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DR. JUSTIN P COLANESE MD
NPI 1104115542
Orthopaedic Surgery in Crown Point, IN

Active since April 06, 2011PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
12800 MISSISSIPPI PKWY STE A201, CROWN POINT, IN 46307(219) 921-1444(219) 921-5303 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Mar 22, 2021, Aug 29, 2019 and 2 more (5 updates tracked since 2016).

About Dr. Justin P Colanese Md NPPES

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

DR. JUSTIN P COLANESE MD (NPI 1104115542) is an individual orthopaedic surgery provider in Crown Point, Indiana, licensed in Indiana (01082195A) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center Inc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104115542
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. JUSTIN P COLANESECredential: MD
Location Address12800 MISSISSIPPI PKWY STE A201Crown Point, IN 46307-6902
Mailing Address601 Gateway Blvd NChesterton, IN 46304-9658 · (219) 921-1444 · Fax (219) 921-5303
Phone(219) 921-1444
Fax(219) 921-5303
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2011
Enumeration DateApril 6, 2011
Last NPPES UpdateJuly 21, 20225 updates tracked since enumeration
NPPES CertifiedMarch 22, 2021
✔ NPI 1104115542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in IN · 01082195A
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Foot and Ankle SurgeryTaxonomy 207XX0004X · License 036143827 (IL)
12800 MISSISSIPPI PKWY STE A201, Crown Point, IN 46307
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Secondary Practice Locations 2

Location 1833 W Lincoln Hwy Ste 110Schererville, IN 46375-1674 · Phone (219) 921-1444 · Fax (219) 921-5303
Location 24700 Memorial Dr Ste 340Belleville, IL 62226-5373 · Phone (618) 234-9884 · Fax (618) 235-9020

Other Identifiers 1

Medicaid300029845IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 P Colanese 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 ID7214238468
PECOS Enrollment IDI20190923003210
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 Reassignment

Medicare enrollment records show Justin Colanese reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lakeshore Bone & Joint Institute, PC
2.4 mi
Specialist
500 E 109TH AVE
Crown Point, IN 46307
  • Reassigned Medicare billing, Indiana enrollment
  • 84 clinicians in this Medicare group
NPI 1386818078 (219) 921-1444

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 21

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
916 services135 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.
435 services294 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
259 services140 patients
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose J7321
Hyaluronan or derivatives like Hyalgan, Supartz, or Visco-3, are used in intra-articular injections for joint pain relief. They help by improving joint lubrication, reducing inflammation, and promoting tissue healing. Each dose is administered directly into the joint space.
123 services25 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.
120 services119 patients
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.
96 services74 patients

Hospital Affiliations CMS Care Compare 5

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

St Mary Medical Center Inc

Acute Care Hospitals · Hobart, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150034
Location1500 S Lake Park AveHobart, IN 46342 · Lake County
Emergency services Birthing friendly

Community Hospital

Acute Care Hospitals · Munster, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150125
Location901 Macarthur BlvdMunster, IN 46321 · Lake County
Emergency services Birthing friendly

Franciscan Health Crown Point

Acute Care Hospitals · Crown Point, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150126
Location12750 Saint Francis DriveCrown Point, IN 46307 · Lake County
Emergency services Birthing friendly

Franciscan Health Munster

Acute Care Hospitals · Munster, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150165
Location701 Superior AveMunster, IN 46321 · Lake County
Emergency services Birthing friendly

Franciscan Health Rensselaer, Inc

Critical Access Hospitals · Rensselaer, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number151324
Location1104 E Grace StRensselaer, IN 47978 · Jasper County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46307 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
1 supplier12 claims12 services$30.57 avg. paid by Medicare
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
1 supplier17 claims17 services$215.95 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by K May 29, 2025

5/5
Dr Colanese is a professional kind and very knowledgeable surgeon, I have worked in a rehabilitation facility for many years. My experience and recovery with the 1st hip replacement was the best I have ever experienced. The way he does it as far as giving me time for the trauma and swelling to go down a bit made a huge impact on my healing. I did not need any walking aid after 7 days.
Provider 5/5 Office Staff 3/5
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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 Colanese's NPI number?

The NPI number for Justin Colanese is 1104115542. It was assigned to this individual provider in the NPPES registry on April 6, 2011.

Where is Justin Colanese located?

Justin Colanese practices at 12800 Mississippi Pkwy Ste A201, Crown Point, IN 46307. The listed phone number is (219) 921-1444.

What is Justin Colanese's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Justin Colanese enrolled in Medicare?

Yes. Justin Colanese 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 Justin Colanese's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Colanese reassigns Medicare benefits to Lakeshore Bone & Joint Institute, PC (Crown Point, IN). 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 Justin Colanese's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Colanese accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Justin Colanese 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 Colanese affiliated with any hospitals?

According to CMS data, Justin Colanese is affiliated with St Mary Medical Center Inc, Community Hospital, Franciscan Health Crown Point, Franciscan Health Munster and Franciscan Health Rensselaer, Inc.

When was this NPI record last updated?

The NPPES record for Justin Colanese was last updated on July 21, 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.