DR. JOSEPH ANDREW DEKKER DO
NPI 1336408947
Family Medicine in Cumberland, MD


Quality Rating: 92.37 out of 100 score

NPI Status: Active since May 16, 2012

Contact Information

157 BALTIMORE ST
CUMBERLAND, MD
ZIP 21502
Phone: (301) 722-3215

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  • Individual
  • Male
  • Years of Experience 17
  • Family Medicine
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JOSEPH DEKKER

This page provides the complete NPI Profile along with additional information for Joseph Dekker, a primary care provider established in Cumberland, Maryland with a medical specialization in Family Medicine and more than 17 years of experience. The healthcare provider is registered in the NPI registry with number 1336408947 assigned on May 2012. The practitioner's primary taxonomy code is 207Q00000X with license number H0075809 (MD). The provider is registered as an individual and his NPI record was last updated 5 years ago. Joseph Dekker operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization.

NPI
1336408947
Provider Name
DR. JOSEPH ANDREW DEKKER DO
Gender
Male
Entity Type
Individual
Location Address
157 BALTIMORE ST CUMBERLAND, MD 21502
Location Phone
(301) 722-3215
Mailing Address
2269 BRIMSTONE PL HANOVER, MD 21076
Medical School Name
OTHER
Graduation Year
2009
Is Sole Proprietor?
Yes
Enumeration Date
05-16-2012
Last Update Date
06-16-2020
Code Navigator

A primary care provider (PCP) like Joseph Dekker sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
H0075809
License State
MD
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12081N0008XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation
Neuromuscular Medicine

15525 (FL)
2208600000XAllopathic & Osteopathic Physicians

Surgery

OS019371 (PA)
3208600000XAllopathic & Osteopathic Physicians

Surgery

0102205761 (VA)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Medicare Participation & PECOS Enrollment Status

Joseph Dekker is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Joseph Dekker is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 3577710714

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20130904000170, I20160627000071

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Follow-up nursing facility visit per day, typically 15 minutes

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

This service was performed 7,696 times for 930 patients

Follow-up nursing facility visit per day, typically 25 minutes

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

This service was performed 5,880 times for 1,122 patients

Initial nursing facility visit per day, typically 25 minutes

An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.

This service was performed 164 times for 151 patients

Initial nursing facility visit per day, typically 35 minutes

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

This service was performed 902 times for 822 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $22.43 for a new patient copayment and $25.52 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 21502 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $89.75
  • Minimum New Patient Price $57.99
  • Maximum New Patient Price $175.57
  • Average New Patient Copayment $22.43
  • Minimum New Patient Copayment $14.49
  • Maximum New Patient Copayment $43.89

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $102.11
  • Minimum Established Patient Price $18.66
  • Maximum Established Patient Price $143.02
  • Average Established Patient Copayment $25.52
  • Minimum Established Patient Copayment $4.66
  • Maximum Established Patient Copayment $35.75

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 92.37, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 92.37 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 100

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: N/A

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: 41.26

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: 41.26

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1336408947
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2366801698
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 8 + 0 + 1 + 6 + 9 + 8 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1336408947 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1205854130MR. ROBERT B BOYLE MPT
Individual
Physical Therapist157 BALTIMORE ST
CUMBERLAND, MD 21502
(301) 722-3680
1225042534MRS. KRISTINE K CLAAR OTR L, CHT, CLT
Individual
Occupational Therapist (Hand)157 BALTIMORE ST
CUMBERLAND, MD 21502
(301) 722-3680
1407862402MRS. AUTUMN R WADE OTR L, CLT
Individual
Occupational Therapist157 BALTIMORE ST
CUMBERLAND, MD 21502
(301) 722-3215
1164591228MRS. CHELSEA SHYE FREAS BOYLE OT
Individual
Occupational Therapist157 BALTIMORE ST
CUMBERLAND, MD 21502
(301) 722-3215
1588939722MRS. MARTHA SCHADT LMT
Individual
Massage Therapist157 BALTIMORE ST
CUMBERLAND, MD 21502
(301) 722-3680
1164776506MRS. ERIKA STABLEY BUMSTED COTA/L
Individual
Occupational Therapy Assistant157 BALTIMORE ST
CUMBERLAND, MD 21502
(301) 722-3215
1700289253 BRENNAN ZAPF DPT
Individual
Physical Therapist157 BALTIMORE ST
CUMBERLAND, MD 21502
(301) 722-3680
1558666479 HEATHER DONOVAN OT
Individual
Occupational Therapist157 BALTIMORE ST
CUMBERLAND, MD 21502
(301) 722-3215
1164485132 CHRISTOPHER MORIN PT
Individual
Physical Therapist157 BALTIMORE ST
CUMBERLAND, MD 21502
(301) 722-3680
1689029498 JAVONNA BROWN PT
Individual
Physical Therapist157 BALTIMORE ST
CUMBERLAND, MD 21502
(301) 722-3215
1417302217 HANNAH SCHWARTZBECK OT
Individual
Occupational Therapist157 BALTIMORE ST
CUMBERLAND, MD 21502
(301) 722-3215
1386191278REHAB1ST INC
Organization
Physical Therapist157 BALTIMORE ST SUITE 100
CUMBERLAND, MD 21502
(301) 722-3680
1851830475REHAB1ST OF MICHIGAN LLC
Organization
Physical Therapist157 BALTIMORE ST SUITE 201
CUMBERLAND, MD 21502
(301) 722-3215
1013241926DR. MELODY MARIE KENTRUS DPT
Individual
Physical Therapist157 BALTIMORE ST
CUMBERLAND, MD 21502
(301) 722-3680
1578128237 MONTANA BRADLEY DPT
Individual
Physical Therapist157 BALTIMORE ST
CUMBERLAND, MD 21502
(301) 722-3680
1548468150 CANDICE A PETERS MD
Individual
Physical Medicine & Rehabilitation157 BALTIMORE ST
CUMBERLAND, MD 21502
(301) 722-3215
1184121170 ADAKU OBI OGOKE CRNP
Individual
Nurse Practitioner (Family)157 BALTIMORE ST
CUMBERLAND, MD 21502
(301) 722-3215
1255603510MR. NATHAN MYCHAK PA-C
Individual
Physician Assistant157 BALTIMORE ST
CUMBERLAND, MD 21502
(301) 722-3215
1316050867FLAGSHIP NORTH
Organization
Durable Medical Equipment & Medical Supplies (Nursing Facility Supplies)157 BALTIMORE ST
CUMBERLAND, MD 21502
(301) 722-3215

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336408947, enumerated in the NPI registry as an "individual" on May 16, 2012

The provider is located at 157 Baltimore St Cumberland, Md 21502 and the phone number is (301) 722-3215

The provider's speciality is Family Medicine with taxonomy code 207Q00000X

The provider has more than 17 years of experience.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences.

Medicare beneficiaries should expect a typical cost of $89.75 with an average copayment of $22.43 for new patient appointments. Established patients should expect a typical charge of $102.11 and an average copayment of 25.52. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Follow-up nursing facility visit per day, typically 15 minutes, Follow-up nursing facility visit per day, typically 25 minutes, Initial nursing facility visit per day, typically 25 minutes and Initial nursing facility visit per day, typically 35 minutes.

This NPI record was last updated on May 16, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.