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DR. JOSEPH K KINUTHIA MD
NPI 1861929283
Hospitalist in Marietta, GA

Active since May 16, 2017PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
677 CHURCH ST NE, MARIETTA, GA 30060(770) 793-5186 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Oct 1, 2020, Jul 31, 2020 and 3 more (6 updates tracked since 2017).

About Dr. Joseph K Kinuthia Md NPPES

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

DR. JOSEPH K KINUTHIA MD (NPI 1861929283) is an individual hospitalist provider in Marietta, Georgia, licensed in Georgia (86473) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with Wellstar West Georgia Medical Center, and is a graduate of Mercer University School Of Medicine (2017).

NPPES Registry Identity

NPI1861929283
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. JOSEPH K KINUTHIACredential: MD
Location Address677 CHURCH ST NEMarietta, GA 30060-1101
Mailing Address1514 Vernon RdLagrange, GA 30240-4131 · (706) 812-2369
Phone(770) 793-5186
Sole ProprietorYes
Medical School CMSMercer University School Of MedicineGraduated 2017
Enumeration DateMay 16, 2017
Last NPPES UpdateJuly 21, 20226 updates tracked since enumeration
NPPES CertifiedOctober 1, 2020
✔ NPI 1861929283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in GA · 86473
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License 86473 (GA)
677 CHURCH ST NE, Marietta, GA 30060
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, 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. Joseph K Kinuthia Md 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 ID6002188182
PECOS Enrollment IDI20200806003733
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 4

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 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.
417 services165 patients
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.
117 services57 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.
116 services110 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.
101 services99 patients

Hospital Affiliations CMS Care Compare 3

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

Wellstar West Georgia Medical Center

Acute Care Hospitals · Lagrange, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110016
Location1514 Vernon RoadLagrange, GA 30240 · Troup County
Emergency services Birthing friendly

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Wellstar Paulding Medical Center

Acute Care Hospitals · Hiram, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110042
Location2518 Jimmy Lee Smith ParkwayHiram, GA 30141 · Paulding County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30060 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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
1 supplier27 claims27 services$20.04 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 suppliers12 claims12 services$910.26 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
1 supplier37 claims37 services$83.99 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.

JILLIAN MARIE BLALOCK DO
Emergency Medicine
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 793-5000
JAMIN GRAHAM MD
Student in an Organized Health Care Education/Training Program
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 793-5000
SAUMYA GURBANI MD, PHD
Student in an Organized Health Care Education/Training Program
677 CHURCH ST NE, ATTN: GME
MARIETTA, GA 30060
Cobb County (770) 793-7742
JULIA PATRICIA KENDRICK
Registered Nurse
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 793-5000
DR. HALEY PUCKETT LAWHORN MD
Student in an Organized Health Care Education/Training Program
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 793-5000
MRS. RHONDA KIM LEE NP-C
Registered Nurse (Wound Care)
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 793-7173
DEVIN HORTON CRNA
Nurse Anesthetist, Certified Registered
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 794-0477
BRITNEY ELIZABETH BECKETT
Student in an Organized Health Care Education/Training Program
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 793-5000

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 Joseph Kinuthia's NPI number?

The NPI number for Joseph Kinuthia is 1861929283. It was assigned to this individual provider in the NPPES registry on May 16, 2017.

Where is Joseph Kinuthia located?

Joseph Kinuthia practices at 677 Church St NE, Marietta, GA 30060. The listed phone number is (770) 793-5186.

What is Joseph Kinuthia's specialty?

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

Is Joseph Kinuthia enrolled in Medicare?

Yes. Joseph Kinuthia 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 Joseph Kinuthia accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Joseph Kinuthia 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 Joseph Kinuthia affiliated with any hospitals?

According to CMS data, Joseph Kinuthia is affiliated with Wellstar West Georgia Medical Center, Wellstar Kennestone Regional Medical Center and Wellstar Paulding Medical Center.

When was this NPI record last updated?

The NPPES record for Joseph Kinuthia was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.