.22 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
5 suppliers13 claims1,690 services$0.09 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 20

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

SON DANG MD
Anesthesiology
149 DRINKWATER RD
BAY ST LOUIS, MS 39520
Hancock County (228) 467-2340
SANDRA SMITH TRUMBACH NNP BC
Nurse Practitioner (Neonatal, Critical Care)
149 DRINKWATER RD
BAY ST LOUIS, MS 39520
Hancock County (228) 467-8600
BAY AREA EMERGENCY PHYSICIANS LLC
Emergency Medicine
149 DRINKWATER RD
BAY SAINT LOUIS, MS 39520
Hancock County (877) 693-5700
JESSICA LYNN DOUGLAS MD
Family Medicine
149 DRINKWATER RD
BAY ST LOUIS, MS 39520
Hancock County (228) 467-8600
DR. TRACY G BENZING DPM
Podiatrist (Primary Podiatric Medicine)
149 DRINKWATER RD
BAY ST LOUIS, MS 39520
Hancock County (228) 467-2878
JARED Y ROBERTSON III CRNA
Nurse Anesthetist, Certified Registered
149 DRINKWATER RD
BAY ST LOUIS, MS 39520
Hancock County (228) 467-8600
MS. DOVIE LOU MAYES CRNA
Nurse Anesthetist, Certified Registered
149 DRINKWATER RD
BAY ST LOUIS, MS 39520
Hancock County (228) 467-8775
HANCOCK EMERGENCY GROUP LLC
Emergency Medicine
149 DRINKWATER RD
BAY ST LOUIS, MS 39520
Hancock County (800) 893-9698

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 Joseph Kulpeksa's NPI number?

The NPI number for Joseph Kulpeksa is 1154388056. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Where is Joseph Kulpeksa located?

Joseph Kulpeksa practices at 149 Drinkwater Rd, Bay St Louis, MS 39520. The listed phone number is (228) 467-8600.

What is Joseph Kulpeksa's specialty?

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

Is Joseph Kulpeksa enrolled in Medicare?

Yes. Joseph Kulpeksa 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 Joseph Kulpeksa accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 9 other insurers list Joseph Kulpeksa 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 Joseph Kulpeksa affiliated with any hospitals?

According to CMS data, Joseph Kulpeksa is affiliated with Tishomingo Health Services Inc and Saint Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Joseph Kulpeksa was last updated on July 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.