DR. JUSTIN EDWARD LEWIS MD
NPI 1053816173
Internal Medicine in Gainesville, FL

Active since March 29, 2018PECOS EnrolledAccepts Medicare Assignment
69.85/100
CMS Quality Rating
1600 SW ARCHER RD STE 4102, GAINESVILLE, FL 32610(352) 265-0239(352) 265-1107 Get Directions Write a Review

NPPES record last updated: June 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 8, 2021, Mar 29, 2018 (2 updates tracked since 2018).

About Dr. Justin Edward Lewis Md NPPES

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

DR. JUSTIN EDWARD LEWIS MD (NPI 1053816173) is an individual internal medicine provider in Gainesville, Florida, licensed in South Carolina (85803) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Anmed Health, and maintains a secondary practice location in Anderson.

NPPES Registry Identity

NPI1053816173
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JUSTIN EDWARD LEWISCredential: MD
Location Address1600 SW ARCHER RD STE 4102Gainesville, FL 32610-3003
Mailing Address4175 Nw 50th Ter Apt 3202Gainesville, FL 32606-0007
Fax(352) 265-1107
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2018
Enumeration DateMarch 29, 2018
Last NPPES UpdateJune 8, 20212 updates tracked since enumeration
NPPES CertifiedJune 8, 2021
NPI 1053816173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in SC · 85803
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1600 SW ARCHER RD STE 4102, Gainesville, FL 32610

Secondary Practice Location 1

Location 1800 N Fant StAnderson, SC 29621 · Phone (864) 512-1000

Accepted 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 Edward Lewis Md 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 ID9739423393
PECOS Enrollment IDI20210709002313
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-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.
268 services126 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.
253 services136 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.
103 services102 patients
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.
44 services43 patients

Hospital Affiliations CMS Care Compare

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

Anmed Health

Acute Care Hospitals · Anderson, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420027
Location800 N Fant StAnderson, SC 29621 · Anderson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32610 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

69.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.55
Cost68.12

Referred Medical Equipment & Supplies CMS DME claims

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier14 claims14 services$4.15 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 20

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

Internal Medicine
1600 SW ARCHER RD STE 4102
GAINESVILLE, FL 32610
Student in an Organized Health Care Education/Training Program
1600 SW ARCHER RD STE 4102
GAINESVILLE, FL 32610
Student in an Organized Health Care Education/Training Program
1600 SW ARCHER RD STE 4102
GAINESVILLE, FL 32610
Radiology (Radiation Oncology)
1600 SW ARCHER RD STE 4102
GAINESVILLE, FL 32610
Physician Assistant
1600 SW ARCHER RD STE 4102
GAINESVILLE, FL 32610
Student in an Organized Health Care Education/Training Program
1600 SW ARCHER RD STE 4102
GAINESVILLE, FL 32610
Student in an Organized Health Care Education/Training Program
1600 SW ARCHER RD STE 4102
GAINESVILLE, FL 32610
Student in an Organized Health Care Education/Training Program
1600 SW ARCHER RD STE 4102
GAINESVILLE, FL 32610

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 Lewis's NPI number?

The NPI number for Justin Lewis is 1053816173. It was assigned to this individual provider in the NPPES registry on March 29, 2018.

Where is Justin Lewis located?

Justin Lewis practices at 1600 SW Archer Rd Ste 4102, Gainesville, FL 32610. The listed phone number is (352) 265-0239.

What is Justin Lewis's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Justin Lewis enrolled in Medicare?

Yes. Justin Lewis 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 Lewis accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and First Choice Next list Justin Lewis 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 Lewis affiliated with any hospitals?

According to CMS data, Justin Lewis is affiliated with Anmed Health.

When was this NPI record last updated?

The NPPES record for Justin Lewis was last updated on June 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.