JUSTIN N AMARNANI M.D
NPI 1164866059
Family Medicine in Madison, WI

Active since April 22, 2013PECOS EnrolledAccepts Medicare Assignment
752 N HIGH POINT RD, MADISON, WI 53717(608) 824-4000(608) 824-4917 Get Directions Write a Review

NPPES record last updated: September 23, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Justin N Amarnani M.d NPPES

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

JUSTIN N AMARNANI M.D (NPI 1164866059) is an individual family medicine provider in Madison, Wisconsin, licensed in Wisconsin (65997-20) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1164866059
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJUSTIN N AMARNANICredential: M.D
Location Address752 N HIGH POINT RDMadison, WI 53717-2236
Mailing Address752 N High Point RdMadison, WI 53717-2236 · (608) 824-4000 · Fax (608) 824-4917
Fax(608) 824-4917
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 22, 2013
Last NPPES UpdateSeptember 23, 2016
NPI 1164866059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 65997-20
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.
752 N HIGH POINT RD, Madison, WI 53717

Other Identifiers 2

Medicare PINK400326825WI
Medicaid1164866059WI

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

Justin N Amarnani 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 ID2365676699
PECOS Enrollment IDI20200305001937
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

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.
38 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53717 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
52%31 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
82%38 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
25%53 patients2/55-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.

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.

Occupational Therapy Assistant
752 N HIGH POINT RD
MADISON, WI 53717
Pharmacist
752 N HIGH POINT RD
MADISON, WI 53717
Dermatology
752 N HIGH POINT RD
MADISON, WI 53717
Internal Medicine
752 N HIGH POINT RD, DEAN MEDICAL CENTER
MADISON, WI 53717
Allergy & Immunology
752 N HIGH POINT RD
MADISON, WI 53717
Physician Assistant
752 N HIGH POINT RD
MADISON, WI 53717
Internal Medicine
752 N HIGH POINT RD
MADISON, WI 53717
Preventive Medicine (Occupational Medicine)
752 N HIGH POINT RD
MADISON, WI 53717

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 Amarnani's NPI number?

The NPI number for Justin Amarnani is 1164866059. It was assigned to this individual provider in the NPPES registry on April 22, 2013.

Where is Justin Amarnani located?

Justin Amarnani practices at 752 N High Point Rd, Madison, WI 53717. The listed phone number is (608) 824-4000.

What is Justin Amarnani's specialty?

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

Is Justin Amarnani enrolled in Medicare?

Yes. Justin Amarnani 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.

When was this NPI record last updated?

The NPPES record for Justin Amarnani was last updated on September 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.