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JOSEPH ANTHONY DESTEFANO JR. M.D.
NPI 1508841032
Internal Medicine in Hendersonville, NC

Active since December 07, 2005PECOS EnrolledAccepts Medicare Assignment
76.78/100
CMS Quality Rating
800 N JUSTICE ST, HENDERSONVILLE, NC 28791(828) 694-7687(828) 694-5763 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 10, 2025, Feb 5, 2025, Jul 21, 2022 and 4 more (7 updates tracked since 2015).

About Joseph Anthony Destefano Jr. M.d. NPPES

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

JOSEPH ANTHONY DESTEFANO JR. M.D. (NPI 1508841032) is an individual internal medicine provider in Hendersonville, North Carolina, licensed in North Carolina (2003-00332) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Margaret R Pardee Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1508841032
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOSEPH ANTHONY DESTEFANO JR.Credential: M.D.
Location Address800 N JUSTICE STHendersonville, NC 28791-3410
Mailing Address432 Arrowhead Dr, 3rd FloorKingsport, TN 37664-5291 · (423) 557-2231
Phone(828) 694-7687
Fax(828) 694-5763
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateDecember 7, 2005
Last NPPES UpdateApril 10, 20257 updates tracked since enumeration
NPPES CertifiedApril 10, 2025
✔ NPI 1508841032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NC · 2003-00332✔ Licensed in TN · 38537✔ Licensed in SC · 17274✔ Licensed in VA · 0101251249
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 38537 (TN)
800 N JUSTICE ST, Hendersonville, NC 28791
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1432 Arrowhead Dr, 3rd FloorKingsport, TN 37664-5291 · Phone (423) 557-2231
Location 2350 N Wilmot RdTucson, AZ 85711-2602 · Phone (520) 296-3211

Other Identifiers 7

Medicaid230214777BGA
Medicaid1508841032VA
OtherNC5448CNC · Medicare Ptan
Medicaid1508841032NC
Medicaid230214777CGA
MedicaidGP3988SC
Medicaid3892268TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Texas, Cigna Healthcare 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

Joseph Anthony Destefano Jr. 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 ID4688669526
PECOS Enrollment IDI20040419001314, I20120405000651, I20120827000610, I20141024000467
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

20

Medicare enrollment records show Joseph Destefano reassigns Medicare billing to 20 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Henderson County Hospital Corporation
Same address
Multi-Specialty
800 N JUSTICE ST
Hendersonville, NC 28791
  • Reassigned Medicare billing, North Carolina enrollment
  • 401 clinicians in this Medicare group
NPI 1447444559 (828) 694-8350
Galen Inpatient Physicians PC
33 mi
Hospitalist
1 SAINT FRANCIS DR
Greenville, SC 29601
  • Reassigned Medicare billing, South Carolina enrollment
  • 79 clinicians in this Medicare group
NPI 1699514620 (864) 255-1000
University Health System, Inc
71 mi
Family Medicine
958 DOLLY PARTON PKWY, STE 4
Sevierville, TN 37862
  • Reassigned Medicare billing, Tennessee enrollment
  • 832 clinicians in this Medicare group
NPI 1942638838 (865) 868-6033
Ipc Pac Healthcare Services Of Tennessee PC
88 mi
Internal Medicine
1 MEDICAL PARK BLVD
Bristol, TN 37620
  • Reassigned Medicare billing, Tennessee enrollment
  • 230 clinicians in this Medicare group
NPI 1104277656 (423) 844-1121
Southeastern Physician Services PC
111 mi
Hospitalist
990 OAK RIDGE TPKE
Oak Ridge, TN 37830
  • Reassigned Medicare billing, Tennessee and Virginia enrollments
  • 1,085 clinicians in this Medicare group
NPI 1083835441 (865) 481-1000
Cs Pacs 3 Southeast, LLC
151 mi
Hospitalist
1600 BLAND ST
Bluefield, WV 24701
  • Reassigned Medicare billing, Tennessee enrollment
  • 227 clinicians in this Medicare group
NPI 1154104958 (304) 327-2485
Mcleod Regional Medical Center Of The Pee Dee, Inc
172 mi
Emergency Medical Services
555 E CHEVES ST
Florence, SC 29506
  • Reassigned Medicare billing, South Carolina enrollment
  • 816 clinicians in this Medicare group
NPI 1154371433 (843) 777-2000
App Of Tennessee Hm, PLLC
225 mi
Hospitalist
2835 HIGHWAY 231 N
Shelbyville, TN 37160
  • Reassigned Medicare billing, Tennessee enrollment
  • 498 clinicians in this Medicare group
NPI 1396160768 (931) 685-5433
Southeastern Hospitalist Services PC
234 mi
Hospitalist
809 82ND PKWY
Myrtle Beach, SC 29572
  • Reassigned Medicare billing, South Carolina enrollment
  • 529 clinicians in this Medicare group
NPI 1003280108 (843) 692-1000
Maury Regional Medical Group, Inc
260 mi
Family Medicine
854 W JAMES CAMPBELL BLVD, SUITE 303
Columbia, TN 38401
  • Reassigned Medicare billing, Tennessee enrollment
  • 228 clinicians in this Medicare group
NPI 1205886264 (931) 540-4255

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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
233 services123 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
206 services203 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
110 services67 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
80 services79 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
34 services29 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
33 services33 patients

Hospital Affiliations CMS Care Compare 5

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

Margaret R Pardee Memorial Hospital

Acute Care Hospitals · Hendersonville, NC
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340017
Location800 N Justice StHendersonville, NC 28791 · Henderson County
Emergency services Birthing friendly

Carolina East Medical Center

Acute Care Hospitals · New Bern, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340131
Location2000 Neuse BlvdNew Bern, NC 28560 · Craven County
Emergency services Birthing friendly

Henry County Medical Center

Acute Care Hospitals · Paris, TN
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440132
Location301 Tyson AvParis, TN 38242 · Henry County
Emergency services

Bon Secours Memorial Regional Medical Center

Acute Care Hospitals · Mechanicsville, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number490069
Location8260 Atlee RoadMechanicsville, VA 23116 · Hanover County
Emergency services Birthing friendly

Ascension Seton Hays

Acute Care Hospitals · Kyle, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670056
Location6001 Kyle PkwyKyle, TX 78640 · Hays County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28791 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

76.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.24
Promoting Interoperability100
Improvement Activities40
Cost54.37

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%333 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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$19.50 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers15 claims15 services$7.86 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 supplier12 claims12 services$105.67 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.

BARTLETT DAVID STEEN MD
Family Medicine
800 N JUSTICE ST
HENDERSONVILLE, NC 28791
Henderson County (828) 694-4548
ANNA QUINN HARRELSON MD
Family Medicine
800 N JUSTICE ST
HENDERSONVILLE, NC 28791
Henderson County (828) 696-1000
MARTIN S. LEMYRE MD
Internal Medicine
800 N JUSTICE ST
HENDERSONVILLE, NC 28791
Henderson County (828) 696-1000
JOHN M THERIOT CRNA
Nurse Anesthetist, Certified Registered
800 N JUSTICE ST, ANESTHESIA DEPT
HENDERSONVILLE, NC 28791
Henderson County (828) 696-1000
EDWARD ALAN LEWIS MD
Anesthesiology
800 N JUSTICE ST
HENDERSONVILLE, NC 28791
Henderson County (828) 694-4548
JEFFREY WAYNE YOUNGER CRNA
Nurse Anesthetist, Certified Registered
800 N JUSTICE ST, ANESTHESIA DEPT
HENDERSONVILLE, NC 28791
Henderson County (828) 696-1000
PATHS OUTPATIENT SERVICES
Psychiatry & Neurology (Psychiatry)
800 N JUSTICE ST, BOX 38
HENDERSONVILLE, NC 28791
Henderson County (828) 696-4545
PIEDMONT HENDERSONVILLE ANESTHESIA CONSULTANTS PLLC
Anesthesiology
800 N JUSTICE ST, ANESTHESIA DEPT
HENDERSONVILLE, NC 28791
Henderson County (828) 696-1000

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 Destefano's NPI number?

The NPI number for Joseph Destefano is 1508841032. It was assigned to this individual provider in the NPPES registry on December 7, 2005.

Where is Joseph Destefano located?

Joseph Destefano practices at 800 N Justice St, Hendersonville, NC 28791. The listed phone number is (828) 694-7687.

What is Joseph Destefano's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Joseph Destefano enrolled in Medicare?

Yes. Joseph Destefano 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 Joseph Destefano's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Destefano reassigns Medicare benefits to 20 organizations: Henderson County Hospital Corporation (Hendersonville, NC), Galen Inpatient Physicians PC (Greenville, SC), University Health System, Inc (Sevierville, TN), Ipc Pac Healthcare Services Of Tennessee PC (Bristol, TN), Southeastern Physician Services PC (Oak Ridge, TN) and 15 more organizations, listed in the Medicare section above. 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 Joseph Destefano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joseph Destefano accept?

Health plans from Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Texas, Cigna Healthcare, Imperial Insurance Companies, Inc. and Oscar Insurance Company and 1 other insurer list Joseph Destefano 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 Joseph Destefano affiliated with any hospitals?

According to CMS data, Joseph Destefano is affiliated with Margaret R Pardee Memorial Hospital, Carolina East Medical Center, Henry County Medical Center, Bon Secours Memorial Regional Medical Center and Ascension Seton Hays.

When was this NPI record last updated?

The NPPES record for Joseph Destefano was last updated on April 10, 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.