JOSEPH P DEJONCKHEERE MD
NPI 1740276153
Internal Medicine - Nephrology in Aliquippa, PA

Active since September 21, 2005PECOS EnrolledAccepts Medicare Assignment
38.3/100
CMS Quality Rating
99 BUSS RD, LOWER, ALIQUIPPA, PA 15001(724) 891-5044(724) 891-5049 Get Directions Write a Review

NPPES record last updated: May 9, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Joseph P Dejonckheere Md NPPES

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

JOSEPH P DEJONCKHEERE MD (NPI 1740276153) is an individual nephrology provider in Aliquippa, Pennsylvania, licensed in Pennsylvania (MD419171) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Upmc Jameson, and is a graduate of Wayne State University School Of Medicine (1997).

NPPES Registry Identity

NPI1740276153
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameJOSEPH P DEJONCKHEERECredential: MD
Location Address99 BUSS RD, LOWERAliquippa, PA 15001-4749
Mailing Address99 Buss Rd, LowerAliquippa, PA 15001-4749 · (724) 891-5044 · Fax (724) 891-5049
Fax(724) 891-5049
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1997
Enumeration DateSeptember 21, 2005
Last NPPES UpdateMay 9, 2017
NPI 1740276153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in PA · MD419171
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
99 BUSS RD, Aliquippa, PA 15001

Other Identifiers 2

Medicare UPINH56334PA
Medicaid1012875750001PA

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

Joseph P Dejonckheere 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 ID6406826395
PECOS Enrollment IDI20040728001017
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 13

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.

Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
258 services62 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.
235 services78 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.
125 services114 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.
101 services47 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.
80 services76 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.
74 services69 patients

Hospital Affiliations CMS Care Compare 5

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

Upmc Jameson

Acute Care Hospitals · New Castle, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390016
Location1211 Wilmington AvenueNew Castle, PA 16105 · Lawrence County
Emergency services

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

Indiana Regional Medical Center

Acute Care Hospitals · Indiana, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390173
Location835 Hospital RoadIndiana, PA 15701 · Indiana County
Emergency services Birthing friendly

Upmc Horizon

Acute Care Hospitals · Greenville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390178
Location110 North Main StreetGreenville, PA 16125 · Mercer County
Emergency services Birthing friendly

Sharon Regional Health System

Acute Care Hospitals · Sharon, PA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number390211
Location740 East State StreetSharon, PA 16146 · Mercer County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15001 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.

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.

38.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality20.25
Improvement Activities40

Reported Quality Measures

Advance Care Plan
0%606 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%68 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
96%1,720 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%594 patients1/55-star benchmark: 100%
Functional Outcome Assessment
0%1,720 patients1/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
20%689 patients1/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 80% · 568 patients
Patients screened: 95% · 568 patients
19%100 patients1/55-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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$56.43 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$27.68 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$18.87 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 4

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

Physical Therapist
99 BUSS RD
ALIQUIPPA, PA 15001
Family Medicine
99 BUSS RD
ALIQUIPPA, PA 15001
Family Medicine
99 BUSS RD
ALIQUIPPA, PA 15001
Non-Pharmacy Dispensing Site
99 BUSS RD
ALIQUIPPA, PA 15001

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 Dejonckheere's NPI number?

The NPI number for Joseph Dejonckheere is 1740276153. It was assigned to this individual provider in the NPPES registry on September 21, 2005.

Where is Joseph Dejonckheere located?

Joseph Dejonckheere practices at 99 Buss Rd Lower, Aliquippa, PA 15001. The listed phone number is (724) 891-5044.

What is Joseph Dejonckheere's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Joseph Dejonckheere enrolled in Medicare?

Yes. Joseph Dejonckheere 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 Dejonckheere accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Joseph Dejonckheere 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 Dejonckheere affiliated with any hospitals?

According to CMS data, Joseph Dejonckheere is affiliated with Upmc Jameson, Butler Memorial Hospital, Indiana Regional Medical Center, Upmc Horizon and Sharon Regional Health System.

When was this NPI record last updated?

The NPPES record for Joseph Dejonckheere was last updated on May 9, 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.