Doctor profile · Federal record

Dr. Joshua Puhr, MD

Emergency Medicine Physician (CMS: Emergency Medicine) · Emergency Medicine Physician · Emergency Medicine Physician · Internal Medicine Physician · Johnson City, TN

  • NPI 1184645277
  • Accepts Medicare
  • 22 yrs in practice
  • Licensed in 3 states
  • Male
  • Solo practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
400 N State of Franklin RD, Emergency Department
Johnson City, TN 376046035
(423) 431-6111
Additional location
4430 Missouri Ave
Fort Leonard Wood, MO 654739098
(573) 596-0417
Mailing address
200 Corporate Blvd
Lafayette, LA 705083870

Credentials & registration

NPPES · NUCC
NPI registered
July 2006 — 20 yrs on file
Profile last updated
June 4, 2025
Year of graduation
2004 — 22 yrs since
Specialty taxonomy
207P00000X — NUCC code
State licenses (3)
Tennessee #45483 · Virginia #0101247294 · North Carolina #2006-01042
Medicaid (2)
VA #1184645277 · TN #1518327

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1184645277. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
146
Distinct HCPCS
4
Medicare allowed
$15,036
HCPCS Description Services Patients Avg allowed
99285 Emergency department visit with high level of medical decision making 47 46 $167
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 45 44 $8
99284 Emergency department visit with moderate level of medical decision making 41 40 $114
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 13 12 $165

In context: peer comparison

Among 7 peers in this city , average services per provider: 119. This provider delivers 1.2× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
118
Patients
118
Total drug cost
$599
Drug Type Claims Patients Total cost
Prednisone Generic 29 29 $62
Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) Brand 15 15 $92
Ondansetron Odt (Ondansetron) Brand 14 14 $111
Sulfamethoxazole-Trimethoprim (Sulfamethoxazole/Trimethoprim) Brand 13 13 $77
Azithromycin Generic 12 12 $45
Doxycycline Hyclate Generic 12 12 $132
Ibuprofen Generic 12 12 $39
Cyclobenzaprine Hcl Generic 11 11 $40

Frequently asked questions

Auto-generated from federal data
What is Dr. Joshua Puhr's medical specialty?
Dr. Joshua Puhr practices Emergency Medicine Physician in Johnson City, TN.
Where does Dr. Joshua Puhr practice?
Dr. Joshua Puhr practices at 400 N State of Franklin RD, Johnson City, TN 376046035. Office phone: 4234316111.
What is Dr. Joshua Puhr's NPI?
Dr. Joshua Puhr's National Provider Identifier (NPI) is 1184645277, issued by NPPES.
Does Dr. Joshua Puhr accept Medicare assignment?
Yes. Dr. Joshua Puhr accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Joshua Puhr commonly perform?
Top Medicare-reported procedures in 2023: Emergency department visit with high level of medical decision making (HCPCS 99285); Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS 93010); Emergency department visit with moderate level of medical decision making (HCPCS 99284). Source: CMS Medicare Physician & Other Practitioners file.