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JUSTIN COLIN SOMERVILLE M.D.
NPI 1023016672
Colon & Rectal Surgery in Columbia, MD

Active since July 08, 2005PECOS EnrolledAccepts Medicare Assignment
86.79/100
CMS Quality Rating
10700 CHARTER DR STE 200, COLUMBIA, MD 21044(410) 695-9950(410) 695-9953 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 24, 2023, Apr 26, 2018 (2 updates tracked since 2018).

About Justin Colin Somerville M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTIN COLIN SOMERVILLE M.D. (NPI 1023016672) is an individual colon & rectal surgery provider in Columbia, Maryland, licensed in Maryland (D0062808) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Saint Agnes Hospital, and is a graduate of University Of Maryland School Of Medicine (1999).

NPPES Registry Identity

NPI1023016672
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameJUSTIN COLIN SOMERVILLECredential: M.D.
Location Address10700 CHARTER DR STE 200Columbia, MD 21044-3629
Mailing Address10700 Charter Dr Ste 200Columbia, MD 21044-3629 · (410) 695-9950 · Fax (410) 695-9953
Phone(410) 695-9950
Fax(410) 695-9953
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1999
Enumeration DateJuly 8, 2005
Last NPPES UpdateJuly 24, 20232 updates tracked since enumeration
NPPES CertifiedJuly 24, 2023
✔ NPI 1023016672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in MD · D0062808
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
10700 CHARTER DR STE 200, Columbia, MD 21044
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Justin Colin Somerville M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749224178
PECOS Enrollment IDI20050615001108
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
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.
61 services56 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
47 services31 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
40 services40 patients
Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
33 services33 patients
Removal of external hemorrhoids by rubber banding 46221
Rubber band ligation is a procedure used to treat external hemorrhoids. A doctor places small rubber bands around the base of the hemorrhoids. This cuts off blood supply, causing them to shrink and fall off, typically within a week.
32 services19 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This 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.
30 services25 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Agnes Hospital

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number210011
Location900 Caton AvenueBaltimore, MD 21229 · Baltimore City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21044 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.46
Promoting Interoperability97
Improvement Activities40
Cost72

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each A4414
DME-Orthotic Devices · category DF010N
2 suppliers17 claims260 services$4.01 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
3 suppliers16 claims540 services$3.38 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
4 suppliers14 claims1,050 services$0.23 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
3 suppliers11 claims600 services$0.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SEAN THOMAS GLOTH MD
Internal Medicine (Cardiovascular Disease)
10700 CHARTER DR STE 200
COLUMBIA, MD 21044
Howard County (410) 715-0108
DR. SOPHIE WILLIHNGANZ DPT
Physical Therapist
10700 CHARTER DR STE 200
COLUMBIA, MD 21044
Howard County (410) 583-2665
SOMERVILLE SURGICAL, LLC
Colon & Rectal Surgery
10700 CHARTER DR STE 200
COLUMBIA, MD 21044
Howard County (410) 446-7431
SINAI HOSPITAL OF BALTIMORE, INC.
Surgery
10700 CHARTER DR STE 200
COLUMBIA, MD 21044
Howard County (410) 601-5524

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Somerville's NPI number?

The NPI number for Justin Somerville is 1023016672. It was assigned to this individual provider in the NPPES registry on July 8, 2005.

Where is Justin Somerville located?

Justin Somerville practices at 10700 Charter Dr Ste 200, Columbia, MD 21044. The listed phone number is (410) 695-9950.

What is Justin Somerville's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Justin Somerville enrolled in Medicare?

Yes. Justin Somerville is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Justin Somerville affiliated with any hospitals?

According to CMS data, Justin Somerville is affiliated with Saint Agnes Hospital.

When was this NPI record last updated?

The NPPES record for Justin Somerville was last updated on July 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.