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DR. JOSHUA BOYD HUFFMAN M.D.
NPI 1790765691
Internal Medicine in Lexington, KY

Active since January 18, 2006PECOS EnrolledAccepts Medicare Assignment
1401 HARRODSBURG RD, A440, LEXINGTON, KY 40504(859) 278-4172(859) 313-3541 Get Directions Write a Review

NPPES record last updated: December 29, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Joshua Boyd Huffman M.d. NPPES

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

DR. JOSHUA BOYD HUFFMAN M.D. (NPI 1790765691) is an individual internal medicine provider in Lexington, Kentucky, licensed in Kentucky (34906) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph Hospital, and is a graduate of University Of Kentucky College Of Medicine (1998).

NPPES Registry Identity

NPI1790765691
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JOSHUA BOYD HUFFMANCredential: M.D.
Location Address1401 HARRODSBURG RD, A440Lexington, KY 40504-3751
Mailing Address1401 Harrodsburg Rd, A440Lexington, KY 40504-3751 · (859) 278-4172 · Fax (859) 313-3541
Phone(859) 278-4172
Fax(859) 313-3541
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1998
Enumeration DateJanuary 18, 2006
Last NPPES UpdateDecember 29, 2010
✔ NPI 1790765691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in KY · 34906
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1401 HARRODSBURG RD, Lexington, KY 40504
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Other Identifiers 3

Medicare UPINH33443KY
Medicare ID-Type Unspecified0656703KY · Individual Medicare Id #
Medicaid64029648KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Dr. Joshua Boyd Huffman 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 ID2264570365
PECOS Enrollment IDI20091110000634
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 8

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
189 services101 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.
108 services69 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
91 services86 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.
55 services51 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
24 services24 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
24 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Saint Joseph Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180010
LocationOne Saint Joseph DriveLexington, KY 40504 · Fayette County
Emergency services

Saint Joseph East

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180143
Location150 North Eagle Creek DriveLexington, KY 40509 · Fayette County
Emergency services Birthing friendly

Saint Joseph Berea

Critical Access Hospitals · Berea, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181329
Location305 Estill StreetBerea, KY 40403 · Madison County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40504 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
95%147 patients4/55-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 4

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
9 suppliers85 claims85 services$19.66 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
2 suppliers27 claims27 services$908.47 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier13 claims17 services$56.52 avg. paid by Medicare
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
9 suppliers115 claims115 services$107.78 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.

OLEVA C SCHOEDLBAUER P.A.-C.
Physician Assistant
1401 HARRODSBURG RD, SUITE A-540
LEXINGTON, KY 40504
Fayette County (859) 258-6760
ARMAGHAN YUNIS SOOMRO MD
Internal Medicine (Interventional Cardiology)
1401 HARRODSBURG RD
LEXINGTON, KY 40504
Fayette County (859) 276-4429
JANALYN PROWS M.D.
Radiology (Radiation Oncology)
1401 HARRODSBURG RD, SUITE A-100
LEXINGTON, KY 40504
Fayette County (859) 258-6505
MR. ROBERT GREG MCMORROW MD
Internal Medicine (Nephrology)
1401 HARRODSBURG RD, C 335
LEXINGTON, KY 40504
Fayette County (859) 276-5355
LAURA RARDIN-ECTON PA-C
Physician Assistant
1401 HARRODSBURG RD, SUITE B275
LEXINGTON, KY 40504
Fayette County (859) 278-2334
DR. JUSTIN DALE JOHNSON M.D.
Urology
1401 HARRODSBURG RD, SUITE C-215
LEXINGTON, KY 40504
Fayette County (859) 258-6450
DANILO CORALES
Internal Medicine
1401 HARRODSBURG RD, B 299
LEXINGTON, KY 40504
Fayette County (859) 276-0714
NEIL R FARRIS MD
Internal Medicine
1401 HARRODSBURG RD, SUITE C215
LEXINGTON, KY 40504
Fayette County (859) 278-9413

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 Huffman's NPI number?

The NPI number for Joshua Huffman is 1790765691. It was assigned to this individual provider in the NPPES registry on January 18, 2006.

Where is Joshua Huffman located?

Joshua Huffman practices at 1401 Harrodsburg Rd A440, Lexington, KY 40504. The listed phone number is (859) 278-4172.

What is Joshua Huffman's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Joshua Huffman enrolled in Medicare?

Yes. Joshua Huffman 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 Joshua Huffman accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Joshua Huffman 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 Huffman affiliated with any hospitals?

According to CMS data, Joshua Huffman is affiliated with Saint Joseph Hospital, Saint Joseph East and Saint Joseph Berea.

When was this NPI record last updated?

The NPPES record for Joshua Huffman was last updated on December 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.