JOSHUA GETTINGER MD
NPI 1174571855
Family Medicine in Asheville, NC

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment
93.51/100
CMS Quality Rating
123 HENDERSONVILLE RD, ASHEVILLE, NC 28803(828) 257-4730(828) 257-4738 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 4, 2024, Jan 12, 2017 (2 updates tracked since 2017).

About Joshua Gettinger Md NPPES

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

JOSHUA GETTINGER MD (NPI 1174571855) is an individual family medicine provider in Asheville, North Carolina, licensed in North Carolina (9700565) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Mission Hospital And Asheville Surgery Ce, and is a graduate of University Of California, San Francisco School Of Medicine (1976).

NPPES Registry Identity

NPI1174571855
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOSHUA GETTINGERCredential: MD
Location Address123 HENDERSONVILLE RDAsheville, NC 28803
Mailing Address119 Hendersonville RdAsheville, NC 28803-2868 · (828) 257-4730 · Fax (828) 257-4738
Fax(828) 257-4738
Sole ProprietorNo
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 1976
Enumeration DateMay 4, 2006
Last NPPES UpdateNovember 4, 20242 updates tracked since enumeration
NPPES CertifiedNovember 4, 2024
NPI 1174571855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in NC · 9700565 Licensed in TN · 12243
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
123 HENDERSONVILLE RD, Asheville, NC 28803

Other Identifiers 3

Medicaid3177031TN
Medicaid3177036TN
Medicaid5922095NC

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 Gettinger 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 ID8123001138
PECOS Enrollment IDI20040615001798, I20121107000361
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.

Memorial Mission Hospital And Asheville Surgery Ce

Acute Care Hospitals · Asheville, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340002
Location509 Biltmore AveAsheville, NC 28801 · Buncombe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28803 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

93.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.23
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers11 claims25 services$5.68 avg. paid by Medicare
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims330 services$2.38 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims5,775 services$0.25 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
2 suppliers16 claims16 services$71.53 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.

Student in an Organized Health Care Education/Training Program
123 HENDERSONVILLE RD
ASHEVILLE, NC 28803
Family Medicine
123 HENDERSONVILLE RD
ASHEVILLE, NC 28803
Physician Assistant
123 HENDERSONVILLE RD
ASHEVILLE, NC 28803
Counselor (Mental Health)
123 HENDERSONVILLE RD
ASHEVILLE, NC 28803
Physician Assistant
123 HENDERSONVILLE RD
ASHEVILLE, NC 28803
Counselor (Mental Health)
123 HENDERSONVILLE RD
ASHEVILLE, NC 28803
Student in an Organized Health Care Education/Training Program
123 HENDERSONVILLE RD
ASHEVILLE, NC 28803
Family Medicine (Sports Medicine)
123 HENDERSONVILLE RD
ASHEVILLE, NC 28803

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 Gettinger's NPI number?

The NPI number for Joshua Gettinger is 1174571855. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Joshua Gettinger located?

Joshua Gettinger practices at 123 Hendersonville Rd, Asheville, NC 28803. The listed phone number is (828) 257-4730.

What is Joshua Gettinger's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Joshua Gettinger enrolled in Medicare?

Yes. Joshua Gettinger 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 Gettinger accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Joshua Gettinger 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 Gettinger affiliated with any hospitals?

According to CMS data, Joshua Gettinger is affiliated with Memorial Mission Hospital And Asheville Surgery Ce.

When was this NPI record last updated?

The NPPES record for Joshua Gettinger was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.