JUSTIN DIEGEL D.O.
NPI 1497193718
Family Medicine in Pueblo, CO
NPI Status: Active since June 08, 2013
- Individual
- Male
- Family Medicine
- Accepts Insurance
- PECOS Enrolled
About JUSTIN DIEGEL
This page provides the complete NPI Profile along with additional information for Justin Diegel, a primary care provider established in Pueblo, Colorado with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1497193718 assigned on June 2013. The practitioner's primary taxonomy code is 207Q00000X with license number 0054482 (CO). The provider is registered as an individual and his NPI record was last updated 9 years ago.
- NPI
- 1497193718
- Provider Name
- JUSTIN DIEGEL D.O.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 300 COLORADO AVE PUEBLO, CO 81004
- Location Phone
- (719) 543-8711
- Mailing Address
- 5307 RED CEDAR CT PUEBLO, CO 81005
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-08-2013
- Last Update Date
- 10-28-2016
- Code Navigator
A primary care provider (PCP) like Justin Diegel 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.
- 0054482
- License State
- CO
- 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:
- KP OR Bronze 6000 - EPO
- KP OR Bronze HSA 7100 - EPO
- KP OR Gold 0 - EPO
- KP OR Gold 1750 - EPO
- KP OR Silver 3000 - EPO
- KP OR Silver 4000 - EPO
- KP Oregon Standard Bronze Plan - EPO
- KP Oregon Standard Gold Plan - EPO
- KP Oregon Standard Silver Plan - EPO
- KP OR Family Dental - $100 Ded - EPO
- KP OR Family Dental - $1000 - EPO
- KP OR Family Dental - $1000/$50 Ded - EPO
- Bronze 4 - HMO
- Bronze 8 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 12 - HMO
- Gold 8 - HMO
- Gold 8 with Rx Copay - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 1 with Rx Copay and Adult Vision Services - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Silver 9 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Justin Diegel 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
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
Physician Visit Costs
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 81004 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $89.43
- Minimum New Patient Price $58.06
- Maximum New Patient Price $174.82
- Average New Patient Copayment $22.35
- Minimum New Patient Copayment $14.51
- Maximum New Patient Copayment $43.7
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $102.03
- Minimum Established Patient Price $18.88
- Maximum Established Patient Price $142.79
- Average Established Patient Copayment $25.5
- Minimum Established Patient Copayment $4.72
- Maximum Established Patient Copayment $35.69
* 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.
Reviews for JUSTIN DIEGEL D.O.
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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 | 4 | 9 | 7 | 1 | 9 | 3 | 7 | 1 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 18 | 7 | 2 | 9 | 6 | 7 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 8 + 7 + 2 + 9 + 6 + 7 + 2 + 24 = 72 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 72 = 8 | 8 | ||||||||
The NPI number 1497193718 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 |
|---|---|---|---|
| 1477580397 | DR. VICTORIA MALLON MD Individual | Family Medicine | 300 COLORADO AVE PUEBLO, CO 81004 (719) 543-8711 |
| 1629102835 | ELIZABETH RICHARDS MSW, LCSW Individual | Social Worker (Clinical) | 300 COLORADO AVE PUEBLO, CO 81004 (719) 543-8711 |
| 1356610901 | JEANETTE GRANT L.C.S.W. Individual | Social Worker (Clinical) | 300 COLORADO AVE PUEBLO, CO 81004 (719) 543-8711 |
| 1013271329 | PUEBLO COMMUNITY HEALTH CENTER Organization | Health Maintenance Organization | 300 COLORADO AVE PUEBLO, CO 81004 (719) 543-8711 |
| 1023054541 | LYNNE M EVETTS NP Individual | Nurse Practitioner | 300 COLORADO AVE PUEBLO, CO 81004 (719) 543-8711 |
| 1548366099 | MS. LOUISE A SPUGNARDI NP Individual | Licensed Practical Nurse | 300 COLORADO AVE PUEBLO, CO 81004 (719) 543-8711 |
| 1447245139 | DR. BRETT L HULET MD Individual | Obstetrics & Gynecology | 300 COLORADO AVE PUEBLO, CO 81004 (719) 543-8711 |
| 1184650525 | DR. JOY J FURMAN DO Individual | Family Medicine | 300 COLORADO AVE PUEBLO, CO 81004 (719) 543-8711 |
| 1265403901 | MRS. LUCINDA DIANE STEGMAN FNP-ACNP Individual | Nurse Practitioner | 300 COLORADO AVE PUEBLO, CO 81004 (719) 543-8711 |
| 1538135561 | STEPHANIE A PARKER D.O. Individual | Family Medicine | 300 COLORADO AVE PUEBLO, CO 81004 (719) 543-8711 |
| 1770529950 | PUEBLO COMMUNITY HEALTH CENTER INC. Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 300 COLORADO AVE PUEBLO, CO 81004 (719) 543-8711 |
| 1134256787 | PATRICIA D QUILLEN RXN,CNM Individual | Advanced Practice Midwife | 300 COLORADO AVE PUEBLO, CO 81004 (719) 543-8711 |
| 1467703850 | ELIZABETH M ELSEY LCSW Individual | Social Worker (Clinical) | 300 COLORADO AVE PUEBLO, CO 81004 (719) 543-8718 |
| 1013926609 | LYNNE PARKER CNM Individual | Midwife | 300 COLORADO AVE PUEBLO, CO 81004 (719) 543-8711 |
| 1700821469 | WENDY H RASO CNM Individual | Advanced Practice Midwife | 300 COLORADO AVE PUEBLO, CO 81004 (719) 543-8711 |
| 1740216878 | DR. RONA K KNUDSEN MD Individual | Family Medicine | 300 COLORADO AVE PUEBLO, CO 81004 (719) 543-8711 |
| 1659308575 | DR. DAVID C KRAUSE MD Individual | Family Medicine | 300 COLORADO AVE PUEBLO, CO 81004 (719) 543-8711 |
| 1073540910 | DR. DANA G RILEY MD Individual | Family Medicine | 300 COLORADO AVE PUEBLO, CO 81004 (719) 543-8711 |
| 1972531713 | CHAD R HESS PA Individual | Physician Assistant | 300 COLORADO AVE PUEBLO, CO 81004 (719) 543-8711 |
| 1275624850 | DR. MICHELE Z PENNINGTON Individual | Family Medicine | 300 COLORADO AVE PUEBLO, CO 81004 (719) 543-8711 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497193718, enumerated in the NPI registry as an "individual" on June 08, 2013
The provider is located at 300 Colorado Ave Pueblo, Co 81004 and the phone number is (719) 543-8711
The provider's speciality is Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: Kaiser Permanente and Molina Healthcare. 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 $89.43 with an average copayment of $22.35 for new patient appointments. Established patients should expect a typical charge of $102.03 and an average copayment of 25.5. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on June 08, 2013. 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].
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