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JOSHUA KRAFT M.D.
NPI 1598185134
Obstetrics & Gynecology in State College, PA

Active since April 22, 2014PECOS EnrolledAccepts Medicare Assignment
72.57/100
CMS Quality Rating
1850 E PARK AVE STE 301, STATE COLLEGE, PA 16803(814) 237-3470(814) 237-2035 Get Directions Write a Review

NPPES record last updated: July 30, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 30, 2018, Mar 17, 2018, Feb 14, 2018 (3 updates tracked since 2018).

About Joshua Kraft M.d. NPPES

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

JOSHUA KRAFT M.D. (NPI 1598185134) is an individual obstetrics & gynecology provider in State College, Pennsylvania, licensed in Pennsylvania (MD463156) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Mount Nittany Medical Center, and is a graduate of University Of South Florida College Of Medicine (2014).

NPPES Registry Identity

NPI1598185134
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameJOSHUA KRAFTCredential: M.D.
Location Address1850 E PARK AVE STE 301State College, PA 16803
Mailing Address1850 E Park Ave Ste 301State College, PA 16803-6706 · (814) 237-3470 · Fax (814) 237-2035
Phone(814) 237-3470
Fax(814) 237-2035
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2014
Enumeration DateApril 22, 2014
Last NPPES UpdateJuly 30, 20183 updates tracked since enumeration
✔ NPI 1598185134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in PA · MD463156
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1850 E PARK AVE STE 301, State College, PA 16803
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Joshua Kraft 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 ID42565509
PECOS Enrollment IDI20180625001911
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 Reassignment

Medicare enrollment records show Joshua Kraft reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mount Nittany Medical Center Health Services Inc
1.9 mi
Internal Medicine
155 WELLNESS WAY
State College, PA 16803
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 393 clinicians in this Medicare group
NPI 1598992554 (814) 231-7000

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 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.
54 services28 patients
Smear for infectious agents 87210
A smear for infectious agents is a simple test done to identify harmful microorganisms in your body. A sample is taken from your body, spread thinly onto a slide, and examined under a microscope. This helps in diagnosing various infections and diseases.
21 services18 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
21 services21 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
13 services11 patients

Hospital Affiliations CMS Care Compare

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

Mount Nittany Medical Center

Acute Care Hospitals · State College, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390268
Location1800 East Park AveState College, PA 16803 · Centre County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16803 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

72.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality55.12
Promoting Interoperability98
Improvement Activities40
Cost55.13

Other Providers at the Same Location NPPES 3

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

LORA STEFFIE CRNP
Nurse Practitioner (Women's Health)
1850 E PARK AVE STE 301
STATE COLLEGE, PA 16803
Centre County (814) 237-3470
MORGAN NELLIS WHNP
Nurse Practitioner (Women's Health)
1850 E PARK AVE STE 301
STATE COLLEGE, PA 16803
Centre County (814) 237-3470
SAMANTHA L NGUYEN MD
Obstetrics & Gynecology
1850 E PARK AVE STE 301
STATE COLLEGE, PA 16803
Centre County (814) 237-3470

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 Kraft's NPI number?

The NPI number for Joshua Kraft is 1598185134. It was assigned to this individual provider in the NPPES registry on April 22, 2014.

Where is Joshua Kraft located?

Joshua Kraft practices at 1850 E Park Ave Ste 301, State College, PA 16803. The listed phone number is (814) 237-3470.

What is Joshua Kraft's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Joshua Kraft enrolled in Medicare?

Yes. Joshua Kraft 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 organization bills Medicare for Joshua Kraft's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joshua Kraft reassigns Medicare benefits to Mount Nittany Medical Center Health Services Inc (State College, PA). The 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 Kraft's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joshua Kraft accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Joshua Kraft 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 Kraft affiliated with any hospitals?

According to CMS data, Joshua Kraft is affiliated with Mount Nittany Medical Center.

When was this NPI record last updated?

The NPPES record for Joshua Kraft was last updated on July 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.