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DR. JOSEPH P WALSH M.D.
NPI 1376523753
Family Medicine in Elberta, AL

Active since January 20, 2006PECOS EnrolledAccepts Medicare Assignment
24980 STATE ST, PO DRAWER 519, ELBERTA, AL 36530(251) 986-7301(251) 986-5927 Get Directions Write a Review

NPPES record last updated: February 20, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Joseph P Walsh M.d. NPPES

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

DR. JOSEPH P WALSH M.D. (NPI 1376523753) is an individual family medicine provider in Elberta, Alabama, licensed in Alabama (00026120) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of University Of South Alabama College Of Medicine (2001).

NPPES Registry Identity

NPI1376523753
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOSEPH P WALSHCredential: M.D.
Location Address24980 STATE ST, PO DRAWER 519Elberta, AL 36530-2573
Mailing Address24980 State St, Po Drawer 519Elberta, AL 36530-2573 · (251) 986-7301 · Fax (251) 986-5927
Phone(251) 986-7301
Fax(251) 986-5927
Sole ProprietorYes
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2001
Enumeration DateJanuary 20, 2006
Last NPPES UpdateFebruary 20, 2020
✔ NPI 1376523753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AL · 00026120
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.

24980 STATE ST, Elberta, AL 36530
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Other Identifiers 6

Medicaid51523750AL
Other7927626AL · Aetna
OtherP00165718AL · Railroad Medicare
Other51523750AL · Bcbs-al
OtherI16057AL · Healthsprings Of Alabama
Other0101652AL · United Healthcare

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. Joseph P Walsh 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 ID8022086537
PECOS Enrollment IDI20040922000853
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 3

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.
175 services102 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.
100 services83 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
22 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36530 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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

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…
100%259 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

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
3 suppliers14 claims57 services$5.50 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 11

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

TAKL CORPORATION
Durable Medical Equipment & Medical Supplies
24980 STATE ST, STE 4
ELBERTA, AL 36530
Baldwin County (251) 986-7747
DR. TERRY A KURTTS M.D.
Family Medicine
24980 STATE ST, PO DRAWER 519
ELBERTA, AL 36530
Baldwin County (251) 986-7301
LACEY B SANTA CRUZ CRNP
Nurse Practitioner (Family)
24980 STATE ST
ELBERTA, AL 36530
Baldwin County (251) 986-7301
MR. CADEN HORN
Nurse Practitioner (Family)
24980 STATE ST
ELBERTA, AL 36530
Baldwin County (251) 986-7301
LINDSAY PIEPER CRNP
Nurse Practitioner (Adult Health)
24980 STATE ST
ELBERTA, AL 36530
Baldwin County (251) 986-7301
CAROLYN FAIRCLOTH HOLMAN C.R.N.P.
Nurse Practitioner (Family)
24980 STATE ST, PO DRAWER 519
ELBERTA, AL 36530
Baldwin County (251) 986-7301
ELBERTA CLINIC, PC
Family Medicine
24980 STATE ST, PO DRAWER 519
ELBERTA, AL 36530
Baldwin County (251) 986-7301
ELBERTA PHARMACY, INC.
Pharmacy (Community/Retail Pharmacy)
24980 STATE ST
ELBERTA, AL 36530
Baldwin County (251) 986-8115

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 Joseph Walsh's NPI number?

The NPI number for Joseph Walsh is 1376523753. It was assigned to this individual provider in the NPPES registry on January 20, 2006.

Where is Joseph Walsh located?

Joseph Walsh practices at 24980 State St PO Drawer 519, Elberta, AL 36530. The listed phone number is (251) 986-7301.

What is Joseph Walsh's specialty?

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

Is Joseph Walsh enrolled in Medicare?

Yes. Joseph Walsh 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.

When was this NPI record last updated?

The NPPES record for Joseph Walsh was last updated on February 20, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.