JOSHUA GAVIN DO
NPI 1316391584
Internal Medicine - Rheumatology in Fruita, CO
About Joshua Gavin Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOSHUA GAVIN DO (NPI 1316391584) is an individual rheumatology provider in Fruita, Colorado, licensed in Colorado (DR.0072987) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (2016).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 3
Accepted 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
Joshua Gavin Do 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.
Medicare Billing Reassignments
2Medicare enrollment records show Joshua Gavin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fruita, CO 81521
- Reassigned Medicare billing, Colorado enrollment
- 104 clinicians in this Medicare group
South Hill, VA 23970
- Reassigned Medicare billing, Virginia enrollment
- 241 clinicians in this Medicare group
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 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 81521 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
FRUITA, CO 81521
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 Gavin's NPI number?
The NPI number for Joshua Gavin is 1316391584. It was assigned to this individual provider in the NPPES registry on April 14, 2016.
Where is Joshua Gavin located?
Joshua Gavin practices at 576 Kokopelli Blvd Unit D-E, Fruita, CO 81521. The listed phone number is (970) 858-2590.
What is Joshua Gavin's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.
Is Joshua Gavin enrolled in Medicare?
Yes. Joshua Gavin 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 organizations bill Medicare for Joshua Gavin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Joshua Gavin reassigns Medicare benefits to 2 organizations: Lower Valley Hospital Association (Fruita, CO) and Cmh Physician Services, LLC (South Hill, VA). Each 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 Joshua Gavin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Joshua Gavin accept?
Health plans from Select Health list Joshua Gavin 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.
When was this NPI record last updated?
The NPPES record for Joshua Gavin was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Joshua Gavin, DO · NPI 1316391584
Rheumatology physician in Fruita, Colorado. Individual provider, active in the CMS NPPES registry since April 14, 2016.
## Identity
- **NPI:** 1316391584 (Entity type: Individual)
- **Enumerated:** April 14, 2016
- **Primary specialty:** Internal Medicine - Rheumatology · taxonomy 207RR0500X
- **State license:** DR.0072987 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 576 KOKOPELLI BLVD, UNIT D-E, Fruita, CO 81521-6304
- **Phone:** (970) 858-2590 · **Fax:** (970) 858-5036
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Lower Valley Hospital Association (NPI 1710231816, Fruita, CO); Cmh Physician Services, LLC (NPI 1386028793, South Hill, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Kansas City University Of Med & Biosciences, College Of Osteo Med, class of 2016
## Record status
- **NPPES last updated:** October 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1316391584) · Data from the CMS NPPES public registry.