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JOSIAH MCCAIN MD
NPI 1225482052
Internal Medicine - Gastroenterology in Gainesville, FL

Active since April 18, 2016PECOS EnrolledAccepts Medicare Assignment
78.18/100
CMS Quality Rating
1600 SW ARCHER RD, GAINESVILLE, FL 32610(352) 273-9400(352) 627-4268 Get Directions Write a Review

NPPES record last updated: September 11, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 11, 2022, Jan 5, 2021, Oct 28, 2020 and 3 more (6 updates tracked since 2017).

About Josiah Mccain Md NPPES

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

JOSIAH MCCAIN MD (NPI 1225482052) is an individual gastroenterology provider in Gainesville, Florida, licensed in Florida (ME157492) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Uf Health Shands Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1225482052
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameJOSIAH MCCAINCredential: MD
Location Address1600 SW ARCHER RDGainesville, FL 32610-1865
Mailing AddressPo Box 100214Gainesville, FL 32610-0214 · (352) 273-9400 · Fax (352) 627-4268
Phone(352) 273-9400
Fax(352) 627-4268
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 18, 2016
Last NPPES UpdateSeptember 11, 20236 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2023
✔ NPI 1225482052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in FL · ME157492
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X · License ME157492 (FL)
Also ListedInternal Medicine · Transplant HepatologyTaxonomy 207RT0003X · License ME157492 (FL)
1600 SW ARCHER RD, Gainesville, FL 32610
Open in Google Maps ↗

Secondary Practice Locations 2

Location 14500 San Pablo Rd SJacksonville, FL 32224-1865 · Phone (904) 953-2000
Location 213400 E Shea BlvdScottsdale, AZ 85259-5452 · Phone (480) 301-8000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Josiah Mccain 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 ID8820389042
PECOS Enrollment IDI20230803000818
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.

Medicare Billing Reassignment

Medicare enrollment records show Josiah Mccain reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Florida Clinical Practice Association Inc
Same address
Surgery
1600 SW ARCHER RD
Gainesville, FL 32610
  • Reassigned Medicare billing, Florida enrollment
  • 3,324 clinicians in this Medicare group
NPI 1063463768 (352) 265-7922

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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 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.
182 services49 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.
83 services49 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.
33 services18 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.
15 services15 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Uf Health Shands Hospital

Acute Care Hospitals · Gainesville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100113
Location1600 SW Archer RdGainesville, FL 32610 · Alachua County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32610 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

78.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.54
Promoting Interoperability100
Improvement Activities40
Cost54.74

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. BAHAREH EBADIFAR KEITH DO
Pediatrics
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-0462
AFRASYAB KHAN
Surgery
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 265-0680
GULSUN ERDAG MD
Pathology (Anatomic Pathology & Clinical Pathology)
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 265-9900
DR. ALBERT H. MATTIA D.D.S.
Dentist (Prosthodontics)
1600 SW ARCHER RD, D4-4
GAINESVILLE, FL 32610
Alachua County (352) 273-5801
JOANNA CHAFFIN
Pathology (Anatomic Pathology & Clinical Pathology)
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 627-9272
DR. CASEY JUSTIN BEAL MD
Ophthalmology
1600 SW ARCHER RD, BOX 100284
GAINESVILLE, FL 32610
Alachua County (352) 273-8778
WILLIAM CRAIG HICKS CRNA
Nurse Anesthetist, Certified Registered
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-6438
HENRY FONTILLAS PATALINGHUG CRNA
Nurse Anesthetist, Certified Registered
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-6438

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 Josiah Mccain's NPI number?

The NPI number for Josiah Mccain is 1225482052. It was assigned to this individual provider in the NPPES registry on April 18, 2016.

Where is Josiah Mccain located?

Josiah Mccain practices at 1600 SW Archer Rd, Gainesville, FL 32610. The listed phone number is (352) 273-9400.

What is Josiah Mccain's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Josiah Mccain enrolled in Medicare?

Yes. Josiah Mccain 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.

Which organization bills Medicare for Josiah Mccain's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Josiah Mccain reassigns Medicare benefits to Florida Clinical Practice Association Inc (Gainesville, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Josiah Mccain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Josiah Mccain accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 2 other insurers list Josiah Mccain 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 Josiah Mccain affiliated with any hospitals?

According to CMS data, Josiah Mccain is affiliated with Uf Health Shands Hospital.

When was this NPI record last updated?

The NPPES record for Josiah Mccain was last updated on September 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.