DR. JUSTIN MYLES STARK D.O.
NPI 1093087579
Internal Medicine in Orange Park, FL

Q: What is Justin Stark's NPI number?

The NPI number for Justin Stark is 1093087579. It was assigned to this individual provider in the NPPES registry on January 31, 2012.

Q: What is Justin Stark's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Justin Stark was last updated on August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.

Active since January 31, 2012PECOS EnrolledAccepts Medicare Assignment

91.62/100

CMS Quality Rating

2300 PARK AVE STE 200, ORANGE PARK, FL 32073(904) 269-2900(904) 269-1140 Get Directions Write a Review

NPPES record last updated: August 28, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 28, 2026, Dec 2, 2025, Feb 8, 2017 and 1 more (4 updates tracked since 2016).

On this page

About Dr. Justin Myles Stark D.o. NPPES

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

DR. JUSTIN MYLES STARK D.O. (NPI 1093087579) is an individual internal medicine provider in Orange Park, Florida, licensed in Florida (OS19751) and active in the NPI registry since January 2012. He is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent's Riverside, and is a graduate of West Virginia School Of Osteopathic Medicine (2012).

NPPES Registry Identity

NPI1093087579

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. JUSTIN MYLES STARKCredential: D.O.

Location Address2300 PARK AVE STE 200Orange Park, FL 32073-5574

Mailing Address2300 Park Ave Ste 200Orange Park, FL 32073-5574 · (904) 269-2900 · Fax (904) 269-1140

Phone(904) 269-2900

Fax(904) 269-1140

Sole ProprietorNo

Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2012

Enumeration DateJanuary 31, 2012

Last NPPES UpdateAugust 28, 20264 updates tracked since enumeration

NPPES CertifiedAugust 28, 2026

✔ NPI 1093087579 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 FL · OS19751

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.

Also ListedHospitalistTaxonomy 208M00000X · License OS19751 (FL)

2300 PARK AVE STE 200, Orange Park, FL 32073

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, AvMed and more.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

Dr. Justin Myles Stark D.o. 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 ID8729217336

PECOS Enrollment IDI20230711002230

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.

Medicare Billing Reassignments

Medicare enrollment records show Justin Stark reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baptist Primary Care Inc

1.1 mi

Family Medicine

1008 PARK AVE STE A
Orange Park, FL 32073

Reassigned Medicare billing, Florida enrollment
569 clinicians in this Medicare group

NPI 1841471828 (904) 264-9293

Hni Medical Services Of Florida, LLC

11 mi

Internal Medicine

1 SHIRCLIFF WAY
Jacksonville, FL 32204

Reassigned Medicare billing, Florida enrollment
492 clinicians in this Medicare group

NPI 1679048284 (512) 730-3060

St Vincents Ambulatory Care Inc

11 mi

Neurological Surgery

2 SHIRCLIFF WAY, SUITE 600
Jacksonville, FL 32204

Reassigned Medicare billing, Florida enrollment
Medicare enrollment name: St Vincent's Ambulatory Care Inc
544 clinicians in this Medicare group

NPI 1417987124 (904) 308-6769

Hni Hospital Services Of Florida, LLC

236 mi

Critical Care Medicine

615 N BONITA AVE
Panama City, FL 32401

Reassigned Medicare billing, Florida enrollment
281 clinicians in this Medicare group

NPI 1144851411 (440) 572-5000

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 19

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 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.

835 services363 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

517 services321 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

240 services240 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.

121 services88 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

109 services109 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

108 services108 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An 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.

97 services96 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

79 services72 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

68 services67 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

65 services54 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

65 services64 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

60 services15 patients

Face-to-face behavioral counseling for obesity, 15 minutes G0447

This is a 15-minute consultation where a healthcare professional discusses your eating habits, physical activity, and goals to help manage your weight. The aim is to provide personalized strategies to promote a healthier lifestyle and combat obesity.

54 services28 patients

Urine microalbumin (protein) analysis 82044

Urine microalbumin analysis is a test that measures the amount of a protein called albumin in your urine. This protein is usually present in very small amounts, but higher levels can indicate kidney issues. The test is non-invasive and involves a simple urine sample.

41 services40 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

40 services40 patients

Removal of impacted ear wax by washing 69209

Impacted ear wax removal by washing, also known as ear irrigation, involves using a pressurized flow of water to break up and dislodge the ear wax. This safe procedure helps restore normal hearing and relieve discomfort caused by the blockage.

37 services34 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

25 services12 patients

Smoking and tobacco use intensive counseling, 4-10 minutes 99406

This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.

14 services11 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Ascension St Vincent's Riverside

Acute Care Hospitals · Jacksonville, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100040

Location1 Shircliff WayJacksonville, FL 32204 · Duval County

Emergency services

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100088

Location800 Prudential DrJacksonville, FL 32207 · Duval County

Emergency services Birthing friendly

Baptist Medical Center Beaches

Acute Care Hospitals · Jacksonville Beach, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100117

Location1350 13th Ave SJacksonville Beach, FL 32250 · Duval County

Emergency services Birthing friendly

Ascension St Vincent's Southside

Acute Care Hospitals · Jacksonville, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100307

Location4201 Belfort RdJacksonville, FL 32216 · Duval County

Emergency services Birthing friendly

Ascension St Vincent's Clay County

Acute Care Hospitals · Middleburg, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100321

Location1670 St Vincents WayMiddleburg, FL 32068 · Clay County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32073 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.

91.62/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

77.61

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 2

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

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

1 supplier13 claims374 services$4.98 avg. paid by Medicare

Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4149

Other-Enteral and Parenteral · category OB006N

1 supplier13 claims6,448 services$0.89 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 3

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

BARBARA LEIGH CRUIKSHANK MD

Family Medicine

2300 PARK AVE STE 200
ORANGE PARK, FL 32073

Clay County (904) 269-2900

KATHRYN NANNETTE CANNON

Physician Assistant

2300 PARK AVE STE 200
ORANGE PARK, FL 32073

Clay County (904) 296-2900

JESSICA BOWDEN

Psychologist (Clinical)

2300 PARK AVE STE 200
ORANGE PARK, FL 32073

Clay County (904) 308-3751

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 Stark's NPI number?

The NPI number for Justin Stark is 1093087579. It was assigned to this individual provider in the NPPES registry on January 31, 2012.

Where is Justin Stark located?

Justin Stark practices at 2300 Park Ave Ste 200, Orange Park, FL 32073. The listed phone number is (904) 269-2900.

What is Justin Stark's specialty?

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

Is Justin Stark enrolled in Medicare?

Yes. Justin Stark 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 organizations bill Medicare for Justin Stark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Stark reassigns Medicare benefits to 4 organizations: Baptist Primary Care Inc (Orange Park, FL), Hni Medical Services Of Florida, LLC (Jacksonville, FL), St Vincents Ambulatory Care Inc (Jacksonville, FL) and Hni Hospital Services Of Florida, LLC (Panama City, FL). Each 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 Justin Stark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Stark accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, AvMed, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 4 other insurers list Justin Stark 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 Stark affiliated with any hospitals?

According to CMS data, Justin Stark is affiliated with Ascension St Vincent's Riverside, Baptist Health Medical Center - Jacksonville, Baptist Medical Center Beaches, Ascension St Vincent's Southside and Ascension St Vincent's Clay County.

When was this NPI record last updated?

The NPPES record for Justin Stark was last updated on August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.