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DR. JOEL JOSEPH PRANCKUN D.O.
NPI 1972949519
Orthopaedic Surgery in Woodstock, GA

Active since May 21, 2013PECOS Enrolled
95.35/100
CMS Quality Rating
900 TOWNE LAKE PKWY STE 320, WOODSTOCK, GA 30189(770) 517-6636(770) 517-6568 Get Directions Write a Review

NPPES record last updated: March 8, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 8, 2021, Aug 4, 2019, Jul 30, 2018 (3 updates tracked since 2018).

About Dr. Joel Joseph Pranckun D.o. NPPES

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

DR. JOEL JOSEPH PRANCKUN D.O. (NPI 1972949519) is an individual orthopaedic surgery provider in Woodstock, Georgia, licensed in Georgia (83629) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Stanly Regional Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1972949519
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. JOEL JOSEPH PRANCKUNCredential: D.O.
Location Address900 TOWNE LAKE PKWY STE 320Woodstock, GA 30189-1604
Mailing Address7200 Cambridge St Ste 10aHouston, TX 77030-4202 · (713) 986-7396 · Fax (713) 986-7391
Phone(770) 517-6636
Fax(770) 517-6568
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMay 21, 2013
Last NPPES UpdateMarch 8, 20213 updates tracked since enumeration
NPPES CertifiedMarch 8, 2021
✔ NPI 1972949519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in GA · 83629
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
900 TOWNE LAKE PKWY STE 320, Woodstock, GA 30189
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina 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 (PECOS)

Dr. Joel Joseph Pranckun D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224354154
PECOS Enrollment IDI20231102001288
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 Joel Pranckun reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Carolinas Physicians Network, Inc.
154 mi
Medical Oncology
52 HOSPITAL DR, SUITE 3-A
Columbus, NC 28722
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,057 clinicians in this Medicare group
NPI 1184852105 (828) 894-2308

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 9

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
241 services55 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
170 services111 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
87 services87 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
67 services50 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
59 services47 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
25 services20 patients

Hospital Affiliations CMS Care Compare

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

Stanly Regional Medical Center

Acute Care Hospitals · Albemarle, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340119
Location301 Yadkin StAlbemarle, NC 28001 · Stanly County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30189 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

RACHEL ECKELBARGER AGACNP-BC
Nurse Practitioner (Acute Care)
900 TOWNE LAKE PKWY STE 320
WOODSTOCK, GA 30189
Cherokee County (770) 517-6636
TRAVIS R JONES DPM
Podiatrist
900 TOWNE LAKE PKWY STE 320
WOODSTOCK, GA 30189
Cherokee County (770) 517-6636

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 Joel Pranckun's NPI number?

The NPI number for Joel Pranckun is 1972949519. It was assigned to this individual provider in the NPPES registry on May 21, 2013.

Where is Joel Pranckun located?

Joel Pranckun practices at 900 Towne Lake Pkwy Ste 320, Woodstock, GA 30189. The listed phone number is (770) 517-6636.

What is Joel Pranckun's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Joel Pranckun enrolled in Medicare?

Yes. Joel Pranckun is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Joel Pranckun's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joel Pranckun reassigns Medicare benefits to Carolinas Physicians Network, Inc. (Columbus, NC). 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 Joel Pranckun's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joel Pranckun accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 2 other insurers list Joel Pranckun 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 Joel Pranckun affiliated with any hospitals?

According to CMS data, Joel Pranckun is affiliated with Stanly Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Joel Pranckun was last updated on March 8, 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.