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JOSHUA HERTEL
NPI 1710410949
Internal Medicine in Butler, PA

Active since April 05, 2017PECOS EnrolledAccepts Medicare Assignment
1 HOSPITAL WAY, BUTLER, PA 16001(724) 285-0823(724) 285-0879 Get Directions Write a Review

NPPES record last updated: August 26, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 26, 2020, Jun 12, 2020 (2 updates tracked since 2020).

About Joshua Hertel NPPES

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

JOSHUA HERTEL (NPI 1710410949) is an individual internal medicine provider in Butler, Pennsylvania, licensed in Pennsylvania (OS020447) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Magee Womens Hospital Of Upmc Health System, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2017).

NPPES Registry Identity

NPI1710410949
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOSHUA HERTEL
Location Address1 HOSPITAL WAYButler, PA 16001-4670
Mailing AddressPo Box 1549Butler, PA 16003-1549 · (724) 285-0823 · Fax (724) 285-0879
Phone(724) 285-0823
Fax(724) 285-0879
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2017
Enumeration DateApril 5, 2017
Last NPPES UpdateAugust 26, 20202 updates tracked since enumeration
NPPES CertifiedAugust 26, 2020
✔ NPI 1710410949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · OS020447
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1 HOSPITAL WAY, Butler, PA 16001
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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 Hertel 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 ID1850657503
PECOS Enrollment IDI20200519000830
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
214 services97 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
66 services65 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
41 services27 patients

Hospital Affiliations CMS Care Compare 2

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

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Butler Memorial Hospital

Acute Care Hospitals · Butler, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390168
LocationOne Hospital WayButler, PA 16001 · Butler County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16001 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Walker, heavy duty, wheeled, rigid or folding, any type E0149
DME-Other DME · category DE000N
1 supplier12 claims12 services$11.89 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$15.69 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 20

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

UZMA SHAHZAD MD
Internal Medicine (Infectious Disease)
1 HOSPITAL WAY
BUTLER, PA 16001
Butler County (724) 284-4309
TRICIA LEIGHT CRNP
Nurse Practitioner
1 HOSPITAL WAY
BUTLER, PA 16001
Butler County (724) 283-6666
MELISSE S MASER RN, CRNP
Nurse Practitioner (Family)
1 HOSPITAL WAY
BUTLER, PA 16001
Butler County (724) 284-4699
DALE ORDEAN CRNP
Family Medicine
1 HOSPITAL WAY, FIRST FLOOR
BUTLER, PA 16001
Butler County (724) 431-0550
RICHARD THOMAS FILIAGGI DO
Pediatrics
1 HOSPITAL WAY
BUTLER, PA 16001
Butler County (724) 285-0823
GABRIEL PATRICK ARMANDO PA-C
Physician Assistant
1 HOSPITAL WAY
BUTLER, PA 16001
Butler County (724) 283-6666
DR. STEPHANIE L CLARK M.D.
Internal Medicine
1 HOSPITAL WAY
BUTLER, PA 16001
Butler County (724) 285-0823
MADISON ANN BIGLEY PA-C
Physician Assistant (Medical)
1 HOSPITAL WAY
BUTLER, PA 16001
Butler County (724) 284-4550

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 Hertel's NPI number?

The NPI number for Joshua Hertel is 1710410949. It was assigned to this individual provider in the NPPES registry on April 5, 2017.

Where is Joshua Hertel located?

Joshua Hertel practices at 1 Hospital Way, Butler, PA 16001. The listed phone number is (724) 285-0823.

What is Joshua Hertel's specialty?

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

Is Joshua Hertel enrolled in Medicare?

Yes. Joshua Hertel 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 Hertel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Joshua Hertel 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 Hertel affiliated with any hospitals?

According to CMS data, Joshua Hertel is affiliated with Magee Womens Hospital Of Upmc Health System and Butler Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Joshua Hertel was last updated on August 26, 2020. 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.