JOSEPH KRETSCHMAR M.D.
NPI 1699763649
Internal Medicine - Gastroenterology in Greeneville, TN

Q: What is Joseph Kretschmar's NPI number?

The NPI number for Joseph Kretschmar is 1699763649. It was assigned to this individual provider in the NPPES registry on October 12, 2005.

Q: What is Joseph Kretschmar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Joseph Kretschmar was last updated on June 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since October 12, 2005PECOS EnrolledAccepts Medicare Assignment

81.51/100

CMS Quality Rating

1406 TUSCULUM BLVD STE 1200, GREENEVILLE, TN 37745(423) 787-6370(423) 787-6371 Get Directions Write a Review

NPPES record last updated: June 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Joseph Kretschmar M.d. NPPES

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

JOSEPH KRETSCHMAR M.D. (NPI 1699763649) is an individual gastroenterology provider in Greeneville, Tennessee, licensed in Tennessee (45714) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Wellmont Holston Valley Medical Center, and maintains a secondary practice location in Greeneville.

NPPES Registry Identity

NPI1699763649

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameJOSEPH KRETSCHMARCredential: M.D.

Location Address1406 TUSCULUM BLVD STE 1200Greeneville, TN 37745-4341

Mailing Address509 Med Tech Pkwy Ste 100Johnson City, TN 37604-2579 · (423) 302-6565 · Fax (423) 952-2175

Phone(423) 787-6370

Fax(423) 787-6371

Sole ProprietorNo

Medical School CMSLoma Linda University School Of MedicineGraduated 1981

Enumeration DateOctober 12, 2005

Last NPPES UpdateJune 9, 2021

NPPES CertifiedJune 9, 2021

✔ NPI 1699763649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in TN · 45714

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

1406 TUSCULUM BLVD STE 1200, Greeneville, TN 37745

Open in Google Maps ↗

Secondary Practice Location 1

Location 1438 E Vann Rd, Suite 202Greeneville, TN 37743-7202 · Phone (423) 278-1703 · Fax (423) 278-1712

Other Identifiers 2

Medicaid1518257TN

Medicaid373563000FL

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 Magnolia Health 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

Joseph Kretschmar 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 ID3274620968

PECOS Enrollment IDI20100928001477

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 14

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.

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

247 services246 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

218 services213 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

146 services145 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

125 services118 patients

Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248

This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.

84 services79 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

58 services57 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

48 services48 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

45 services44 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

43 services42 patients

Incision of pancreatic outlet using a flexible endoscope 43262

This procedure involves a small cut in the outlet of the pancreas using a flexible tube with a camera, called an endoscope. It helps doctors diagnose and treat conditions affecting the pancreas, enhancing patient comfort and recovery.

24 services24 patients

Removal of stone or debris from bile or pancreatic duct using a flexible endoscope 43264

This procedure, called an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible tube with a camera (endoscope) to locate and remove stones or debris from your bile or pancreatic duct. It's a non-surgical method to clear the ducts, enhancing your digestive health.

20 services19 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.

17 services15 patients

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.

16 services15 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Wellmont Holston Valley Medical Center

Acute Care Hospitals · Kingsport, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440017

Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County

Emergency services

Greeneville Community Hospital

Acute Care Hospitals · Greeneville, TN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440050

Location1420 Tusculum BoulevardGreeneville, TN 37745 · Greene County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37745 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

81.51/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

99.62

Improvement Activities

Cost

39.07

Reported Quality Measures

Breast Cancer Screening

63%98 patients3/55-star benchmark: 93%

Cervical Cancer Screening

34%58 patients2/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

5%77 patients1/55-star benchmark: 87%

Colorectal Cancer Screening

84%178 patients4/55-star benchmark: 88%

Controlling High Blood Pressure

79%105 patients4/55-star benchmark: 91%

Diabetes: Eye Exam

0%54 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

41%54 patients3/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

99%892 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

89%217 patients4/55-star benchmark: 100%

HIV Screening

15%205 patients2/55-star benchmark: 60%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

34%401 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

46%300 patients2/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

43%375 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 98% · 49 patients

94%49 patients

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

75%155 patients3/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 11% · 173 patients

Patients totalRate: 18% · 173 patients

21%173 patients2/55-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.

Other Providers at the Same Location NPPES 4

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

LEAH ASHLEY BALCH AGPCNP

Nurse Practitioner (Gerontology)

1406 TUSCULUM BLVD STE 1200
GREENEVILLE, TN 37745

Greene County (423) 787-6370

GORDON MARSA M.D.

Internal Medicine (Gastroenterology)

1406 TUSCULUM BLVD STE 1200
GREENEVILLE, TN 37745

Greene County (423) 302-6565

JENNIFER LEIGH JOHNSON APRN, FNP-C

Nurse Practitioner (Family)

1406 TUSCULUM BLVD STE 1200
GREENEVILLE, TN 37745

Greene County (423) 787-6370

MRS. ALICE VICTORIA LILLY FNP-C

Nurse Practitioner (Family)

1406 TUSCULUM BLVD STE 1200
GREENEVILLE, TN 37745

Greene County (423) 787-6370

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 Kretschmar's NPI number?

The NPI number for Joseph Kretschmar is 1699763649. It was assigned to this individual provider in the NPPES registry on October 12, 2005.

Where is Joseph Kretschmar located?

Joseph Kretschmar practices at 1406 Tusculum Blvd Ste 1200, Greeneville, TN 37745. The listed phone number is (423) 787-6370.

What is Joseph Kretschmar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Joseph Kretschmar enrolled in Medicare?

Yes. Joseph Kretschmar 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 Joseph Kretschmar accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Joseph Kretschmar 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 Kretschmar affiliated with any hospitals?

According to CMS data, Joseph Kretschmar is affiliated with Wellmont Holston Valley Medical Center and Greeneville Community Hospital.

When was this NPI record last updated?

The NPPES record for Joseph Kretschmar was last updated on June 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.