JOSHUA RAY BURKHART M.D.
NPI 1801153937
Hospitalist in Birmingham, AL

Active since April 13, 2012PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
619 19TH ST S, P915, BIRMINGHAM, AL 35249(205) 975-0512 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Joshua Ray Burkhart M.d. NPPES

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

JOSHUA RAY BURKHART M.D. (NPI 1801153937) is an individual hospitalist provider in Birmingham, Alabama, licensed in Alabama (32935) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, maintains a secondary practice location in Birmingham, and is a graduate of University Of Mississippi School Of Medicine (2012).

NPPES Registry Identity

NPI1801153937
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameJOSHUA RAY BURKHARTCredential: M.D.
Location Address619 19TH ST S, P915Birmingham, AL 35249-1900
Mailing Address619 19th St S, P915Birmingham, AL 35249-1900 · (205) 975-0512
Sole ProprietorNo
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 2012
Enumeration DateApril 13, 2012
Last NPPES UpdateJune 28, 2023
NPI 1801153937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in AL · 32935
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

619 19TH ST S, Birmingham, AL 35249

Secondary Practice Location 1

Location 1619 19th St SBirmingham, AL 35233-1900 · Phone (205) 975-0512

Accepted 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

Joshua Ray Burkhart 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 ID6204086069
PECOS Enrollment IDI20150702000613
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 5

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.

Follow-up hospital inpatient care per day, typically 25 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.
705 services298 patients
Follow-up hospital inpatient care per day, typically 35 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.
277 services108 patients
Follow-up hospital inpatient care per day, typically 15 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
139 services90 patients
Initial hospital inpatient care per day, typically 70 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.
69 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.
55 services54 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35249 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.5
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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
2 suppliers12 claims12 services$14.42 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
3 suppliers13 claims13 services$73.65 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.

Pharmacist
619 19TH ST S
BIRMINGHAM, AL 35249
Pharmacist
619 19TH ST S
BIRMINGHAM, AL 35249
Pharmacist
619 19TH ST S
BIRMINGHAM, AL 35249
Dentist (Oral and Maxillofacial Surgery)
619 19TH ST S
BIRMINGHAM, AL 35249
Internal Medicine (Addiction Medicine)
619 19TH ST S
BIRMINGHAM, AL 35249
Psychiatry & Neurology (Psychiatry)
619 19TH ST S
BIRMINGHAM, AL 35249
Social Worker
619 19TH ST S
BIRMINGHAM, AL 35249
Internal Medicine (Cardiovascular Disease)
619 19TH ST S
BIRMINGHAM, AL 35249

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 Burkhart's NPI number?

The NPI number for Joshua Burkhart is 1801153937. It was assigned to this individual provider in the NPPES registry on April 13, 2012.

Where is Joshua Burkhart located?

Joshua Burkhart practices at 619 19th St S P915, Birmingham, AL 35249. The listed phone number is (205) 975-0512.

What is Joshua Burkhart's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Joshua Burkhart enrolled in Medicare?

Yes. Joshua Burkhart 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 Burkhart accept?

Health plans from Blue Cross and Blue Shield of Alabama list Joshua Burkhart 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.

When was this NPI record last updated?

The NPPES record for Joshua Burkhart was last updated on June 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.