DR. AJEYA PADMAKAR JOSHI M.D.
NPI 1497796643
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in San Antonio, TX

Active since June 09, 2006PECOS EnrolledAccepts Medicare Assignment
85.56/100
CMS Quality Rating
414 W SUNSET RD STE 205, SAN ANTONIO, TX 78209(210) 564-8300(210) 564-8399 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 28, 2026, Nov 5, 2025, Feb 10, 2020 and 1 more (4 updates tracked since 2019).

About Dr. Ajeya Padmakar Joshi M.d. NPPES

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

DR. AJEYA PADMAKAR JOSHI M.D. (NPI 1497796643) is an individual orthopaedic surgery of the spine provider in San Antonio, Texas, licensed in Texas (L6445) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center, and is a graduate of Harvard Medical School (1997).

NPPES Registry Identity

NPI1497796643
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameDR. AJEYA PADMAKAR JOSHICredential: M.D.
Location Address414 W SUNSET RD STE 205San Antonio, TX 78209-1771
Mailing Address414 W Sunset Rd Ste 205San Antonio, TX 78209-1771 · (210) 564-8300 · Fax (210) 564-8399
Fax(210) 564-8399
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 1997
Enumeration DateJune 9, 2006
Last NPPES UpdateMay 28, 20264 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
NPI 1497796643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License Licensed in TX · L6445
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License L6445 (TX)
414 W SUNSET RD STE 205, San Antonio, TX 78209

Other Identifiers 1

Medicaid1497796643TX

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

Dr. Ajeya Padmakar Joshi 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 ID1254317019
PECOS Enrollment IDI20040624000987
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 13

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.
396 services236 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.
170 services170 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.
150 services119 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
115 services111 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
102 services53 patients
X-ray of entire middle and lower spine, 2-3 views 72082
An X-ray of your middle and lower spine involves capturing images of these areas to identify any abnormalities. The procedure involves taking 2-3 different views for a comprehensive understanding. It's non-invasive and usually painless, helping doctors diagnose conditions like fractures or infections.
59 services48 patients

Hospital Affiliations CMS Care Compare 3

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

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450058
Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County
Emergency services Birthing friendly

Methodist Hospital

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450388
Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

South Texas Spine And Surgical Hospital

Acute Care Hospitals · San Antonio, TX
OwnershipPhysician
CMS Certification Number450856
Location18600 North Hardy Oak BlvdSan Antonio, TX 78258 · Bexar County
Emergency services

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.

85.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality74.85
Promoting Interoperability98
Improvement Activities40

Reported Quality Measures

Advance Care Plan
86%605 patients4/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
59%656 patients3/55-star benchmark: 87%
Controlling High Blood Pressure
63%46 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
98%47 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
98%2,288 patients4/55-star benchmark: 100%
e-Prescribing
100%485 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
35%593 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
35%1,182 patients2/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 87% · 834 patients
Patients screened: 92% · 834 patients
22%55 patients1/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients screened: 42% · 586 patients
42%586 patients
Provide Patients Electronic Access to Their Health Information
85%539 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
21%248 patients1/55-star benchmark: 98%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
84%212 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 611 patients
Patients totalRate: 10% · 613 patients
10%613 patients4/55-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 2

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

Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
1 supplier12 claims12 services$64.78 avg. paid by Medicare
Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0650
DME-Orthotic Devices · category DF007N
1 supplier21 claims21 services$523.83 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 4

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

Physician Assistant
414 W SUNSET RD STE 205
SAN ANTONIO, TX 78209
Physical Therapist
414 W SUNSET RD STE 205
SAN ANTONIO, TX 78209
Physician Assistant (Surgical)
414 W SUNSET RD STE 205
SAN ANTONIO, TX 78209
Physical Therapist
414 W SUNSET RD STE 205
SAN ANTONIO, TX 78209

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 Ajeya Joshi's NPI number?

The NPI number for Ajeya Joshi is 1497796643. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Ajeya Joshi located?

Ajeya Joshi practices at 414 W Sunset Rd Ste 205, San Antonio, TX 78209. The listed phone number is (210) 564-8300.

What is Ajeya Joshi's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Ajeya Joshi enrolled in Medicare?

Yes. Ajeya Joshi 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 Ajeya Joshi accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Ajeya Joshi 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 Ajeya Joshi affiliated with any hospitals?

According to CMS data, Ajeya Joshi is affiliated with Baptist Medical Center, Methodist Hospital and South Texas Spine And Surgical Hospital.

When was this NPI record last updated?

The NPPES record for Ajeya Joshi was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.