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JOSHUA NATHANIEL VERNATTER M.D.
NPI 1215176540
Internal Medicine - Infectious Disease in Middletown, NY

Active since February 10, 2009PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
18 ORCHARD ST, MIDDLETOWN, NY 10940(845) 645-5287(731) 201-5499 Get Directions Write a Review

NPPES record last updated: August 31, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 31, 2020, Apr 2, 2019 (2 updates tracked since 2019).

About Joshua Nathaniel Vernatter M.d. NPPES

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

JOSHUA NATHANIEL VERNATTER M.D. (NPI 1215176540) is an individual infectious disease provider in Middletown, New York, licensed in New York (258537) and active in the NPI registry since February 2009. He is enrolled in Medicare PECOS, is affiliated with St Luke's Cornwall Hospital, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2007).

NPPES Registry Identity

NPI1215176540
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameJOSHUA NATHANIEL VERNATTERCredential: M.D.
Location Address18 ORCHARD STMiddletown, NY 10940-5005
Mailing Address163 Dawn DrWesttown, NY 10998-2824 · (845) 645-5287 · Fax (731) 201-5499
Phone(845) 645-5287
Fax(731) 201-5499
Sole ProprietorYes
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2007
Enumeration DateFebruary 10, 2009
Last NPPES UpdateAugust 31, 20202 updates tracked since enumeration
NPPES CertifiedAugust 31, 2020
✔ NPI 1215176540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in NY · 258537
Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

18 ORCHARD ST, Middletown, NY 10940
Open in Google Maps ↗

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 Nathaniel Vernatter 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 ID6901057116
PECOS Enrollment IDI20121116000530
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 8

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.
212 services121 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
188 services175 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
176 services152 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.
167 services90 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
112 services85 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
43 services38 patients

Hospital Affiliations CMS Care Compare

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

St Luke's Cornwall Hospital

Acute Care Hospitals · Newburgh, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330264
Location70 Dubois StreetNewburgh, NY 12550 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10940 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
$141.77 typical visit price
range $61.88 – $187.05
Typical copayment $35.44 (range $15.47 – $46.76)
Most-billed visit code 99204
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 2

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

INDEPENDENT MEDICAL CARE PC
Internal Medicine (Infectious Disease)
18 ORCHARD ST
MIDDLETOWN, NY 10940
Orange County (845) 381-5331
DR. JOHN PETER TORTORELLA MD
Ophthalmology
18 ORCHARD ST
MIDDLETOWN, NY 10940
Orange County (845) 343-0928

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 Vernatter's NPI number?

The NPI number for Joshua Vernatter is 1215176540. It was assigned to this individual provider in the NPPES registry on February 10, 2009.

Where is Joshua Vernatter located?

Joshua Vernatter practices at 18 Orchard St, Middletown, NY 10940. The listed phone number is (845) 645-5287.

What is Joshua Vernatter's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Joshua Vernatter enrolled in Medicare?

Yes. Joshua Vernatter 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 Vernatter accept?

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

According to CMS data, Joshua Vernatter is affiliated with St Luke's Cornwall Hospital.

When was this NPI record last updated?

The NPPES record for Joshua Vernatter was last updated on August 31, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.