JOHN M JUSTICE M.D.
NPI 1750363776
Internal Medicine - Interventional Cardiology in Fort Dodge, IA
Quality Rating: 27.57 out of 100 score
NPI Status: Active since November 16, 2005
Contact Information
800 KENYON RD
FORT DODGE, IA
ZIP 50501
Phone: (515) 574-6840
Fax: (515) 576-7726
- Individual
- Male
- Internal Medicine
- Interventional Cardiology
- Accepts Insurance
About JOHN JUSTICE
This page provides the complete NPI Profile along with additional information for John Justice, an internist established in Fort Dodge, Iowa with a medical specialization in Internal Medicine, focusing in interventional cardiology . The healthcare provider is registered in the NPI registry with number 1750363776 assigned on November 2005. The practitioner's primary taxonomy code is 207RI0011X with license number MD-33855 (IA). The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1750363776
- Provider Name
- JOHN M JUSTICE M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 800 KENYON RD FORT DODGE, IA 50501
- Location Phone
- (515) 574-6840
- Location Fax
- (515) 576-7726
- Mailing Address
- 800 KENYON RD FORT DODGE, IA 50501
- Mailing Phone
- (515) 574-6840
- Mailing Fax
- (515) 576-7726
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-16-2005
- Last Update Date
- 06-27-2018
- Code Navigator
An internist like John Justice is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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
Internal Medicine Interventional Cardiology
- Taxonomy Code
- 207RI0011X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD-33855
- License State
- IA
- Taxonomy Description
- An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
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) |
---|---|---|---|---|
1 | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | 33855 (IA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze Classic 4700 (Select) - HMO
- Bronze Classic PCP Saver Plus Rx Copay (Select) - HMO
- Bronze Classic Standard (Choice) - HMO
- Bronze Classic Standard (Select) - HMO
- Gold Classic Standard (Choice) - HMO
- Gold Classic Standard (Select) - HMO
- Secure (Choice) - HMO
- Silver Classic Standard (Choice) - HMO
- Silver Classic Standard (Select) - HMO
- Silver Elite Saver Plus Rx Copay (Select) - HMO
- Silver Simple Diabetes (Choice) - HMO
- Silver Simple Diabetes (Select) - HMO
- Silver Simple PCP Saver (Select) - HMO
- Bronze Classic 4700 - EPO
- Bronze Classic 4700 | MercyOne - EPO
- Bronze Classic Standard - EPO
- Bronze Classic Standard | MercyOne - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Bronze Elite + PCP Saver Plus | MercyOne - EPO
- Gold Classic Standard - EPO
- Gold Classic Standard | MercyOne - EPO
- Gold Elite - EPO
- Gold Elite | MercyOne - EPO
- Secure - EPO
- Secure | MercyOne - EPO
- Silver Classic - EPO
- Silver Classic | MercyOne - EPO
- Silver Classic Standard - EPO
- Silver Classic Standard | MercyOne - EPO
- Silver Simple Diabetes - EPO
- Silver Simple Diabetes | MercyOne - EPO
- Silver Simple PCP Saver - EPO
- Silver Simple PCP Saver | MercyOne - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
0223305 | MEDICAID (05) | IA |
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.
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days
Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days
Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days
Follow-up hospital inpatient care per day, typically 25 minutes
Initial hospital inpatient care per day, typically 70 minutes
Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequent
Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; includes: provision of materials for use in the
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
This 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 116 times for 112 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 27 times for 25 patientsThis procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.
This service was performed 84 times for 84 patientsThis procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
This service was performed 64 times for 64 patientsThis procedure involves remotely monitoring your implantable defibrillator system, which can have single, dual, or multiple leads. Over a period of up to 90 days, the system's performance is evaluated to ensure it's working properly and providing the necessary heart rhythm support.
This service was performed 20 times for 20 patientsFollow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
This service was performed 29 times for 18 patientsInitial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
This service was performed 16 times for 16 patientsThis service involves your doctor evaluating your home INR (a blood clotting test) results. It's for patients with a mechanical heart valve, chronic atrial fibrillation, or venous thromboembolism who meet specific criteria. It helps manage your treatment, but tests aren't conducted frequently.
This service was performed 63 times for 38 patientsThis service provides you with the necessary materials and equipment for home INR monitoring. It's for patients with mechanical heart valves, chronic atrial fibrillation, or venous thromboembolism. The materials are for those who meet Medicare's coverage criteria. This enables you to monitor your health at home.
This service was performed 62 times for 37 patientsAn electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
This service was performed 65 times for 59 patientsThis is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
This service was performed 18 times for 18 patientsOverall 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 27.57, 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.
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Final Score: 27.57 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.
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Quality Score: 0
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.
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Promoting Interoperability Score: 0
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: 20
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: 66.92
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: 66.92
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.
Reviews for JOHN M JUSTICE M.D.
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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 | 7 | 5 | 0 | 3 | 6 | 3 | 7 | 7 | 6 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 7 | 10 | 0 | 6 | 6 | 6 | 7 | 14 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 7 + 1 + 0 + 0 + 6 + 6 + 6 + 7 + 1 + 4 + 24 = 64 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 64 = 6 | 6 |
The NPI number 1750363776 is valid because the calculated check digit 6 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 |
---|---|---|---|
1174505762 | CLAY E BEGGERLY M.D. Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 800 KENYON RD FORT DODGE, IA 50501 (515) 574-6840 |
1891771978 | TRIMARK PHYSICIANS GROUP INC Organization | Family Medicine | 800 KENYON RD FORT DODGE, IA 50501 (515) 573-4141 |
1831176536 | TRIMARK PHYSICIANS GROUP INC Organization | Clinical Medical Laboratory | 800 KENYON RD FORT DODGE, IA 50501 (515) 573-4141 |
1659358364 | TRIMARK PHYSICIANS GROUP INC Organization | Durable Medical Equipment & Medical Supplies | 800 KENYON RD FORT DODGE, IA 50501 (515) 573-4141 |
1114999596 | GARY L LEVALLEY MD Individual | Family Medicine | 800 KENYON RD FORT DODGE, IA 50501 (515) 573-4141 |
1467528018 | TRIMARK PHYSICIANS GROUP INC Organization | Nurse Practitioner | 800 KENYON RD FORT DODGE, IA 50501 (515) 573-4141 |
1003184599 | MEGAN RENEE EASTMAN ARNP Individual | Nurse Practitioner | 800 KENYON RD FORT DODGE, IA 50501 (515) 574-6840 |
1861700718 | ANDREA L. OSWALD ARNP Individual | Nurse Practitioner | 800 KENYON RD FORT DODGE, IA 50501 (515) 574-6155 |
1649250275 | DAVID L TAYLOR DO Individual | Family Medicine | 800 KENYON RD FORT DODGE, IA 50501 (515) 574-6800 |
1578534053 | ELIZABETH DAY DO Individual | Internal Medicine (Pulmonary Disease) | 800 KENYON RD FORT DODGE, IA 50501 (515) 574-6845 |
1316919657 | JENNIFER J SCHREIER PAC Individual | Physician Assistant | 800 KENYON RD FORT DODGE, IA 50501 (515) 574-6800 |
1124396387 | TRIMARK PHYSICIANS GROUP Organization | Family Medicine | 800 KENYON RD SUITE S FORT DODGE, IA 50501 (515) 573-4141 |
1013286673 | TRIMARK PHYSICIANS GROUP Organization | Clinical Medical Laboratory | 800 KENYON RD SUITE P FORT DODGE, IA 50501 (515) 574-6079 |
1386084747 | JENNIFER CONDON Individual | Nurse Practitioner (Family) | 800 KENYON RD FORT DODGE, IA 50501 (515) 574-6845 |
1992780365 | ELIZABETH WEBSTER STOEBE D.O. Individual | Family Medicine | 800 KENYON RD FORT DODGE, IA 50501 (515) 890-7105 |
1861800948 | TRIMARK PHYSICIANS GROUP Organization | Clinic/Center (Rural Health) | 800 KENYON RD STE S FORT DODGE, IA 50501 (515) 574-6800 |
1538541362 | UNITYPOINT HEALTH Organization | Clinic/Center | 800 KENYON RD FORT DODGE, IA 50501 (515) 574-8519 |
1336121938 | MARK G BERRY D.O. Individual | Internal Medicine (Cardiovascular Disease) | 800 KENYON RD FORT DODGE, IA 50501 (515) 574-6840 |
1891179826 | BRITTNEY BALIK PA-C Individual | Physician Assistant | 800 KENYON RD SUITE S FORT DODGE, IA 50501 (515) 574-6800 |
1164976437 | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION Organization | Clinical Medical Laboratory | 800 KENYON RD SUITE P FORT DODGE, IA 50501 (515) 574-6079 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750363776, enumerated in the NPI registry as an "individual" on November 16, 2005
The provider is located at 800 Kenyon Rd Fort Dodge, Ia 50501 and the phone number is (515) 574-6840
The provider's speciality is Internal Medicine with taxonomy code 207RI0011X with a focus in Interventional Cardiology
The provider might be accepting Accepts: Oscar Health Plan, Inc., Oscar Insurance Company,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days, Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days, Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days, Follow-up hospital inpatient care per day, typically 25 minutes, Initial hospital inpatient care per day, typically 70 minutes, Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequent, Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; includes: provision of materials for use in the, Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report and Ultrasound of heart with color-depicted blood flow, rate, direction and valve function.
This NPI record was last updated on November 16, 2005. 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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