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DR. JOEL DOUGLAS HIMES D.O
NPI 1750645560
Emergency Medicine - Sports Medicine in Du Bois, PA

Active since June 26, 2012PECOS Enrolled
96.56/100
CMS Quality Rating
145 HOSPITAL AVE STE 311, DU BOIS, PA 15801(814) 375-6200(814) 375-6452 Get Directions Write a Review

NPPES record last updated: September 29, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Joel Douglas Himes D.o NPPES

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

DR. JOEL DOUGLAS HIMES D.O (NPI 1750645560) is an individual sports medicine provider in Du Bois, Pennsylvania, licensed in Pennsylvania (OS017442) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750645560
Entity TypeIndividualMale
Primary Taxonomy207PS0010X
Provider Legal NameDR. JOEL DOUGLAS HIMESCredential: D.O
Location Address145 HOSPITAL AVE STE 311Du Bois, PA 15801-1465
Mailing Address100 Hospital AveDu Bois, PA 15801-1440 · (814) 371-2200
Phone(814) 375-6200
Fax(814) 375-6452
Sole ProprietorNo
Enumeration DateJune 26, 2012
Last NPPES UpdateSeptember 29, 2020
NPPES CertifiedSeptember 29, 2020
✔ NPI 1750645560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207PS0010X
License✔ Licensed in PA · OS017442
Definition
An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine.
Also ListedEmergency MedicineTaxonomy 207P00000X · License OS017442 (PA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
145 HOSPITAL AVE STE 311, Du Bois, PA 15801
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Joel Douglas Himes D.o is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Joel Himes reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dubois Regional Medical Center
0.1 mi
Orthopaedic Surgery
123 HOSPITAL AVE
Du Bois, PA 15801
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 17 clinicians in this Medicare group
NPI 1083727796 (814) 375-6200
University Of Pittsburgh Physicians
57 mi
Urgent Care
464 ALLEGHENY BLVD, PENNWOOD CENTER
Franklin, PA 16323
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
NPI 1619381456 (814) 432-9801

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15801 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
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.

96.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability95.96
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
2 suppliers14 claims14 services$10.24 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 5

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

LAUREN ELIZABETH QUICK
Physician Assistant
145 HOSPITAL AVE STE 311
DU BOIS, PA 15801
Clearfield County (814) 231-2101
DAVID BRANDON RILEY PA-C
Physician Assistant
145 HOSPITAL AVE STE 311
DU BOIS, PA 15801
Clearfield County (814) 299-7432
MATTHEW VARACALLO MD
Orthopaedic Surgery (Sports Medicine)
145 HOSPITAL AVE STE 311
DU BOIS, PA 15801
Clearfield County (814) 299-7432
ASHISHKUMAR RANCHHODBHAI PATEL MD
Orthopaedic Surgery
145 HOSPITAL AVE STE 311
DU BOIS, PA 15801
Clearfield County (814) 375-6200
TYLER D BEERS PA
Physician Assistant
145 HOSPITAL AVE STE 311
DU BOIS, PA 15801
Clearfield County (814) 299-7432

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 Joel Himes's NPI number?

The NPI number for Joel Himes is 1750645560. It was assigned to this individual provider in the NPPES registry on June 26, 2012.

Where is Joel Himes located?

Joel Himes practices at 145 Hospital Ave Ste 311, Du Bois, PA 15801. The listed phone number is (814) 375-6200.

What is Joel Himes's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Sports Medicine, with taxonomy code 207PS0010X.

Is Joel Himes enrolled in Medicare?

Yes. Joel Himes is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Joel Himes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joel Himes reassigns Medicare benefits to 2 organizations: Dubois Regional Medical Center (Du Bois, PA) and University Of Pittsburgh Physicians (Franklin, PA). Each 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 Joel Himes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Joel Himes was last updated on September 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.