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JUSTIN QUINLAN DO
NPI 1124558481
Family Medicine in Springfield, MA

Active since June 19, 2017PECOS EnrolledAccepts Medicare Assignment
3400 MAIN ST STE A, SPRINGFIELD, MA 01107(413) 794-9560(413) 794-5884 Get Directions Write a Review

NPPES record last updated: January 2, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 2, 2026, Jan 19, 2023, Jun 19, 2017 (3 updates tracked since 2017).

About Justin Quinlan Do NPPES

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

JUSTIN QUINLAN DO (NPI 1124558481) is an individual family medicine provider in Springfield, Massachusetts, licensed in Massachusetts (1013731) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Maine General Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1124558481
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJUSTIN QUINLANCredential: DO
Location Address3400 MAIN ST STE ASpringfield, MA 01107-1113
Mailing Address280 Chestnut St Fl 2Springfield, MA 01199-1001 · (413) 794-5700
Phone(413) 794-9560
Fax(413) 794-5884
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 19, 2017
Last NPPES UpdateJanuary 2, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2026
✔ NPI 1124558481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MA · 1013731✔ Licensed in ME · TP17053
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3400 MAIN ST STE A, Springfield, MA 01107
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.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

Justin Quinlan Do 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 ID3375816424
PECOS Enrollment IDI20221228001527
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

5

Medicare enrollment records show Justin Quinlan reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baystate Medical Practices, Inc
0.4 mi
Emergency Medical Services
759 CHESTNUT ST
Springfield, MA 01199
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,537 clinicians in this Medicare group
NPI 1548205909 (413) 794-5700
Berkshire Medical Center, Inc
40 mi
General Acute Care Hospital
725 NORTH ST
Pittsfield, MA 01201
  • Reassigned Medicare billing, Massachusetts enrollment
  • 394 clinicians in this Medicare group
NPI 1295765261 (413) 447-2000
North Adams Regional Hospital Corporation
48 mi
Critical Access
71 HOSPITAL AVE
North Adams, MA 01247
  • Reassigned Medicare billing, Massachusetts enrollment
  • Also billed through NPI 1437839669 (Massachusetts)
  • 153 clinicians in this Medicare group
NPI 1316727761 (413) 664-5000
Central Maine Medical Center
183 mi
General Acute Care Hospital
300 MAIN ST
Lewiston, ME 04240
  • Reassigned Medicare billing, Maine enrollment
  • 920 clinicians in this Medicare group
NPI 1689653487 (207) 795-5646
Mainegeneral Medical Center
210 mi
General Acute Care Hospital
35 MEDICAL CENTER PARKWAY
Augusta, ME 04330
  • Reassigned Medicare billing, Maine enrollment
  • 978 clinicians in this Medicare group
NPI 1083949184 (207) 872-4454

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 8

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.
368 services233 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.
113 services69 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.
108 services108 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.
49 services34 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
15 services15 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Maine General Medical Center

Acute Care Hospitals · Augusta, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number200039
Location35 Medical Center ParkwayAugusta, ME 04330 · Kennebec County
Emergency services Birthing friendly

Cooley Dickinson Hospital Inc,the

Acute Care Hospitals · Northampton, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220015
Location30 Locust StreetNorthampton, MA 01060 · Hampshire County
Emergency services Birthing friendly

Baystate Franklin Medical Center

Acute Care Hospitals · Greenfield, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220016
Location164 High StreetGreenfield, MA 01301 · Franklin County
Emergency services Birthing friendly

Baystate Medical Center

Acute Care Hospitals · Springfield, MA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220077
Location759 Chestnut StreetSpringfield, MA 01199 · Hampden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01107 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers22 claims57 services$5.46 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each A4414
DME-Orthotic Devices · category DF010N
1 supplier11 claims220 services$4.75 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$2.61 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 9

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

AGNIESZKA NICORA MD
Emergency Medicine
3400 MAIN ST STE A
SPRINGFIELD, MA 01107
Hampden County (413) 794-9560
MRS. ELIZABETH PECOY-WHITCOMB P.A.
Physician Assistant (Medical)
3400 MAIN ST STE A
SPRINGFIELD, MA 01107
Hampden County (413) 794-9560
JULIE A SAYRE M.D.
Family Medicine
3400 MAIN ST STE A
SPRINGFIELD, MA 01107
Hampden County (413) 794-9560
MELISSA JEAN LABONTE NP
Nurse Practitioner (Family)
3400 MAIN ST STE A
SPRINGFIELD, MA 01107
Hampden County (413) 794-9560
DANIELLE MARIE GOULD NP
Nurse Practitioner (Family)
3400 MAIN ST STE A
SPRINGFIELD, MA 01107
Hampden County (413) 794-9560
SCOTT D RUBIN PA
Physician Assistant (Medical)
3400 MAIN ST STE A
SPRINGFIELD, MA 01107
Hampden County (413) 794-9560
MISS KINSEY REA HARTONG-REDDEN NP
Nurse Practitioner (Family)
3400 MAIN ST STE A
SPRINGFIELD, MA 01107
Hampden County (413) 794-9560
CHELSEA E ROBITAILLE PA
Physician Assistant (Medical)
3400 MAIN ST STE A
SPRINGFIELD, MA 01107
Hampden County (413) 794-9560

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 Quinlan's NPI number?

The NPI number for Justin Quinlan is 1124558481. It was assigned to this individual provider in the NPPES registry on June 19, 2017.

Where is Justin Quinlan located?

Justin Quinlan practices at 3400 Main St Ste A, Springfield, MA 01107. The listed phone number is (413) 794-9560.

What is Justin Quinlan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Justin Quinlan enrolled in Medicare?

Yes. Justin Quinlan 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 Quinlan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Quinlan reassigns Medicare benefits to 5 organizations: Baystate Medical Practices, Inc (Springfield, MA), Berkshire Medical Center, Inc (Pittsfield, MA), North Adams Regional Hospital Corporation (North Adams, MA), Central Maine Medical Center (Lewiston, ME) and Mainegeneral Medical Center (Augusta, ME). 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 Quinlan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Quinlan accept?

Health plans from Taro Health list Justin Quinlan 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 Quinlan affiliated with any hospitals?

According to CMS data, Justin Quinlan is affiliated with Maine General Medical Center, Cooley Dickinson Hospital Inc,the, Baystate Franklin Medical Center and Baystate Medical Center.

When was this NPI record last updated?

The NPPES record for Justin Quinlan was last updated on January 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.