JUDSON PAYNE GARBARINO M.D.
NPI 1154388395
Emergency Medicine - Sports Medicine in Asheville, NC

Active since May 01, 2006PECOS EnrolledAccepts Medicare Assignment
88.4/100
CMS Quality Rating
129 MCDOWELL ST, ASHEVILLE, NC 28801(828) 258-8800(828) 258-0434 Get Directions Write a Review

NPPES record last updated: February 18, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Judson Payne Garbarino M.d. NPPES

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

JUDSON PAYNE GARBARINO M.D. (NPI 1154388395) is an individual sports medicine provider in Asheville, North Carolina, licensed in North Carolina (2006-00558) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Mission Hospital And Asheville Surgery Ce, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2002).

NPPES Registry Identity

NPI1154388395
Entity TypeIndividualMale
Primary Taxonomy207PS0010X
Provider Legal NameJUDSON PAYNE GARBARINOCredential: M.D.
Location Address129 MCDOWELL STAsheville, NC 28801-4434
Mailing Address129 Mcdowell StAsheville, NC 28801-4434 · (828) 258-8800 · Fax (828) 258-0434
Fax(828) 258-0434
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2002
Enumeration DateMay 1, 2006
Last NPPES UpdateFebruary 18, 2016
NPI 1154388395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207PS0010X
License Licensed in NC · 2006-00558
Definition
An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 35085232 (OH)
129 MCDOWELL ST, Asheville, NC 28801

Other Identifiers 5

Medicare PIN2061557NC
Medicare UPINI31234
Medicaid5906575NC
Medicaid2571579OH
Medicare ID-Type UnspecifiedGA4160121

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

Judson Payne Garbarino 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.

PECOS PAC ID8628013398
PECOS Enrollment IDI20070308000681, I20110513000268
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 31

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.
2,653 services453 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.
653 services498 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.
505 services384 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.
431 services380 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.
308 services308 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
271 services243 patients

Hospital Affiliations CMS Care Compare 3

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

Memorial Mission Hospital And Asheville Surgery Ce

Acute Care Hospitals · Asheville, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340002
Location509 Biltmore AveAsheville, NC 28801 · Buncombe County
Emergency services Birthing friendly

Margaret R Pardee Memorial Hospital

Acute Care Hospitals · Hendersonville, NC
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340017
Location800 N Justice StHendersonville, NC 28791 · Henderson County
Emergency services Birthing friendly

Adventhealth Hendersonville

Acute Care Hospitals · Hendersonville, NC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340023
Location100 Hospital DriveHendersonville, NC 28792 · Henderson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28801 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

88.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.91
Promoting Interoperability99
Improvement Activities40
Cost67.25

Reported Quality Measures

e-Prescribing
99%574 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
78%2,274 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment L1820
DME-Orthotic Devices · category DF011N
2 suppliers26 claims26 services$97.75 avg. paid by Medicare
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf L1902
DME-Orthotic Devices · category DF003N
2 suppliers26 claims26 services$57.07 avg. paid by Medicare
Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf L3660
DME-Orthotic Devices · category DF000N
2 suppliers12 claims12 services$78.38 avg. paid by Medicare
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
2 suppliers17 claims18 services$43.29 avg. paid by Medicare
Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf L4387
DME-Orthotic Devices · category DF000N
2 suppliers32 claims32 services$120.72 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.

Physician Assistant
129 MCDOWELL ST
ASHEVILLE, NC 28801
Physician Assistant
129 MCDOWELL ST
ASHEVILLE, NC 28801
Family Medicine (Sports Medicine)
129 MCDOWELL ST
ASHEVILLE, NC 28801
Nurse Practitioner
129 MCDOWELL ST
ASHEVILLE, NC 28801
Physician Assistant
129 MCDOWELL ST
ASHEVILLE, NC 28801
Physician Assistant
129 MCDOWELL ST
ASHEVILLE, NC 28801
Family Medicine (Sports Medicine)
129 MCDOWELL ST
ASHEVILLE, NC 28801
Physical Therapist (Electrophysiology, Clinical)
129 MCDOWELL ST
ASHEVILLE, NC 28801

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 Judson Garbarino's NPI number?

The NPI number for Judson Garbarino is 1154388395. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Where is Judson Garbarino located?

Judson Garbarino practices at 129 Mcdowell St, Asheville, NC 28801. The listed phone number is (828) 258-8800.

What is Judson Garbarino's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Sports Medicine, with taxonomy code 207PS0010X.

Is Judson Garbarino enrolled in Medicare?

Yes. Judson Garbarino 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 Judson Garbarino accept?

Health plans from Blue Cross and Blue Shield of NC list Judson Garbarino 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 Judson Garbarino affiliated with any hospitals?

According to CMS data, Judson Garbarino is affiliated with Memorial Mission Hospital And Asheville Surgery Ce, Margaret R Pardee Memorial Hospital and Adventhealth Hendersonville.

When was this NPI record last updated?

The NPPES record for Judson Garbarino was last updated on February 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.