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JOSHUA M HIXSON M.D
NPI 1326056839
Family Medicine in Smyrna, TN

Active since August 03, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
300 STONECREST BLVD, SUITE 100, SMYRNA, TN 37167(615) 223-9502(615) 223-9596 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Joshua M Hixson M.d NPPES

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

JOSHUA M HIXSON M.D (NPI 1326056839) is an individual family medicine provider in Smyrna, Tennessee, licensed in Tennessee (40238) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Tristar Stonecrest Medical Center, and is a graduate of Medical College Of Georgia School Of Medicine (1999).

NPPES Registry Identity

NPI1326056839
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOSHUA M HIXSONCredential: M.D
Location Address300 STONECREST BLVD, SUITE 100Smyrna, TN 37167-5688
Mailing Address300 Stonecrest Blvd, Suite 100Smyrna, TN 37167-5688 · (615) 223-9502 · Fax (615) 223-9596
Phone(615) 223-9502
Fax(615) 223-9596
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1999
Enumeration DateAugust 3, 2006
Last NPPES UpdateFebruary 4, 2022
✔ NPI 1326056839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in TN · 40238✔ Licensed in SC · 21839
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
300 STONECREST BLVD, Smyrna, TN 37167
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Other Identifiers 1

Medicaid3336474TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.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 M Hixson 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 ID9638192479
PECOS Enrollment IDI20060109000161
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.
184 services124 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.
168 services128 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
129 services129 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
61 services61 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
54 services54 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
52 services52 patients

Hospital Affiliations CMS Care Compare

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

Tristar Stonecrest Medical Center

Acute Care Hospitals · Smyrna, TN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number440227
Location200 Stonecrest BoulevardSmyrna, TN 37167 · Rutherford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37167 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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
97%3,154 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%838 patients5/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers13 claims60 services$6.00 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$75.60 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
6 suppliers30 claims30 services$204.81 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

HALLMARK MEDICAL GROUP
Internal Medicine
300 STONECREST BLVD, SUITE 250
SMYRNA, TN 37167
Rutherford County (615) 355-5558
MRS. TRACIE C MOSS MS CCCSLP
Speech-Language Pathologist
300 STONECREST BLVD, STE 375
SMYRNA, TN 37167
Rutherford County (615) 220-5796
CEDAR MEDICAL GROUP, PC
Internal Medicine
300 STONECREST BLVD, SUITE 200
SMYRNA, TN 37167
Rutherford County (615) 220-4747
DR. MICHAEL LAWRENCE YU MD
Psychiatry & Neurology (Neurology)
300 STONECREST BLVD, SUITE 365
SMYRNA, TN 37167
Rutherford County (615) 768-4300
DR. KIRSTEN BEKKER BUNCE MD
Family Medicine
300 STONECREST BLVD, SUITE 100
SMYRNA, TN 37167
Rutherford County (615) 223-9502
MRS. REBECCA ANNE KREIDER OTR
Occupational Therapist
300 STONECREST BLVD, SUITE 375
SMYRNA, TN 37167
Rutherford County (615) 220-5796
MRS. KARA MCKINNEY CNM
Obstetrics & Gynecology
300 STONECREST BLVD
SMYRNA, TN 37167
Rutherford County (629) 225-7692
COMMUNITY PHARMACY OF SMYRNA LLC
Pharmacy (Community/Retail Pharmacy)
300 STONECREST BLVD, STE 130
SMYRNA, TN 37167
Rutherford County (615) 459-5335

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 Hixson's NPI number?

The NPI number for Joshua Hixson is 1326056839. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is Joshua Hixson located?

Joshua Hixson practices at 300 Stonecrest Blvd Suite 100, Smyrna, TN 37167. The listed phone number is (615) 223-9502.

What is Joshua Hixson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Joshua Hixson enrolled in Medicare?

Yes. Joshua Hixson 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 Hixson accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Joshua Hixson 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 Hixson affiliated with any hospitals?

According to CMS data, Joshua Hixson is affiliated with Tristar Stonecrest Medical Center.

When was this NPI record last updated?

The NPPES record for Joshua Hixson was last updated on February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.