DR. JOSHUA S PUHR MD
NPI 1184645277
Emergency Medicine in Johnson City, TN

Q: What is Joshua Puhr's NPI number?

The NPI number for Joshua Puhr is 1184645277. It was assigned to this individual provider in the NPPES registry on July 22, 2006.

Q: What is Joshua Puhr's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Joshua Puhr was last updated on June 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 22, 2006PECOS EnrolledAccepts Medicare Assignment

400 N STATE OF FRANKLIN RD, EMERGENCY DEPARTMENT, JOHNSON CITY, TN 37604(423) 431-6111 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 4, 2025, Jul 7, 2021 (2 updates tracked since 2021).

On this page

About Dr. Joshua S Puhr Md NPPES

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

DR. JOSHUA S PUHR MD (NPI 1184645277) is an individual emergency medicine provider in Johnson City, Tennessee, licensed in Tennessee (45483) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Lonesome Pine Hospital, and maintains a secondary practice location in Fort Leonard Wood.

NPPES Registry Identity

NPI1184645277

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. JOSHUA S PUHRCredential: MD

Location Address400 N STATE OF FRANKLIN RD, EMERGENCY DEPARTMENTJohnson City, TN 37604-6035

Mailing Address200 Corporate BlvdLafayette, LA 70508-3870 · (337) 609-2503 · Fax (337) 289-6036

Phone(423) 431-6111

Sole ProprietorYes

Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 2004

Enumeration DateJuly 22, 2006

Last NPPES UpdateJune 4, 20252 updates tracked since enumeration

NPPES CertifiedJune 4, 2025

✔ NPI 1184645277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in TN · 45483✔ Licensed in VA · 0101247294✔ Licensed in NC · 2006-01042

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedInternal MedicineTaxonomy 207R00000X · License 45483 (TN)

400 N STATE OF FRANKLIN RD, Johnson City, TN 37604

Open in Google Maps ↗

Secondary Practice Location 1

Location 14430 Missouri AveFort Leonard Wood, MO 65473-9098 · Phone (573) 596-0417

Other Identifiers 2

Medicaid1184645277VA

Medicaid1518327TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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

Dr. Joshua S Puhr 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 ID8921003096

PECOS Enrollment IDI20100712000513

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.

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.

133 services123 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

127 services117 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.

50 services48 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

25 services24 patients

Hospital Affiliations CMS Care Compare 3

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

Lonesome Pine Hospital

Acute Care Hospitals · Big Stone Gap, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490114

Location1990 Holton Avenue EastBig Stone Gap, VA 24219 · Wise County

Emergency services

Dickenson Community Hospital

Critical Access Hospitals · Clintwood, VA

OwnershipVoluntary non-profit - Private

CMS Certification Number491303

Location312 Hospital DriveClintwood, VA 24228 · Dickenson County

Emergency services

Lee County Community Hospital

Critical Access Hospitals · Pennington Gap, VA

OwnershipVoluntary non-profit - Private

CMS Certification Number491309

Location127 Health Care DrivePennington Gap, VA 24277 · Lee County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

Leave this field empty

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.

DR. CASEY JAMES WILBERT PHARM.D

Pharmacist

400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604

Washington County (423) 431-2787

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

Internal Medicine (Cardiovascular Disease)

400 N STATE OF FRANKLIN RD, ROOM LK015
JOHNSON CITY, TN 37604

Washington County (423) 431-5965

MITCHELL DESHAZER

Internal Medicine (Critical Care Medicine)

400 N STATE OF FRANKLIN RD, ROOM 2746
JOHNSON CITY, TN 37604

Washington County (423) 431-2727

DR. ANDREW LEE GIBSON MD

Emergency Medicine

400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604

Washington County (423) 431-6111

MCKENZIE PEARL GREGG PA-C, MMS, MPH

Physician Assistant

400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604

Washington County (423) 431-6111

OLUWATOSIN ORIOLA AYANJOKE MD

Family Medicine

400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604

Washington County (423) 431-6111

HUNTER DORTON

Student in an Organized Health Care Education/Training Program

400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604

Washington County (423) 431-6111

DR. LEON CHARLES BASS M.D.

Internal Medicine (Pulmonary Disease)

400 N STATE OF FRANKLIN RD, ROOM 2746
JOHNSON CITY, TN 37604

Washington County (423) 431-2727

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 Puhr's NPI number?

The NPI number for Joshua Puhr is 1184645277. It was assigned to this individual provider in the NPPES registry on July 22, 2006.

Where is Joshua Puhr located?

Joshua Puhr practices at 400 N State Of Franklin Rd Emergency Department, Johnson City, TN 37604. The listed phone number is (423) 431-6111.

What is Joshua Puhr's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Joshua Puhr enrolled in Medicare?

Yes. Joshua Puhr 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 Puhr accept?

Health plans from Oscar Insurance Company list Joshua Puhr 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 Puhr affiliated with any hospitals?

According to CMS data, Joshua Puhr is affiliated with Lonesome Pine Hospital, Dickenson Community Hospital and Lee County Community Hospital.

When was this NPI record last updated?

The NPPES record for Joshua Puhr was last updated on June 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.