Dr. Nicholas James Josten, MD

  • Soldotna, AK
  • Anesthesiologist
NPI1164817979PAC ID9335451079
Medicare services, 2024
44
Medicare patients, 2024
128
Publications
1
MIPS score, 2024
75
Hospital affiliations
1
Practice address
250 Hospital Place, Soldotna, AK 99669
Practice phone
Call (907) 262-4404
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Central Peninsula Hospital

Hospital · Soldotna, Alaska

See all 2 affiliations

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Dr. Nicholas James Josten is an anesthesiologist in Soldotna, Alaska

Dr. Josten practices at Central Peninsula Hospital in Soldotna, Alaska, part of Kenai Peninsula Borough.

Dr. Josten's NPI, 1164817979, was assigned on March 30, 2015. Dr. Josten graduated from Stanford University School of Medicine in 2015. Dr. Josten holds Alaska license 142963.

NPI and contact details
Medicare PAC ID
9335451079
NPI enumeration date
March 30, 2015
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(907) 262-4404
Professional email
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Personal email
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Mobile number
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Sex
Male
Estimated age
37
Medical school graduation
2015

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Nicholas James Josten practices at Central Peninsula Hospital in Soldotna, Alaska

Dr. Josten's primary practice is Central Peninsula Hospital, at 250 Hospital Place, Soldotna, AK 99669 in Kenai Peninsula Borough. The practice phone is (907) 262-4404.

Source: Dmand AI Affiliation Data

Dr. Nicholas James Josten is affiliated with 1 site of care and 1 medical group

Dr. Josten's primary practice is Central Peninsula Hospital in Soldotna, Alaska, part of Kenai Peninsula Borough. The medical group on file is Central Peninsula Hospital. Dr. Josten's employer is on file too: a hospital.

See all 2 affiliations for Dr. Josten

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Nicholas James Josten's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Josten practices. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Central Peninsula HospitalAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Nicholas James Josten is one of 114 anesthesiologists in Alaska

Anesthesiology is Dr. Josten's primary specialty in the NPI Registry, under taxonomy code 207L00000X. Dr. Josten is licensed in Alaska.

Specialties and state licenses

  • Anesthesiology, AlaskaPrimaryLicense 142963 · taxonomy 207L00000X

Anesthesiologists near Dr. Josten

Counts of anesthesiologists with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Nicholas James Josten billed Medicare for 44 services in 2024

CMS data shows 44 Medicare services from Dr. Josten across 3 procedure codes in 2024, for 128 Medicare patients. Medicare paid $5,291 for them.

Medicare services, 202444
Medicare patients128
Paid by Medicare$5,291
Procedure codes3

Dr. Josten's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Anesthesia
2023: 132024: 31138%
Surgery
2023: 162024: 1319%

Where Dr. Josten's Medicare services took place, 2024

  • In an office1534%
  • In a facility2966%

Dr. Josten compared with the Alaska median for anesthesiologists, 2024

  • Dr. Josten
  • Alaska median
Medicare services
44vs 9051% below
Medicare patients
128vs 15417% below

Medians across 112 anesthesiologists in Alaska with Dmand AI profiles that report each measure.

Dr. Josten's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Josten

Need commercial claims for Dr. Josten?

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Nicholas James Josten treated 128 Medicare patients in 2024, average age 72

CMS counts 128 Medicare patients who saw Dr. Josten in 2024. The largest group is 65 to 74, with 66 patients. 69% of them have high blood pressure, and 60% have arthritis. 19% are also on Medicaid. Their average risk score is 1.05, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. Josten's median patient age at 69, with 88% women.

Medicare patients, 2024128
Average age72
Average risk score1.05
Also on Medicaid19%

Dr. Josten's Medicare patients by age, 2024

CMS leaves out age groups with fewer than 11 patients.

Dr. Josten's Medicare patients by sex, 2024

  • Women6752%
  • Men6148%

Chronic conditions among Dr. Josten's Medicare patients, 2024

  1. High blood pressure69%
  2. Arthritis60%
  3. High cholesterol53%
  4. Mood disorders30%
  5. Anxiety27%
  6. Diabetes27%
  7. Ischemic heart disease27%
  8. Depression23%

Share of Medicare patients with each condition. A patient can have several.

Dr. Josten's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 69

Patient panel by sex, all payers

  • Women88%
  • Men13%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Nicholas James Josten scored 75 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 75 out of 100 for Dr. Josten for performance year 2024, reported as part of a group. Dr. Josten accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Dr. Josten's MIPS scores, performance year 2024

  • 75of 100Final score
  • 62.6of 100Quality
  • 81of 100Promoting Interoperability
  • 40of 100Improvement Activities
  • 68of 100Cost

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026

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Dr. Nicholas James Josten has 1 publication on record

Dmand AI links 1 paper to Dr. Josten in 2021. Dr. Josten's most frequent co-author is Aaron M. Cheng, MD.

Papers1

Dr. Josten's most frequent co-authors

Recent publications by Dr. Josten

See all 1 publications and co-authors

See who Dr. Josten researches with

Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. Josten works with, so you can find a warm path to the right anesthesiologists.

How network discovery works

Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage

Dr. Nicholas James Josten received $76 in industry payments from 2020 to 2024

CMS Open Payments shows 4 general payments to Dr. Josten from 1 drug or device company from 2020 to 2024. Food and beverage make up the largest share, 100% of the total. Halyard Health, Inc. paid the most, $76.

General payments to Dr. Josten by program year, 2020 to 2024

Companies that paid Dr. Josten the most, 2020 to 2024

Share is of all general payments to this clinician.

See all payments to Dr. Josten

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Nicholas James Josten graduated from Stanford University School of Medicine

Dr. Josten graduated from Stanford University School of Medicine in 2015.

  1. Medical schoolStanford University School of Medicine

Source: Dmand AI Professional Profile Data

Sources for Dr. Nicholas James Josten's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)
Publications, topics and co-authorsPubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Nicholas James Josten

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Nicholas James Josten's NPI number?

Dr. Nicholas James Josten's NPI number is 1164817979. It was assigned on March 30, 2015, and it is active in the NPI Registry.

What kind of doctor is Dr. Nicholas James Josten?

Dr. Nicholas James Josten is an anesthesiologist in Soldotna, Alaska. The primary specialty in the NPI Registry is Anesthesiology Physician (taxonomy code 207L00000X).

Where does Dr. Nicholas James Josten practice?

Dr. Josten practices at 250 Hospital Place, Soldotna, AK 99669. Dr. Josten's primary practice is Central Peninsula Hospital in Soldotna, Alaska, part of Kenai Peninsula Borough.

What is Dr. Nicholas James Josten's office phone number?

The practice phone on file for Dr. Josten is (907) 262-4404.

What is Dr. Nicholas James Josten's medical license number?

Dr. Josten holds Alaska license 142963.

Which hospitals is Dr. Nicholas James Josten affiliated with?

Dr. Josten practices at Central Peninsula Hospital in Soldotna, Alaska.

What medical group is Dr. Nicholas James Josten part of?

Dr. Josten is linked to Central Peninsula Hospital.

Does Dr. Nicholas James Josten accept Medicare?

Yes. CMS data shows Dr. Josten billed Medicare for 44 services in 2024, and Dr. Josten accepts Medicare assignment.

What is Dr. Nicholas James Josten's MIPS score?

Dr. Josten's MIPS final score for performance year 2024 is 75 out of 100, reported as part of a group.

How many Medicare patients does Dr. Nicholas James Josten see?

CMS counts 128 Medicare patients who saw Dr. Josten in 2024, with an average age of 72.

Show 6 more questionsShow fewer questions

What services does Dr. Nicholas James Josten bill to Medicare?

In 2024, Dr. Josten's most billed Medicare services were anesthesia (00811), anesthesia (00142) and surgery: brain, spine and nerves (64448).

Where did Dr. Nicholas James Josten go to medical school?

Dr. Josten graduated from Stanford University School of Medicine in 2015.

Has Dr. Nicholas James Josten received payments from drug or device companies?

CMS Open Payments shows $76 in general payments to Dr. Josten from 1 company from 2020 to 2024. The largest total came from Halyard Health, Inc.

How long has Dr. Nicholas James Josten been practicing?

Dr. Josten graduated from medical school in 2015, 11 years ago.

Does Dr. Nicholas James Josten do research?

Dmand AI links 1 publication to Dr. Josten.

Who does Dr. Nicholas James Josten publish with?

Dr. Josten's most frequent co-authors are Aaron M. Cheng, MD (1 shared paper).

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