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DR. JUSTIN ANDRE NALAGAN M.D.
NPI 1033402383
Hospitalist in Oklahoma City, OK

Active since May 19, 2011PECOS EnrolledAccepts Medicare Assignment
4401 S WESTERN AVE, OKLAHOMA CITY, OK 73109(405) 713-7403(405) 713-2794 Get Directions Write a Review

NPPES record last updated: July 31, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 31, 2019, Jan 15, 2018 (2 updates tracked since 2018).

About Dr. Justin Andre Nalagan M.d. NPPES

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

DR. JUSTIN ANDRE NALAGAN M.D. (NPI 1033402383) is an individual hospitalist provider in Oklahoma City, Oklahoma, licensed in Oklahoma (33274) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Alliancehealth Woodward, and is a graduate of University Of Oklahoma College Of Medicine (2011).

NPPES Registry Identity

NPI1033402383
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. JUSTIN ANDRE NALAGANCredential: M.D.
Location Address4401 S WESTERN AVEOklahoma City, OK 73109-3413
Mailing Address5300 N Independence Ave Ste 280Oklahoma City, OK 73112-5555 · (405) 713-7403 · Fax (405) 713-2794
Phone(405) 713-7403
Fax(405) 713-2794
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2011
Enumeration DateMay 19, 2011
Last NPPES UpdateJuly 31, 20192 updates tracked since enumeration
✔ NPI 1033402383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in OK · 33274
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
4401 S WESTERN AVE, Oklahoma City, OK 73109
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health.Insurance ›

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

Dr. Justin Andre Nalagan 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 ID9830450345
PECOS Enrollment IDI20180226000908
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 4

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial 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.
355 services348 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
70 services67 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
18 services18 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
17 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Alliancehealth Woodward

Acute Care Hospitals · Woodward, OK
2/5 CMS rating
OwnershipProprietary
CMS Certification Number370002
Location900 17th StreetWoodward, OK 73801 · Woodward County
Emergency services

Integris Baptist Medical Center, Inc

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370028
Location3300 Northwest ExpresswayOklahoma City, OK 73112 · Oklahoma County
Emergency services Birthing friendly

Ssm Health St Anthony Hospital - Midwest

Acute Care Hospitals · Midwest City, OK
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370094
Location2825 Parklawn DriveMidwest City, OK 73110 · Oklahoma County
Emergency services

Integris Southwest Medical Center

Acute Care Hospitals · Oklahoma City, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370106
Location4401 South Western AvenueOklahoma City, OK 73109 · Oklahoma County
Emergency services Birthing friendly

Integris Community Hospital - Council Crossing

Acute Care Hospitals · Oklahoma City, OK
OwnershipProprietary
CMS Certification Number370240
Location9417 N Council RoadOklahoma City, OK 73162 · Oklahoma County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73109 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
Most-billed visit code 99214
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%129 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

DR. HUNTER DALE COOK D.O
Emergency Medicine
4401 S WESTERN AVE
OKLAHOMA CITY, OK 73109
Oklahoma County (405) 636-7709
MARCIA R PALMER PA
Physician Assistant
4401 S WESTERN AVE
OKLAHOMA CITY, OK 73109
Oklahoma County (405) 713-4740
DR. DAVID BRENNAN DO
Emergency Medicine
4401 S WESTERN AVE
OKLAHOMA CITY, OK 73109
Oklahoma County (405) 636-7000
DR. LAUREN L. FITZGERALD MD
Anesthesiology
4401 S WESTERN AVE
OKLAHOMA CITY, OK 73109
Oklahoma County (918) 392-2944
MS. JILL DIMOND MOORE MS, C.C.C.
Speech-Language Pathologist
4401 S WESTERN AVE, DEPT. 2004215
OKLAHOMA CITY, OK 73109
Oklahoma County (405) 636-7131
DAVID ALEXANDER ORBAN DO
Emergency Medicine
4401 S WESTERN AVE
OKLAHOMA CITY, OK 73109
Oklahoma County (405) 636-7000
MATTHEW RAY WHITTAKER DO
Emergency Medicine
4401 S WESTERN AVE
OKLAHOMA CITY, OK 73109
Oklahoma County (405) 636-7195
DR. OBIAGELI LYNDA OFFOR MD
Internal Medicine
4401 S WESTERN AVE
OKLAHOMA CITY, OK 73109
Oklahoma County (405) 636-7000

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 Nalagan's NPI number?

The NPI number for Justin Nalagan is 1033402383. It was assigned to this individual provider in the NPPES registry on May 19, 2011.

Where is Justin Nalagan located?

Justin Nalagan practices at 4401 S Western Ave, Oklahoma City, OK 73109. The listed phone number is (405) 713-7403.

What is Justin Nalagan's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Justin Nalagan enrolled in Medicare?

Yes. Justin Nalagan 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.

What insurance does Justin Nalagan accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica and Mending Health list Justin Nalagan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Justin Nalagan affiliated with any hospitals?

According to CMS data, Justin Nalagan is affiliated with Alliancehealth Woodward, Integris Baptist Medical Center, Inc, Ssm Health St Anthony Hospital - Midwest, Integris Southwest Medical Center and Integris Community Hospital - Council Crossing.

When was this NPI record last updated?

The NPPES record for Justin Nalagan was last updated on July 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.