JOSHUA LUCAS KRIER D.O.
NPI 1861786428
Family Medicine in Warren, MI
NPI Status: Active since June 01, 2011
Contact Information
27450 SCHOENHERR RD
STE. 400
WARREN, MI
ZIP 48088
Phone: (586) 582-7550
Fax: (586) 582-7515
- Individual
- Male
- Years of Experience 15
- Family Medicine
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About JOSHUA KRIER
This page provides the complete NPI Profile along with additional information for Joshua Krier, a primary care provider established in Warren, Michigan with a medical specialization in Family Medicine and more than 15 years of experience. The healthcare provider is registered in the NPI registry with number 1861786428 assigned on June 2011. The practitioner's primary taxonomy code is 207Q00000X with license number 5101019236 (MI). The provider is registered as an individual and his NPI record was last updated 14 years ago.
- NPI
- 1861786428
- Provider Name
- JOSHUA LUCAS KRIER D.O.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 27450 SCHOENHERR RD STE. 400 WARREN, MI 48088
- Location Phone
- (586) 582-7550
- Location Fax
- (586) 582-7515
- Mailing Address
- 27450 SCHOENHERR RD STE. 400 WARREN, MI 48088
- Mailing Phone
- (586) 582-7550
- Mailing Fax
- (586) 582-7515
- Medical School Name
- OTHER
- Graduation Year
- 2011
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-01-2011
- Last Update Date
- 06-01-2011
- Code Navigator
A primary care provider (PCP) like Joshua Krier 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.
- 5101019236
- License State
- MI
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Preferred HMO Gold Extra - HMO
- Blue Cross� Preferred HMO Silver - HMO
- Blue Cross� Preferred HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Value - HMO
- Blue Cross� Select HMO Bronze Extra - HMO
- Blue Cross� Select HMO Bronze Saver HSA - HMO
- Blue Cross� Select HMO Bronze Secure - HMO
- Blue Cross� Select HMO Silver - HMO
- Blue Cross� Select HMO Silver Extra - HMO
- Blue Cross� Select HMO Silver Saver - HMO
- Blue Cross� Select HMO Value - HMO
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
- MHP Bronze - HMO
- MHP Bronze Saver (Expanded) - HMO
- MHP Expanded Bronze Standard - HMO
- MHP Gold - HMO
- MHP Gold Standard - HMO
- MHP Silver Exchange - HMO
- MHP Silver Exchange Rewards - HMO
- MHP Silver Standard - HMO
- MHP Young Adult/Catastrophic - HMO
- MyPriority Balanced Silver - HMO
- MyPriority Premier Silver - HMO
- MyPriority Standard Bronze - HMO
- MyPriority Standard Bronze - Travel - HMO
- MyPriority Standard Gold - HMO
- MyPriority Standard Silver - HMO
- MyPriority Standard Silver - Travel - HMO
- MyPriority Value Bronze - HMO
- MyPriority Value Bronze HSA - HMO
- University of Michigan Health Plan HMO Exclusive Bronze - HMO
- University of Michigan Health Plan HMO Exclusive Bronze HSA - HMO
- University of Michigan Health Plan HMO Exclusive Bronze Standard - HMO
- University of Michigan Health Plan HMO Exclusive Catastrophic - HMO
- University of Michigan Health Plan HMO Exclusive Gold Classic - HMO
- University of Michigan Health Plan HMO Exclusive Gold Select - HMO
- University of Michigan Health Plan HMO Exclusive Gold Standard - HMO
- University of Michigan Health Plan HMO Exclusive Silver - HMO
- University of Michigan Health Plan HMO Exclusive Silver Select Plus - HMO
- University of Michigan Health Plan HMO Exclusive Silver Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Joshua Krier 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.
Joshua Krier 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: 8224253844
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: I20140715001187
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
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Other DME (DE017N)
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)
5 DME suppliers used 25 Medicare Claims 52 Services Paid
DME-Other DME (DE001N)
Humidifier, heated, used with positive airway pressure device (HCPCS:E0562)
2 DME suppliers used 16 Medicare Claims 16 Services Paid
DME-Other DME (DE000N)
Nebulizer, with compressor (HCPCS:E0570)
1 DME suppliers used 17 Medicare Claims 17 Services Paid
DME-Other DME (DE001N)
Continuous positive airway pressure (cpap) device (HCPCS:E0601)
2 DME suppliers used 17 Medicare Claims 17 Services Paid
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.
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
This service was performed 19 times for 19 patientsAn annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
This service was performed 18 times for 18 patientsChronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
This service was performed 39 times for 12 patientsThis 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.
This service was performed 48 times for 35 patientsThis 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.
This service was performed 122 times for 60 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $22.69 for a new patient copayment and $25.58 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 48088 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $90.76
- Minimum New Patient Price $58.04
- Maximum New Patient Price $177.36
- Average New Patient Copayment $22.69
- Minimum New Patient Copayment $14.51
- Maximum New Patient Copayment $44.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $102.35
- Minimum Established Patient Price $18.32
- Maximum Established Patient Price $143.49
- Average Established Patient Copayment $25.58
- Minimum Established Patient Copayment $4.58
- Maximum Established Patient Copayment $35.87
* 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.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Care Plan | 40% | 122 |
| 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 or provide an advance care plan | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 36% | 148 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Joshua Krier is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| EDWARD W SPARROW HOSPITAL | 1215 E MICHIGAN AVENUE LANSING, MI 48912 | (517) 364-1000 | Acute Care Hospitals |
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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. | |||||||||
| 1 | 8 | 6 | 1 | 7 | 8 | 6 | 4 | 2 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 12 | 1 | 14 | 8 | 12 | 4 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 1 + 2 + 1 + 1 + 4 + 8 + 1 + 2 + 4 + 4 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1861786428 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1275523060 | CHARLES W. MCCLOSKEY MD Individual | Family Medicine | 27450 SCHOENHERR RD 400 WARREN, MI 48088 (586) 582-7550 |
| 1336130970 | SAROJ MISRA DO Individual | Family Medicine | 27450 SCHOENHERR RD 400 WARREN, MI 48088 (586) 582-7550 |
| 1982681086 | THOMAS C SPOOR MD Individual | Ophthalmology | 27450 SCHOENHERR RD SUITE 200 WARREN, MI 48088 (586) 581-7860 |
| 1194791368 | DR. JASON IAN SOFFA D.O. Individual | Family Medicine | 27450 SCHOENHERR RD SUITE 400 WARREN, MI 48088 (586) 582-7550 |
| 1790831535 | MS. LINDA PILLOW LMSW Individual | Social Worker (Clinical) | 27450 SCHOENHERR RD SUITE 100A WARREN, MI 48088 (586) 682-7825 |
| 1205046455 | MR. ANTHONY PAUL ZUCCARO P.T. Individual | Physical Therapist | 27450 SCHOENHERR RD WARREN, MI 48088 (586) 582-7825 |
| 1164633020 | MRS. LAURA DENISE MCDONNELL O.T. Individual | Occupational Therapist | 27450 SCHOENHERR RD 100 WARREN, MI 48088 (586) 582-7825 |
| 1932306974 | CAROLYN M KOLEDA M.A., CCC-SLP Individual | Speech-Language Pathologist | 27450 SCHOENHERR RD SUITE 100 WARREN, MI 48088 (586) 582-7825 |
| 1649468752 | MRS. PATRICIA DENISE LAMOREAUX M.A.CCC-SLP Individual | Speech-Language Pathologist | 27450 SCHOENHERR RD 100 A WARREN, MI 48088 (586) 582-7825 |
| 1538358668 | VICKIE M. GREEN OTR Individual | Occupational Therapist (Neurorehabilitation) | 27450 SCHOENHERR RD SUITE 100A WARREN, MI 48088 (586) 582-7825 |
| 1740464262 | ST. JOHN NEUROLOGICAL RECOVERY SYSTEMS Organization | General Acute Care Hospital | 27450 SCHOENHERR RD 100A WARREN, MI 48088 (586) 582-7825 |
| 1528388543 | KRISHAN SUMIT ANGRISH D.O. Individual | Family Medicine | 27450 SCHOENHERR RD STE. 400 WARREN, MI 48088 (586) 582-7550 |
| 1497063325 | ST. JOHN MACOMB-OAKLAND HOSPITAL Organization | Ophthalmology | 27450 SCHOENHERR RD SUITE 200 WARREN, MI 48088 (586) 582-7860 |
| 1871896332 | ST. JOHN MACOMB-OAKLAND HOSPITAL Organization | Ophthalmology | 27450 SCHOENHERR RD SUITE 200 WARREN, MI 48088 (586) 582-7860 |
| 1003110552 | JENNIFER BURLINGAME D.O. Individual | Family Medicine | 27450 SCHOENHERR RD STE. 400 WARREN, MI 48088 (586) 582-7550 |
| 1780975250 | KRISTIFOR ANDJELKOVSKI D.O. Individual | Family Medicine | 27450 SCHOENHERR RD STE. 400 WARREN, MI 48088 (586) 582-7550 |
| 1629332408 | BASHA EYE GROUP PC Organization | Ophthalmology | 27450 SCHOENHERR RD SUITE 200 WARREN, MI 48088 (248) 935-9280 |
| 1023377645 | ERICA NICOLE BALYSH D.O. Individual | Family Medicine | 27450 SCHOENHERR RD STE. 400 WARREN, MI 48088 (586) 582-7550 |
| 1811185945 | MRS. JULIE DIANE PERRY MPT Individual | Physical Therapist | 27450 SCHOENHERR RD 100 A WARREN, MI 48088 (586) 582-7825 |
| 1659503241 | DR. RABEE YOUSIF PAUL M.D. Individual | Internal Medicine | 27450 SCHOENHERR RD SUITE 500 WARREN, MI 48088 (734) 464-0887 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861786428, enumerated in the NPI registry as an "individual" on June 01, 2011
The provider is located at 27450 Schoenherr Rd Ste. 400 Warren, Mi 48088 and the phone number is (586) 582-7550
The provider's speciality is Family Medicine with taxonomy code 207Q00000X
The provider has more than 15 years of experience.
The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
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.
Medicare beneficiaries should expect a typical cost of $90.76 with an average copayment of $22.69 for new patient appointments. Established patients should expect a typical charge of $102.35 and an average copayment of 25.58. 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: Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit, Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month, Established patient office or other outpatient visit, 20-29 minutes and Established patient office or other outpatient visit, 30-39 minutes.
The practitioner is affiliated to the following hospital(s): EDWARD W SPARROW HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on June 01, 2011. 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.