JOSH WHIBLEY
NPI 1558747535
Physician Assistant in Charleston, SC

Active since August 03, 2015PECOS EnrolledAccepts Medicare Assignment
73.84/100
CMS Quality Rating
171 ASHLEY AVE, CSB 708, CHARLESTON, SC 29425(843) 792-1414 Get Directions Write a Review

NPPES record last updated: August 3, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Josh Whibley NPPES

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

JOSH WHIBLEY (NPI 1558747535) is an individual physician assistant in Charleston, South Carolina, licensed in South Carolina (2379) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and is a graduate of Eastern Virginia Medical School (2015).

NPPES Registry Identity

NPI1558747535
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJOSH WHIBLEY
Location Address171 ASHLEY AVE, CSB 708Charleston, SC 29425-8908
Mailing AddressPo Box 751461Charlotte, NC 28275-1461 · (843) 792-6200
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 2015
Enumeration DateAugust 3, 2015
NPI 1558747535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in SC · 2379
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License MPA.2379PA (SC)
171 ASHLEY AVE, Charleston, SC 29425

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

Josh Whibley 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 ID3779880620
PECOS Enrollment IDI20160321002150
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 9

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.

Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg J7325
Synvisc or Synvisc-One is a treatment involving an injection of a substance called hyaluronan into your joints. This substance, naturally found in the body, helps lubricate and cushion your joints, reducing pain and improving mobility. It's often used for arthritis patients.
3,504 services43 patients
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.
551 services286 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
300 services52 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
130 services85 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
116 services96 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.
90 services89 patients

Hospital Affiliations CMS Care Compare 2

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

Musc Medical Center

Acute Care Hospitals · Charleston, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420004
Location169 Ashley AveCharleston, SC 29425 · Charleston County
Emergency services Birthing friendly

Hampton Regional Medical Center

Acute Care Hospitals · Varnville, SC
OwnershipVoluntary non-profit - Private
CMS Certification Number420072
Location595 West Carolina AvenueVarnville, SC 29944 · Hampton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29425 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
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.

73.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.28
Promoting Interoperability99
Improvement Activities40
Cost53.36

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.

Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf L3660
DME-Orthotic Devices · category DF000N
1 supplier26 claims26 services$78.31 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.

Allergy & Immunology
171 ASHLEY AVE
CHARLESTON, SC 29425
Nurse Anesthetist, Certified Registered
171 ASHLEY AVE
CHARLESTON, SC 29425
Pathology (Anatomic Pathology)
171 ASHLEY AVE
CHARLESTON, SC 29425
Ophthalmology
171 ASHLEY AVE
CHARLESTON, SC 29425
Social Worker
171 ASHLEY AVE
CHARLESTON, SC 29425
Radiology (Pediatric Radiology)
171 ASHLEY AVE
CHARLESTON, SC 29425
Nurse Practitioner
171 ASHLEY AVE
CHARLESTON, SC 29425
Ophthalmology
171 ASHLEY AVE
CHARLESTON, SC 29425

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 Josh Whibley's NPI number?

The NPI number for Josh Whibley is 1558747535. It was assigned to this individual provider in the NPPES registry on August 3, 2015.

Where is Josh Whibley located?

Josh Whibley practices at 171 Ashley Ave Csb 708, Charleston, SC 29425. The listed phone number is (843) 792-1414.

What is Josh Whibley's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Josh Whibley enrolled in Medicare?

Yes. Josh Whibley 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 Josh Whibley accept?

Health plans from BlueCross BlueShield of South Carolina, First Choice Next and UnitedHealthcare list Josh Whibley 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 Josh Whibley affiliated with any hospitals?

According to CMS data, Josh Whibley is affiliated with Musc Medical Center and Hampton Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Josh Whibley was last updated on August 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.