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JOSHUA A REDMOND
NPI 1699216549
Family Medicine in Pryor, OK

Active since March 11, 2017PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
1301 NE 1ST ST STE 400, PRYOR, OK 74361(918) 824-7714(918) 550-6741 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 5, 2026, Sep 14, 2020 (2 updates tracked since 2020).

About Joshua A Redmond NPPES

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

JOSHUA A REDMOND (NPI 1699216549) is an individual family medicine provider in Pryor, Oklahoma, licensed in Oklahoma (6483) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Hillcrest Medical Center, and is a graduate of Oklahoma State University College Of Osteopathic Medicine (2017).

NPPES Registry Identity

NPI1699216549
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOSHUA A REDMOND
Location Address1301 NE 1ST ST STE 400Pryor, OK 74361-8851
Mailing Address1145 S Utica Ave Ste 110Tulsa, OK 74104-4013 · (918) 579-3825
Phone(918) 824-7714
Fax(918) 550-6741
Sole ProprietorNo
Medical School CMSOklahoma State University College Of Osteopathic MedicineGraduated 2017
Enumeration DateMarch 11, 2017
Last NPPES UpdateMarch 5, 20262 updates tracked since enumeration
NPPES CertifiedMarch 5, 2026
✔ NPI 1699216549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OK · 6483
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1301 NE 1ST ST STE 400, Pryor, OK 74361
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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

Joshua A Redmond 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 ID2769804541
PECOS Enrollment IDI20200624001408
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.

Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179
This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.
45 services23 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
18 services16 patients

Hospital Affiliations CMS Care Compare 4

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

Hillcrest Medical Center

Acute Care Hospitals · Tulsa, OK
2/5 CMS rating
OwnershipProprietary
CMS Certification Number370001
Location1120 South Utica AvenueTulsa, OK 74104 · Tulsa County
Emergency services Birthing friendly

Hillcrest Hospital Pryor

Acute Care Hospitals · Pryor, OK
OwnershipGovernment - Hospital District or Authority
CMS Certification Number370015
Location111 North Bailey StreetPryor, OK 74361 · Mayes County
Emergency services

Hillcrest Hospital Claremore

Acute Care Hospitals · Claremore, OK
2/5 CMS rating
OwnershipProprietary
CMS Certification Number370039
Location1202 N Muskogee PlaceClaremore, OK 74017 · Rogers County
Emergency services Birthing friendly

Saint Francis Hospital, Inc

Acute Care Hospitals · Tulsa, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370091
Location6161 South YaleTulsa, OK 74136 · Tulsa County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74361 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers44 claims87 services$6.65 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers12 claims13 services$1.16 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers11 claims11 services$19.43 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
2 suppliers11 claims11 services$109.87 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 2

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

MISS LYNZI MARIE MORGAN APRN-CNP
Nurse Practitioner
1301 NE 1ST ST STE 400
PRYOR, OK 74361
Mayes County (918) 824-7714
AHS PRYOR HOSPITAL, LLC
Clinic/Center (Rural Health)
1301 NE 1ST ST STE 400
PRYOR, OK 74361
Mayes County (918) 824-8000

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 Redmond's NPI number?

The NPI number for Joshua Redmond is 1699216549. It was assigned to this individual provider in the NPPES registry on March 11, 2017.

Where is Joshua Redmond located?

Joshua Redmond practices at 1301 NE 1st St Ste 400, Pryor, OK 74361. The listed phone number is (918) 824-7714.

What is Joshua Redmond's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Joshua Redmond enrolled in Medicare?

Yes. Joshua Redmond 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 Redmond accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Joshua Redmond 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 Redmond affiliated with any hospitals?

According to CMS data, Joshua Redmond is affiliated with Hillcrest Medical Center, Hillcrest Hospital Pryor, Hillcrest Hospital Claremore and Saint Francis Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Joshua Redmond was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.