1. Home
  2. Directory
  3. Texas
  4. Winnsboro
  5. Family Medicine
  6. NPI Profile

JOSHUA STUART KILMER DO
NPI 1700574167
Family Medicine in Winnsboro, TX

Active since April 25, 2023PECOS EnrolledAccepts Medicare Assignment
600 E COKE RD, WINNSBORO, TX 75494(903) 763-6176(903) 763-6167 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 6, 2026, Jul 28, 2023 (2 updates tracked since 2023).

About Joshua Stuart Kilmer Do NPPES

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

JOSHUA STUART KILMER DO (NPI 1700574167) is an individual family medicine provider in Winnsboro, Texas, licensed in Texas (V3347) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS, is affiliated with Ut Health East Texas Pittsburg Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1700574167
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOSHUA STUART KILMERCredential: DO
Location Address600 E COKE RDWinnsboro, TX 75494-3418
Mailing Address600 E Coke RdWinnsboro, TX 75494-3418 · (903) 763-6176 · Fax (903) 763-6167
Phone(903) 763-6176
Fax(903) 763-6167
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 25, 2023
Last NPPES UpdateJuly 6, 20262 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
✔ NPI 1700574167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · V3347
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.
600 E COKE RD, Winnsboro, TX 75494
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.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 Stuart Kilmer Do 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 ID8022479252
PECOS Enrollment IDI20260630000540
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 Kilmer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Etmc Physician Group Inc.
42 mi
Cardiovascular Disease
1000 S BECKHAM AVE
Tyler, TX 75701
  • Reassigned Medicare billing, Texas enrollment
  • 636 clinicians in this Medicare group
NPI 1609382662 (903) 590-5611

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Ut Health East Texas Pittsburg Hospital

Critical Access Hospitals · Pittsburg, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number451367
Location2701 Us Hwy 271 NPittsburg, TX 75686 · Camp County
Emergency services

Ut Health East Texas Quitman Hospital

Critical Access Hospitals · Quitman, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number451380
Location117 Winnsboro StreetQuitman, TX 75783 · Wood County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75494 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES 6

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

MR. TERRY SAMPSON NP
Nurse Practitioner (Family)
600 E COKE RD
WINNSBORO, TX 75494
Wood County (903) 763-6176
JENNIFER FLOWERS FNP-BC
Nurse Practitioner (Family)
600 E COKE RD
WINNSBORO, TX 75494
Wood County (903) 763-6176
MURLEY CLINIC INC.
Point of Service
600 E COKE RD
WINNSBORO, TX 75494
Wood County (903) 342-5253
JENNIFER L ANGELO
Nurse Practitioner (Psychiatric/Mental Health)
600 E COKE RD
WINNSBORO, TX 75494
Wood County (903) 342-9700
QUITMAN HOSPITAL LLC
Clinic/Center (Rural Health)
600 E COKE RD
WINNSBORO, TX 75494
Wood County (615) 296-3594
MARK A. CLOTHIER, M.D., P.A.
Internal Medicine
600 E COKE RD
WINNSBORO, TX 75494
Wood County (903) 342-3651

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 Kilmer's NPI number?

The NPI number for Joshua Kilmer is 1700574167. It was assigned to this individual provider in the NPPES registry on April 25, 2023.

Where is Joshua Kilmer located?

Joshua Kilmer practices at 600 E Coke Rd, Winnsboro, TX 75494. The listed phone number is (903) 763-6176.

What is Joshua Kilmer's specialty?

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

Is Joshua Kilmer enrolled in Medicare?

Yes. Joshua Kilmer 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 Kilmer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joshua Kilmer reassigns Medicare benefits to Etmc Physician Group Inc. (Tyler, TX). 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 Kilmer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joshua Kilmer accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Joshua Kilmer 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 Kilmer affiliated with any hospitals?

According to CMS data, Joshua Kilmer is affiliated with Ut Health East Texas Pittsburg Hospital and Ut Health East Texas Quitman Hospital.

When was this NPI record last updated?

The NPPES record for Joshua Kilmer was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.