DR. REGINALD JOSEPH MD
NPI 1285895466
Internal Medicine - Nephrology in Fredericksburg, VA
Active since June 20, 2008PECOS EnrolledAccepts Medicare Assignment
609 JEFFERSON DAVIS HWY, FREDERICKSBURG, VA 22401(540) 899-3107(540) 899-3183 Get Directions Write a Review
About Dr. Reginald Joseph Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. REGINALD JOSEPH MD (NPI 1285895466) is an individual nephrology provider in Fredericksburg, Virginia, licensed in Virginia (0101261345) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Mary Washington Hospital, and is a graduate of Meharry Medical College School Of Medicine (2008).
NPPES Registry Identity
NPI1285895466
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. REGINALD JOSEPHCredential: MD
Location Address609 JEFFERSON DAVIS HWYFredericksburg, VA 22401-4566
Mailing Address609 Jefferson Davis HwyFredericksburg, VA 22401-4566 · (540) 899-3107 · Fax (540) 899-3183
Phone(540) 899-3107
Fax(540) 899-3183
Sole ProprietorNo
Medical School CMSMeharry Medical College School Of MedicineGraduated 2008
Enumeration DateJune 20, 2008
Last NPPES UpdateMarch 2, 20172 updates tracked since enumeration
✔ NPI 1285895466 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in VA · 0101261345
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
609 JEFFERSON DAVIS HWY, Fredericksburg, VA 22401
Other Identifiers 1
Medicare PINVVN423D719VA
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. Reginald Joseph 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 ID7315119708
PECOS Enrollment IDI20170131001715
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.
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.
394 services177 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.
375 services165 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
134 services47 patients
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.
123 services103 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.
100 services84 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
99 services23 patients
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mary Washington Hospital
Acute Care Hospitals · Fredericksburg, VAOwnershipVoluntary non-profit - Private
CMS Certification Number490022
Location1001 Sam Perry BoulevardFredericksburg, VA 22401 · Fredericksburg City County
Emergency services Birthing friendly
Stafford Hospital, LLC
Acute Care Hospitals · Stafford, VAOwnershipVoluntary non-profit - Private
CMS Certification Number490140
Location101 Hospital Center BoulevardStafford, VA 22554 · Stafford County
Emergency services Birthing friendly
Spotsylvania Regional Medical Center
Acute Care Hospitals · Fredericksburg, VAOwnershipProprietary
CMS Certification Number490141
Location4600 Spotsylvania ParkwayFredericksburg, VA 22408 · Spotsylvania County
Emergency services Birthing friendly
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 22401 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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…
19%135 patients1/55-star benchmark: 100%
Clinical Information Reconciliation
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation.
6%86 patients1/55-star benchmark: 100%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
94%66 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%599 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
91%428 patients4/55-star benchmark: 100%
Patient-Generated Health Data
Patient-generated health data or data from a non-clinical setting is incorporated into the certified EHR technology for at least one unique patient seen by the MIPS eligible clinician during the performance period.
0%265 patients
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…
51%265 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
50%131 patients3/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
78%219 patients4/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
61%184 patients3/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 100% · 160 patients
99%160 patients
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
88%265 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in…
1%265 patients1/55-star benchmark: 75%
Send a Summary of Care
For at least one transition of care or referral, the MIPS eligible clinician that transitions or refers their patient to another setting of care or health care provider-(1) creates a summary of care record using certified EHR technology; and (2)…
45%40 patients2/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 135 patients
0%135 patients5/55-star benchmark: 100%
View, Download and Transmit (VDT)
During the performance period, at least one unique patient (or patient-authorized representatives) seen by the MIPS eligible clinician actively engages with the EHR made accessible by the MIPS eligible clinician.
6%265 patients
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.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Obstetrics & Gynecology
609 JEFFERSON DAVIS HWY, SUITE 201
FREDERICKSBURG, VA 22401
FREDERICKSBURG, VA 22401
Internal Medicine (Nephrology)
609 JEFFERSON DAVIS HWY, 201
FREDERICKSBURG, VA 22401
FREDERICKSBURG, VA 22401
Dentist (Periodontics)
609 JEFFERSON DAVIS HWY, SUITE 101
FREDERICKSBURG, VA 22401
FREDERICKSBURG, VA 22401
Obstetrics & Gynecology
609 JEFFERSON DAVIS HWY, SUITE 201
FREDERICKSBURG, VA 22401
FREDERICKSBURG, VA 22401
Internal Medicine (Nephrology)
609 JEFFERSON DAVIS HWY, 201
FREDERICKSBURG, VA 22401
FREDERICKSBURG, VA 22401
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 Reginald Joseph's NPI number?
The NPI number for Reginald Joseph is 1285895466. It was assigned to this individual provider in the NPPES registry on June 20, 2008.
Where is Reginald Joseph located?
Reginald Joseph practices at 609 Jefferson Davis Hwy, Fredericksburg, VA 22401. The listed phone number is (540) 899-3107.
What is Reginald Joseph's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Reginald Joseph enrolled in Medicare?
Yes. Reginald Joseph 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.
Is Reginald Joseph affiliated with any hospitals?
According to CMS data, Reginald Joseph is affiliated with Mary Washington Hospital, Stafford Hospital, LLC and Spotsylvania Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Reginald Joseph was last updated on March 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Dr. Reginald Joseph, MD · NPI 1285895466
Nephrology physician in Fredericksburg, Virginia. Individual provider, active in the CMS NPPES registry since June 20, 2008.
## Identity
- **NPI:** 1285895466 (Entity type: Individual)
- **Enumerated:** June 20, 2008
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **State license:** 0101261345 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 609 JEFFERSON DAVIS HWY, Fredericksburg, VA 22401-4566
- **Phone:** (540) 899-3107 · **Fax:** (540) 899-3183
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Meharry Medical College School Of Medicine, class of 2008
## Record status
- **NPPES last updated:** March 2, 2017
- **Other identifiers:** Medicare PIN VVN423D719 (VA)
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Source: [NPI Profile](https://npiprofile.com/npi/1285895466) · Data from the CMS NPPES public registry.