MICHAEL C JOSEY M.D.
NPI 1407866262
General Practice in Saint Marys, OH

Active since August 08, 2006PECOS EnrolledAccepts Medicare Assignment
85.3/100
CMS Quality Rating
1140 S KNOXVILLE AVE STE A, SAINT MARYS, OH 45885(419) 394-9959(419) 394-0255 Get Directions Write a Review

NPPES record last updated: April 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 16, 2021, Aug 7, 2020 (2 updates tracked since 2020).

About Michael C Josey M.d. NPPES

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

MICHAEL C JOSEY M.D. (NPI 1407866262) is an individual general practice provider in Saint Marys, Ohio, licensed in Ohio (35-068572) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Grand Lake Health System, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1407866262
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameMICHAEL C JOSEYCredential: M.D.
Location Address1140 S KNOXVILLE AVE STE ASaint Marys, OH 45885-2609
Mailing Address200 Saint Clair AveSaint Marys, OH 45885-2400 · (419) 300-1129 · Fax (419) 394-0255
Fax(419) 394-0255
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateAugust 8, 2006
Last NPPES UpdateApril 16, 20212 updates tracked since enumeration
NPPES CertifiedApril 16, 2021
NPI 1407866262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in OH · 35-068572
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1140 S KNOXVILLE AVE STE A, Saint Marys, OH 45885

Other Identifiers 3

Medicaid0206191OH
Other0105065OH · Medicaid Group
Other9934723OH · Medicare Group Ptan

Accepted 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

Michael C Josey 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 ID547341125
PECOS Enrollment IDI20080122000248
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.
350 services197 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.
133 services102 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
126 services18 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.
51 services51 patients
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage 90694
The quadrivalent inactivated influenza vaccine is a shot given to protect against four strains of the flu virus. This 0.5 ml dosage helps your body develop immunity to the virus. It's an important step in preventing flu-related complications.
36 services36 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.
36 services36 patients

Hospital Affiliations CMS Care Compare 3

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

Grand Lake Health System

Acute Care Hospitals · Saint Marys, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360032
Location200 Saint Clair StreetSaint Marys, OH 45885 · Auglaize County
Emergency services Birthing friendly

Mercer County Joint Township Community Hospital

Acute Care Hospitals · Coldwater, OH
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number360058
Location800 West Main StreetColdwater, OH 45828 · Mercer County
Birthing friendly

Mercy Health-St Rita's Medical Center

Acute Care Hospitals · Lima, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360066
Location730 West Market StreetLima, OH 45801 · Allen County
Emergency services Birthing friendly

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.

85.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.63
Promoting Interoperability98
Improvement Activities40
Cost69.04

Referred Medical Equipment & Supplies CMS DME claims 5

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
9 suppliers52 claims99 services$5.33 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers28 claims28 services$0.93 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
1 supplier18 claims18 services$119.44 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier18 claims18 services$38.24 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
2 suppliers15 claims15 services$174.92 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 5

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

Family Medicine
1140 S KNOXVILLE AVE STE A
SAINT MARYS, OH 45885
Nurse Practitioner (Family)
1140 S KNOXVILLE AVE STE A
SAINT MARYS, OH 45885
Family Medicine
1140 S KNOXVILLE AVE STE A
SAINT MARYS, OH 45885
Family Medicine
1140 S KNOXVILLE AVE STE A
SAINT MARYS, OH 45885
Nurse Practitioner (Family)
1140 S KNOXVILLE AVE STE A
SAINT MARYS, OH 45885

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 Michael Josey's NPI number?

The NPI number for Michael Josey is 1407866262. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is Michael Josey located?

Michael Josey practices at 1140 S Knoxville Ave Ste A, Saint Marys, OH 45885. The listed phone number is (419) 394-9959.

What is Michael Josey's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Michael Josey enrolled in Medicare?

Yes. Michael Josey 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 Michael Josey accept?

Health plans from CareSource list Michael Josey 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 Michael Josey affiliated with any hospitals?

According to CMS data, Michael Josey is affiliated with Grand Lake Health System, Mercer County Joint Township Community Hospital and Mercy Health-St Rita's Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Josey was last updated on April 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.