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JOSHUA C KERSHEN M.D.
NPI 1770521064
Psychiatry & Neurology - Neurology in Oklahoma City, OK

Active since June 02, 2006PECOS EnrolledAccepts Medicare Assignment
77.69/100
CMS Quality Rating
4221 S WESTERN AVE, 5000, OKLAHOMA CITY, OK 73109(405) 644-5165(405) 644-6668 Get Directions Write a Review

NPPES record last updated: July 22, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Joshua C Kershen M.d. NPPES

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

JOSHUA C KERSHEN M.D. (NPI 1770521064) is an individual neurology provider in Oklahoma City, Oklahoma, licensed in Massachusetts (217393) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Integris Baptist Medical Center, Inc, and is a graduate of University Of Oklahoma College Of Medicine (1999).

NPPES Registry Identity

NPI1770521064
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameJOSHUA C KERSHENCredential: M.D.
Location Address4221 S WESTERN AVE, 5000Oklahoma City, OK 73109-3447
Mailing Address4221 S Western Ave, 5000Oklahoma City, OK 73109-3447 · (405) 644-5160 · Fax (405) 644-5162
Phone(405) 644-5165
Fax(405) 644-6668
Sole ProprietorYes
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1999
Enumeration DateJune 2, 2006
Last NPPES UpdateJuly 22, 2015
✔ NPI 1770521064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in MA · 217393
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
4221 S WESTERN AVE, Oklahoma City, OK 73109
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Joshua C Kershen M.d. 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 ID5890772875
PECOS Enrollment IDI20100921001485
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 Joshua Kershen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Joshua Kershen MD PC
0.2 mi
Neurology
4221 S WESTERN AVE, 5000
Oklahoma City, OK 73109
  • Reassigned Medicare billing, Oklahoma enrollment
NPI 1063733954 (405) 644-5160
Integris Ambulatory Care Corporation
13 mi
Family Medicine
3001 QUAIL SPRINGS PKWY
Oklahoma City, OK 73134
  • Reassigned Medicare billing, Oklahoma enrollment
  • 1,058 clinicians in this Medicare group
NPI 1750333936 (405) 951-2298

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 10

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
252 services149 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
142 services128 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
72 services72 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.
54 services54 patients
Nerve conduction, 7-8 studies 95910
Nerve conduction studies involve testing the speed and strength of signals traveling through your nerves. This helps doctors identify nerve damage. In a 7-8 study procedure, 7-8 specific nerves are tested. You may feel a mild, brief tingling or shock during the test.
46 services46 patients
Nerve conduction, 5-6 studies 95909
Nerve conduction studies involve testing the speed and strength of signals traveling through your nerves. This helps identify any nerve damage or dysfunction. For 5-6 studies, this means multiple nerves will be tested. Small electrodes are placed on your skin to send and receive signals, causing minimal discomfort.
38 services37 patients

Hospital Affiliations CMS Care Compare 3

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

Integris Baptist Medical Center, Inc

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370028
Location3300 Northwest ExpresswayOklahoma City, OK 73112 · Oklahoma County
Emergency services Birthing friendly

Comanche County Memorial Hospital

Acute Care Hospitals · Lawton, OK
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number370056
Location3401 West Gore BlvdLawton, OK 73505 · Comanche County
Emergency services Birthing friendly

Integris Southwest Medical Center

Acute Care Hospitals · Oklahoma City, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370106
Location4401 South Western AvenueOklahoma City, OK 73109 · Oklahoma County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73109 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

77.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.52
Promoting Interoperability100
Improvement Activities40
Cost43.13

Referred Medical Equipment & Supplies CMS DME claims 10

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

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims295 services$4.01 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier14 claims4,904 services$0.39 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier14 claims14 services$63.88 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
3 suppliers236 claims236 services$899.51 avg. paid by Medicare
Cough stimulating device, alternating positive and negative airway pressure E0482
DME-Other DME · category DE000N
1 supplier37 claims37 services$280.95 avg. paid by Medicare
Respiratory suction pump, home model, portable or stationary, electric E0600
DME-Other DME · category DE000N
1 supplier21 claims21 services$27.50 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 20

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

FAZAL AKBAR ALI MD
Internal Medicine (Nephrology)
4221 S WESTERN AVE, SUITE 5020
OKLAHOMA CITY, OK 73109
Oklahoma County (405) 644-5428
LANE E. TINSLEY, MD, PLLC
Psychiatry & Neurology (Neurology)
4221 S WESTERN AVE, SUITE 5000
OKLAHOMA CITY, OK 73109
Oklahoma County (405) 644-5160
TODD CLAPP MD
Internal Medicine
4221 S WESTERN AVE, SUITE 3030
OKLAHOMA CITY, OK 73109
Oklahoma County (405) 636-7650
JOHN BARGHOLS MD
Psychiatry & Neurology (Neurology)
4221 S WESTERN AVE, SUITE 5000
OKLAHOMA CITY, OK 73109
Oklahoma County (405) 644-5160
MICHAEL MORGAN MD
Family Medicine
4221 S WESTERN AVE, SUITE 3030
OKLAHOMA CITY, OK 73109
Oklahoma County (405) 636-7650
JOSHUA KERSHEN MD PC
Psychiatry & Neurology (Neurology)
4221 S WESTERN AVE, 5000
OKLAHOMA CITY, OK 73109
Oklahoma County (405) 644-5160
SHIRIN N MOHAMMAD MD
Internal Medicine
4221 S WESTERN AVE, SUITE 3030
OKLAHOMA CITY, OK 73109
Oklahoma County (405) 636-7650
CHARLES MORGAN MD PC
Psychiatry & Neurology (Neurology)
4221 S WESTERN AVE, SUITE 5000
OKLAHOMA CITY, OK 73109
Oklahoma County (405) 644-5160

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 Kershen's NPI number?

The NPI number for Joshua Kershen is 1770521064. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Joshua Kershen located?

Joshua Kershen practices at 4221 S Western Ave 5000, Oklahoma City, OK 73109. The listed phone number is (405) 644-5165.

What is Joshua Kershen's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Joshua Kershen enrolled in Medicare?

Yes. Joshua Kershen 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.

Which organizations bill Medicare for Joshua Kershen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joshua Kershen reassigns Medicare benefits to 2 organizations: Joshua Kershen MD PC (Oklahoma City, OK) and Integris Ambulatory Care Corporation (Oklahoma City, OK). 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 Joshua Kershen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joshua Kershen accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Joshua Kershen 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 Joshua Kershen affiliated with any hospitals?

According to CMS data, Joshua Kershen is affiliated with Integris Baptist Medical Center, Inc, Comanche County Memorial Hospital and Integris Southwest Medical Center.

When was this NPI record last updated?

The NPPES record for Joshua Kershen was last updated on July 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.