PRAMOD JOSEPH MD
NPI 1720222102
Internal Medicine - Gastroenterology in Fort Pierce, FL

Q: What is Pramod Joseph's NPI number?

The NPI number for Pramod Joseph is 1720222102. It was assigned to this individual provider in the NPPES registry on April 29, 2009.

Q: What is Pramod Joseph'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 Pramod Joseph was last updated on April 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 April 29, 2009PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

2215 NEBRASKA AVE, SUITE 1A, FORT PIERCE, FL 34950(772) 567-6181(772) 567-8242 Get Directions Write a Review

NPPES record last updated: April 10, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Pramod Joseph Md NPPES

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

PRAMOD JOSEPH MD (NPI 1720222102) is an individual gastroenterology provider in Fort Pierce, Florida, licensed in Florida (ME103412) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Highlands Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1720222102

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NamePRAMOD JOSEPHCredential: MD

Location Address2215 NEBRASKA AVE, SUITE 1AFort Pierce, FL 34950-4864

Mailing Address8036 Plantation Lakes DrPort Saint Lucie, FL 34986-3013 · (772) 567-6181 · Fax (772) 567-8242

Phone(772) 567-6181

Fax(772) 567-8242

Sole ProprietorYes

Medical School CMSOtherGraduated 2001

Enumeration DateApril 29, 2009

Last NPPES UpdateApril 10, 2017

✔ NPI 1720222102 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 FL · ME103412

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.

2215 NEBRASKA AVE, Fort Pierce, FL 34950

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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

Pramod Joseph Md 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 ID1850446535

PECOS Enrollment IDI20090901000626

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 21

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.

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.

783 services516 patients

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.

325 services197 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

317 services317 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

287 services269 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.

278 services216 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.

206 services196 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.

131 services123 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.

119 services119 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.

112 services104 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

84 services81 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.

82 services64 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

54 services54 patients

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.

40 services39 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.

30 services30 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.

23 services23 patients

Injection of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43236

This procedure involves a flexible tube, called an endoscope, which is passed through your mouth to examine your esophagus, stomach, and upper small bowel. A special needle is used to inject medication or other substances directly into these areas.

21 services21 patients

Diagnostic exam of lower portion of large bowel using a flexible endoscope 45330

This procedure, known as a sigmoidoscopy, involves using a flexible tube with a camera to examine the lower part of your large bowel. It helps in identifying issues like inflammation, ulcers, or abnormal growths. It's a safe, minimally invasive procedure.

20 services19 patients

Insertion of stomach tube using a flexible endoscope 43246

This procedure involves the use of a flexible endoscope, a thin tube with a light and camera, to insert a stomach tube. It helps doctors view and access your stomach without surgery. It's typically performed under sedation to ensure comfort.

16 services15 patients

Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43255

This procedure involves using a flexible tube with a light, called an endoscope, to examine and treat bleeding in the esophagus, stomach, or upper small bowel. It's a safe, effective way to control bleeding and ensure your digestive health.

14 services14 patients

Other procedure on esophagus 43499

Other procedures on the esophagus may involve using special instruments to examine or treat issues in the esophagus. This could include removing a foreign object, treating a blockage or narrowing, or addressing other conditions. It's done in a safe, controlled medical environment.

13 services13 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Hca Florida Highlands Hospital

Acute Care Hospitals · Sebring, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100049

Location3600 S Highlands AveSebring, FL 33870 · Highlands County

Emergency services

Cleveland Clinic Indian River Hospital

Acute Care Hospitals · Vero Beach, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100105

Location1000 36th StVero Beach, FL 32960 · Indian River County

Emergency services Birthing friendly

Hca Florida Lawnwood Hospital

Acute Care Hospitals · Fort Pierce, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100246

Location1700 S 23rd StFort Pierce, FL 34950 · St. Lucie County

Emergency services Birthing friendly

Hca Florida Raulerson Hospital

Acute Care Hospitals · Okeechobee, FL

3/5 CMS rating

OwnershipProprietary

CMS Certification Number100252

Location1796 Hwy 441 NorthOkeechobee, FL 34972 · Okeechobee County

St Lucie Medical Center

Acute Care Hospitals · Port Saint Lucie, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100260

Location1800 SE Tiffany AvePort Saint Lucie, FL 34952 · St. Lucie County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34950 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

$135.56 typical visit price

range $58.56 – $179.05

Typical copayment $33.89 (range $14.64 – $44.76)

Most-billed visit code 99204

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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.

75/100

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

Scored as part of a group practice

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

95%1,637 patients4/55-star benchmark: 100%

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%6,230 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.

67%3,841 patients3/55-star benchmark: 100%

Medication Reconciliation Post-Discharge

The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…

Patients 65+: 89% · 85 patients

91%96 patients

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.

7%3,183 patients1/55-star benchmark: 100%

Photodocumentation of Cecal Intubation

The rate of screening and surveillance colonoscopies for which photodocumentation of landmarks of cecal intubation is performed to establish a complete examination

100%427 patients

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…

65%3,183 patients3/55-star benchmark: 100%

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

Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen

42%3,181 patients2/55-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

34%261 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

80%1,832 patients4/55-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…

75%3,183 patients4/55-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…

57%3,183 patients3/55-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.

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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.

DR. NANJAPPA SUBRAMANIAN MD FACS

Surgery

2215 NEBRASKA AVE, SUITE 1 E
FORT PIERCE, FL 34950

St. Lucie County (772) 461-2555

MICHAEL J COSTELLO MD PA

Surgery

2215 NEBRASKA AVE, SUITE 3-D
FORT PIERCE, FL 34950

St. Lucie County (772) 461-4666

SURGICAL SPECIALIST OF TREASURE COAST PA

Surgery

2215 NEBRASKA AVE, SUITE 1A
FORT PIERCE, FL 34950

St. Lucie County (772) 464-8722

PRAMOD JOSEPH MD LLC

Internal Medicine (Gastroenterology)

2215 NEBRASKA AVE, STE 1A
FORT PIERCE, FL 34950

St. Lucie County (772) 567-6181

DOC AESTHETICS.LLC

Family Medicine (Adult Medicine)

2215 NEBRASKA AVE, STE 2B
FORT PIERCE, FL 34950

St. Lucie County (772) 302-3767

RICHARD J MORGAN MD PA

Thoracic Surgery (Cardiothoracic Vascular Surgery)

2215 NEBRASKA AVE, SUITE 3C
FORT PIERCE, FL 34950

St. Lucie County (772) 429-5354

DR. SANJIV WALIA M.D.

Internal Medicine (Hematology & Oncology)

2215 NEBRASKA AVE, SUITE1F2
FORT PIERCE, FL 34950

St. Lucie County (772) 466-1977

MICHAEL J COSTELLO MD

Surgery

2215 NEBRASKA AVE, SUITE 3D
FORT PIERCE, FL 34950

St. Lucie County (772) 461-4666

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 Pramod Joseph's NPI number?

The NPI number for Pramod Joseph is 1720222102. It was assigned to this individual provider in the NPPES registry on April 29, 2009.

Where is Pramod Joseph located?

Pramod Joseph practices at 2215 Nebraska Ave Suite 1A, Fort Pierce, FL 34950. The listed phone number is (772) 567-6181.

What is Pramod Joseph's specialty?

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

Is Pramod Joseph enrolled in Medicare?

Yes. Pramod Joseph 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 Pramod Joseph accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Pramod Joseph 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 Pramod Joseph affiliated with any hospitals?

According to CMS data, Pramod Joseph is affiliated with Hca Florida Highlands Hospital, Cleveland Clinic Indian River Hospital, Hca Florida Lawnwood Hospital, Hca Florida Raulerson Hospital and St Lucie Medical Center.

When was this NPI record last updated?

The NPPES record for Pramod Joseph was last updated on April 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.