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DR. JOSHUA HODGE M.D.
NPI 1467540054
Family Medicine in Santa Rosa Beach, FL

Active since October 10, 2006PECOS EnrolledAccepts Medicare Assignment
90.84/100
CMS Quality Rating
361 GREENWAY TRAIL, SANTA ROSA BEACH, FL 32459(850) 892-8015(850) 892-8457 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 6, 2021, Aug 3, 2018 (2 updates tracked since 2018).

About Dr. Joshua Hodge M.d. NPPES

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

DR. JOSHUA HODGE M.D. (NPI 1467540054) is an individual family medicine provider in Santa Rosa Beach, Florida, licensed in Pennsylvania (MD419885) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Sacred Heart Hospital, and maintains a secondary practice location in Destin.

NPPES Registry Identity

NPI1467540054
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOSHUA HODGECredential: M.D.
Location Address361 GREENWAY TRAILSanta Rosa Beach, FL 32459-5589
Mailing Address362 State Highway 83Defuniak Springs, FL 32433-3800 · (850) 892-8015 · Fax (850) 892-8457
Phone(850) 892-8015
Fax(850) 892-8457
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 2000
Enumeration DateOctober 10, 2006
Last NPPES UpdateApril 28, 20252 updates tracked since enumeration
NPPES CertifiedApril 24, 2025
✔ NPI 1467540054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD419885
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.
361 GREENWAY TRAIL, Santa Rosa Beach, FL 32459
Open in Google Maps ↗

Secondary Practice Location 1

Location 136500 Emerald Coast PkwyDestin, FL 32541-4713 · Phone (850) 837-0032

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Dr. Joshua Hodge 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 ID2860631520
PECOS Enrollment IDI20210412002198
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Joshua Hodge reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Florida Department Of Health
25 mi
Public Health or Welfare
362 STATE HIGHWAY 83
Defuniak Springs, FL 32433
  • Reassigned Medicare billing, Florida enrollment
  • 11 clinicians in this Medicare group
NPI 1790746535 (850) 892-8015
Sacred Heart Hospital Of Pensacola
61 mi
Adult Care Home
4451 BAYOU BLVD
Pensacola, FL 32503
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Sacred Heart Health System Inc
  • 446 clinicians in this Medicare group
NPI 1952352304 (850) 475-4500
Panhandle Emergency Physicians A Div Of Sacred Heart Hosp Pensacola
62 mi
Emergency Medicine
5151 N 9TH AVE, ER
Pensacola, FL 32504
  • Reassigned Medicare billing, Florida enrollment
  • 108 clinicians in this Medicare group
NPI 1215948096 (850) 416-7000
Sacred Heart Health System, Inc.
62 mi
Neurological Surgery
5225 CARMEL HEIGHTS DR
Pensacola, FL 32504
  • Reassigned Medicare billing, Florida enrollment
  • 47 clinicians in this Medicare group
NPI 1902857352 (850) 475-4620

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.

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.
51 services31 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.
28 services17 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Sacred Heart Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100025
Location5151 N 9th AvePensacola, FL 32504 · Escambia County
Emergency services Birthing friendly

Sacred Heart Hospital On The Emerald Coast

Acute Care Hospitals · Miramar Beach, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100292
Location7800 Us Hwy 98 WMiramar Beach, FL 32550 · Walton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32459 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

90.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.68
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

RONALD GAVILAN YODU MD
Family Medicine
361 GREENWAY TRAIL
SANTA ROSA BEACH, FL 32459
Walton County (850) 892-8015

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 Hodge's NPI number?

The NPI number for Joshua Hodge is 1467540054. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Joshua Hodge located?

Joshua Hodge practices at 361 Greenway Trail, Santa Rosa Beach, FL 32459. The listed phone number is (850) 892-8015.

What is Joshua Hodge's specialty?

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

Is Joshua Hodge enrolled in Medicare?

Yes. Joshua Hodge 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 Hodge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joshua Hodge reassigns Medicare benefits to 4 organizations: Florida Department Of Health (Defuniak Springs, FL), Sacred Heart Hospital Of Pensacola (Pensacola, FL), Panhandle Emergency Physicians A Div Of Sacred Heart Hosp Pensacola (Pensacola, FL) and Sacred Heart Health System, Inc. (Pensacola, FL). 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 Hodge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joshua Hodge accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 5 other insurers list Joshua Hodge 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 Hodge affiliated with any hospitals?

According to CMS data, Joshua Hodge is affiliated with Sacred Heart Hospital and Sacred Heart Hospital On The Emerald Coast.

When was this NPI record last updated?

The NPPES record for Joshua Hodge was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.