DR. JOSHUA MILBY D.O.
NPI 1649686809
Orthopaedic Surgery in St Petersburg, FL

Active since July 09, 2014PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
603 7TH ST S STE 100, ST PETERSBURG, FL 33701(727) 553-7431(727) 553-7432 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 5, 2024, Jun 26, 2024 (2 updates tracked since 2024).

About Dr. Joshua Milby D.o. NPPES

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

DR. JOSHUA MILBY D.O. (NPI 1649686809) is an individual orthopaedic surgery provider in St Petersburg, Florida, licensed in Florida (OS21288) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, is affiliated with Orlando Health Bayfront Hospital, and maintains a secondary practice location in Harrisburg.

NPPES Registry Identity

NPI1649686809
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. JOSHUA MILBYCredential: D.O.
Location Address603 7TH ST S STE 100St Petersburg, FL 33701-4719
Mailing Address603 7th St S Ste 100St Petersburg, FL 33701-4719 · (727) 553-7431 · Fax (727) 553-7432
Fax(727) 553-7432
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 9, 2014
Last NPPES UpdateSeptember 5, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2024
NPI 1649686809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in FL · OS21288 Licensed in PA · OT016132
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Orthopaedic TraumaTaxonomy 207XX0801X · License 2020024393 (MO)
603 7TH ST S STE 100, St Petersburg, FL 33701

Secondary Practice Location 1

Location 14300 Londonderry RdHarrisburg, PA 17109-5317 · Phone (717) 657-7522

Other Identifiers 1

Medicaid123802500FL

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. Joshua Milby D.o. 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 ID5890019376
PECOS Enrollment IDI20240904004401
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 2

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.
21 services15 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
19 services15 patients

Hospital Affiliations CMS Care Compare

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

Orlando Health Bayfront Hospital

Acute Care Hospitals · Saint Petersburg, FL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100032
Location701 6th St SSaint Petersburg, FL 33701 · Pinellas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33701 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
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 7

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

Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L0637
DME-Orthotic Devices · category DF007N
3 suppliers22 claims22 services$867.28 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
8 suppliers45 claims45 services$716.34 avg. paid by Medicare
Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L1843
DME-Orthotic Devices · category DF011N
3 suppliers17 claims34 services$724.37 avg. paid by Medicare
Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf L1851
DME-Orthotic Devices · category DF011N
7 suppliers39 claims70 services$612.18 avg. paid by Medicare
Knee orthosis (ko), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf L1852
DME-Orthotic Devices · category DF011N
6 suppliers12 claims20 services$588.57 avg. paid by Medicare
Addition to lower extremity orthosis, suspension sleeve L2397
DME-Orthotic Devices · category DF000N
15 suppliers76 claims136 services$95.33 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 18

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

Orthopaedic Surgery (Orthopaedic Trauma)
603 7TH ST S STE 100
ST PETERSBURG, FL 33701
Psychiatry & Neurology (Neurology)
603 7TH ST S STE 100
ST PETERSBURG, FL 33701
Physician Assistant (Medical)
603 7TH ST S STE 100
ST PETERSBURG, FL 33701
Psychiatry & Neurology (Neurology)
603 7TH ST S STE 100
ST PETERSBURG, FL 33701
Nurse Practitioner (Adult Health)
603 7TH ST S STE 100
ST PETERSBURG, FL 33701
Physician Assistant (Surgical)
603 7TH ST S STE 100
ST PETERSBURG, FL 33701
Physician Assistant (Surgical)
603 7TH ST S STE 100
ST PETERSBURG, FL 33701
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
603 7TH ST S STE 100
ST PETERSBURG, FL 33701

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 Milby's NPI number?

The NPI number for Joshua Milby is 1649686809. It was assigned to this individual provider in the NPPES registry on July 9, 2014.

Where is Joshua Milby located?

Joshua Milby practices at 603 7th St S Ste 100, St Petersburg, FL 33701. The listed phone number is (727) 553-7431.

What is Joshua Milby's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Joshua Milby enrolled in Medicare?

Yes. Joshua Milby 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 Joshua Milby accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, AmeriHealth Caritas Next, AvMed and Florida Blue (BlueCross BlueShield FL) and 2 other insurers list Joshua Milby 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 Milby affiliated with any hospitals?

According to CMS data, Joshua Milby is affiliated with Orlando Health Bayfront Hospital.

When was this NPI record last updated?

The NPPES record for Joshua Milby was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.