JOSHUA KALEB KOLMETZ M.D.
NPI 1699862599
Internal Medicine in Crestview, FL

Active since October 10, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
369 N MAIN ST, CRESTVIEW, FL 32536(850) 398-6963 Get Directions Write a Review

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Joshua Kaleb Kolmetz M.d. NPPES

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

JOSHUA KALEB KOLMETZ M.D. (NPI 1699862599) is an individual internal medicine provider in Crestview, Florida, licensed in Florida (ME97211) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Sacred Heart Hospital, and is a graduate of University Of Florida College Of Medicine (2004).

NPPES Registry Identity

NPI1699862599
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOSHUA KALEB KOLMETZCredential: M.D.
Location Address369 N MAIN STCrestview, FL 32536-3541
Mailing Address369 N Main StCrestview, FL 32536-3541 · (850) 398-6963
Sole ProprietorYes
Medical School CMSUniversity Of Florida College Of MedicineGraduated 2004
Enumeration DateOctober 10, 2006
Last NPPES UpdateMay 9, 2024
NPPES CertifiedMay 9, 2024
NPI 1699862599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in FL · ME97211
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
369 N MAIN ST, Crestview, FL 32536

Other Identifiers 2

Medicaid278944200FL
Other95477FL · Bcbs

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

Joshua Kaleb Kolmetz 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 ID345338786
PECOS Enrollment IDI20071119000016
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 27

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
6,139 services706 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.
2,024 services798 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.
558 services370 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
499 services287 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
307 services231 patients
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) G0506
This service involves a thorough evaluation of patients needing ongoing care for chronic conditions. It includes creating a tailored care plan, coordinating with healthcare providers, and monitoring progress regularly. The goal is to provide optimal, personalized care for your long-term health needs.
213 services213 patients

Hospital Affiliations CMS Care Compare 4

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

Sacred Heart Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100025
Location5151 N 9th AvePensacola, FL 32504 · Escambia County
Emergency services Birthing friendly

Hca Florida Twin Cities Hospital

Acute Care Hospitals · Niceville, FL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number100054
Location2190 Hwy 85 NNiceville, FL 32578 · Okaloosa County
Emergency services

North Okaloosa Medical Center

Acute Care Hospitals · Crestview, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100122
Location151 Redstone Ave SECrestview, FL 32539 · Okaloosa County
Emergency services Birthing friendly

Sacred Heart Hospital On The Emerald Coast

Acute Care Hospitals · Miramar Beach, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100292
Location7800 Us Hwy 98 WMiramar Beach, FL 32550 · Walton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32536 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
44%801 patients2/55-star benchmark: 96%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
53%1,555 patients3/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%9,433 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
69%2,684 patients3/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
10%187 patients1/55-star benchmark: 98%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
97%2,028 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
5%1,507 patients1/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
73%1,035 patients4/55-star benchmark: 95%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
72%2,816 patients3/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
29%270 patients2/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
40%2,162 patients2/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%1,507 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
69%1,507 patients4/55-star benchmark: 79%
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.

Referred Medical Equipment & Supplies CMS DME claims 25

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
13 suppliers84 claims271 services$6.55 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
3 suppliers23 claims23 services$2.82 avg. paid by Medicare
Spring-powered device for lancet, each A4258
DME-Other DME · category DE000N
3 suppliers12 claims12 services$1.83 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers49 claims88 services$1.14 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers30 claims30 services$38.55 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers65 claims65 services$91.34 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 9

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

Nurse Practitioner
369 N MAIN ST
CRESTVIEW, FL 32536
Surgery
369 N MAIN ST
CRESTVIEW, FL 32536
Nurse Practitioner (Acute Care)
369 N MAIN ST, UITE A
CRESTVIEW, FL 32536
Nurse Practitioner
369 N MAIN ST
CRESTVIEW, FL 32536
Nurse Practitioner (Primary Care)
369 N MAIN ST
CRESTVIEW, FL 32536
Nurse Practitioner
369 N MAIN ST
CRESTVIEW, FL 32536
Nurse Practitioner (Family)
369 N MAIN ST
CRESTVIEW, FL 32536
Physician Assistant
369 N MAIN ST
CRESTVIEW, FL 32536

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 Kolmetz's NPI number?

The NPI number for Joshua Kolmetz is 1699862599. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Joshua Kolmetz located?

Joshua Kolmetz practices at 369 N Main St, Crestview, FL 32536. The listed phone number is (850) 398-6963.

What is Joshua Kolmetz's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Joshua Kolmetz enrolled in Medicare?

Yes. Joshua Kolmetz 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 Kolmetz accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Joshua Kolmetz 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 Kolmetz affiliated with any hospitals?

According to CMS data, Joshua Kolmetz is affiliated with Sacred Heart Hospital, Hca Florida Twin Cities Hospital, North Okaloosa Medical Center and Sacred Heart Hospital On The Emerald Coast.

When was this NPI record last updated?

The NPPES record for Joshua Kolmetz was last updated on May 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.