CARLA FRANCESCA JUSTINIANO M.D.
NPI 1073930517
Colon & Rectal Surgery in Cincinnati, OH
About Carla Francesca Justiniano M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLA FRANCESCA JUSTINIANO M.D. (NPI 1073930517) is an individual colon & rectal surgery provider in Cincinnati, Ohio, licensed in Ohio (35.144741) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, is affiliated with University Of Cincinnati Medical Center, Llc, and is a graduate of Ohio State University College Of Medicine (2014).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Carla Francesca Justiniano 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.
Medicare Billing Reassignment
Medicare enrollment records show Carla Justiniano reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cincinnati, OH 45219
- Reassigned Medicare billing, Ohio enrollment
- 2,038 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Cincinnati Medical Center, LLC
Acute Care Hospitals · Cincinnati, OHChrist Hospital
Acute Care Hospitals · Cincinnati, OHWest Chester Hospital
Acute Care Hospitals · West Chester, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45219 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
CINCINNATI, OH 45219
CINCINNATI, OH 45219
CINCINNATI, OH 45219
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 Carla Justiniano's NPI number?
The NPI number for Carla Justiniano is 1073930517. It was assigned to this individual provider in the NPPES registry on March 22, 2014.
Where is Carla Justiniano located?
Carla Justiniano practices at 222 Piedmont Ave, Cincinnati, OH 45219. The listed phone number is (513) 929-0104.
What is Carla Justiniano's specialty?
The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.
Is Carla Justiniano enrolled in Medicare?
Yes. Carla Justiniano 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.
Which organization bills Medicare for Carla Justiniano's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carla Justiniano reassigns Medicare benefits to University Of Cincinnati Physicians Company, LLC (Cincinnati, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carla Justiniano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carla Justiniano accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance list Carla Justiniano 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 Carla Justiniano affiliated with any hospitals?
According to CMS data, Carla Justiniano is affiliated with University Of Cincinnati Medical Center, LLC, Christ Hospital and West Chester Hospital.
When was this NPI record last updated?
The NPPES record for Carla Justiniano was last updated on March 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Carla Francesca Justiniano, M.D. · NPI 1073930517
Colon & Rectal Surgery physician in Cincinnati, Ohio. Individual provider, active in the CMS NPPES registry since March 22, 2014.
## Identity
- **NPI:** 1073930517 (Entity type: Individual)
- **Enumerated:** March 22, 2014
- **Primary specialty:** Colon & Rectal Surgery · taxonomy 208C00000X
- **State license:** 35.144741 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 222 PIEDMONT AVE, Cincinnati, OH 45219-4231
- **Phone:** (513) 929-0104 · **Fax:** (513) 929-4369
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Of Cincinnati Physicians Company, LLC (NPI 1801840434, Cincinnati, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Ohio State University College Of Medicine, class of 2014
## Record status
- **NPPES last updated:** March 23, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1073930517) · Data from the CMS NPPES public registry.