1. Home
  2. Directory
  3. Illinois
  4. Herrin
  5. Emergency Medicine
  6. NPI Profile

DR. JOSHUA JAMES MIKSANEK M.D.
NPI 1760644439
Emergency Medicine in Herrin, IL

Active since June 25, 2008PECOS Enrolled
75.73/100
CMS Quality Rating
201 S 14TH ST, HERRIN, IL 62948(618) 942-2171(618) 988-6186 Get Directions Write a Review

NPPES record last updated: September 27, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 27, 2021, Feb 9, 2021, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Joshua James Miksanek M.d. NPPES

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

DR. JOSHUA JAMES MIKSANEK M.D. (NPI 1760644439) is an individual emergency medicine provider in Herrin, Illinois, licensed in Illinois (036127538) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1760644439
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JOSHUA JAMES MIKSANEKCredential: M.D.
Location Address201 S 14TH STHerrin, IL 62948-3631
Mailing AddressPo Box 1467Indianapolis, IN 46206-1467 · (618) 457-5200
Phone(618) 942-2171
Fax(618) 988-6186
Sole ProprietorNo
Enumeration DateJune 25, 2008
Last NPPES UpdateSeptember 27, 20214 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2021
✔ NPI 1760644439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in IL · 036127538✔ Licensed in IL · 036.127538
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
201 S 14TH ST, Herrin, IL 62948
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12 S Hospital DrMurphysboro, IL 62966-3333 · Phone (618) 684-3156 · Fax (618) 529-0524
Location 2405 W Jackson StCarbondale, IL 62901-1462 · Phone (618) 549-0721 · Fax (618) 457-0469

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Joshua James Miksanek M.d. 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 Reassignment

Medicare enrollment records show Joshua Miksanek reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern Illinois Medical Services, Nfp
10 mi
Internal Medicine
1239 E MAIN ST
Carbondale, IL 62901
  • Reassigned Medicare billing, Illinois enrollment
  • 702 clinicians in this Medicare group
NPI 1770656837 (618) 457-5200

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

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
217 services206 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
87 services83 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62948 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

75.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.09
Promoting Interoperability100
Improvement Activities40
Cost45.26

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.

MARY KALERT PTA
Physical Therapy Assistant
201 S 14TH ST
HERRIN, IL 62948
Williamson County (618) 988-6131
JOE V YOHANNAN MD
Hospitalist
201 S 14TH ST
HERRIN, IL 62948
Williamson County (618) 942-2171
JOSEPH H PAINTER PT
Physical Therapist
201 S 14TH ST
HERRIN, IL 62948
Williamson County (618) 924-2171
MRS. DENA GIACONE HENTRICH RPH
Pharmacist
201 S 14TH ST
HERRIN, IL 62948
Williamson County (618) 942-2171
MS. LAURA ELIZABETH HAAS DPT
Physical Therapist
201 S 14TH ST
HERRIN, IL 62948
Williamson County (618) 942-2171
SARAH NICOLE KRIES CRNA
Nurse Anesthetist, Certified Registered
201 S 14TH ST
HERRIN, IL 62948
Williamson County (618) 942-2171
SAREER ZIA MD
Hospitalist
201 S 14TH ST
HERRIN, IL 62948
Williamson County (618) 942-2171
DR. CHANTE THANH TRINH M.D.
Emergency Medicine
201 S 14TH ST
HERRIN, IL 62948
Williamson County (618) 942-2171

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 Miksanek's NPI number?

The NPI number for Joshua Miksanek is 1760644439. It was assigned to this individual provider in the NPPES registry on June 25, 2008.

Where is Joshua Miksanek located?

Joshua Miksanek practices at 201 S 14th St, Herrin, IL 62948. The listed phone number is (618) 942-2171.

What is Joshua Miksanek's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Joshua Miksanek enrolled in Medicare?

Yes. Joshua Miksanek is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Joshua Miksanek's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joshua Miksanek reassigns Medicare benefits to Southern Illinois Medical Services, Nfp (Carbondale, IL). The 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 Joshua Miksanek'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 Joshua Miksanek was last updated on September 27, 2021. 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.