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

Q: 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.

Q: What is Joel Himes's specialty?

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

Q: 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 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.

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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, and ordering and referring status from the CMS PECOS system.

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.

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 Interoperability

95.96

Improvement Activities

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