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DR. JUSTIN HAVEN PRICE MD
NPI 1174789465
Family Medicine in Roanoke, VA

Active since August 06, 2008PECOS EnrolledAccepts Medicare Assignment
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014(540) 981-7000 Get Directions Write a Review

NPPES record last updated: February 2, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 2, 2023, Aug 13, 2021 (2 updates tracked since 2021).

About Dr. Justin Haven Price Md NPPES

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

DR. JUSTIN HAVEN PRICE MD (NPI 1174789465) is an individual family medicine provider in Roanoke, Virginia, licensed in Virginia (0101258966) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Carilion Medical Center, and maintains a secondary practice location in Billings.

NPPES Registry Identity

NPI1174789465
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JUSTIN HAVEN PRICECredential: MD
Location Address1906 BELLEVIEW AVE SERoanoke, VA 24014-1838
Mailing Address213 S Jefferson St Ste 1006Roanoke, VA 24011-1713 · (540) 224-5352
Phone(540) 981-7000
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2008
Enumeration DateAugust 6, 2008
Last NPPES UpdateFebruary 2, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2023
✔ NPI 1174789465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in VA · 0101258966✔ Licensed in MT · 12693✔ Licensed in NC · 148722
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.
1906 BELLEVIEW AVE SE, Roanoke, VA 24014
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Secondary Practice Location 1

Location 1123 S 27th StBillings, MT 59101-4227 · Phone (406) 247-3350 · Fax (406) 247-3389

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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 Haven Price 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 ID4486822491
PECOS Enrollment IDI20190722000199
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 Price reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carilion Medical Center
Same address
Multi-Specialty
1906 BELLEVIEW AVE SE
Roanoke, VA 24014
  • Reassigned Medicare billing, Virginia enrollment
  • 1,207 clinicians in this Medicare group
NPI 1730123472 (540) 981-7000
Carilion Healthcare Corporation
1.4 mi
Multi-Specialty
213 S JEFFERSON ST STE 1006
Roanoke, VA 24011
  • Reassigned Medicare billing, Virginia enrollment
  • 956 clinicians in this Medicare group
NPI 1447206370 (540) 224-5452
Carilion Giles Community Hospital
11 mi
Rural Health
22890 VIRGIL GOODE HWY.
Boones Mill, VA 24065
  • Reassigned Medicare billing, Virginia enrollment
  • 608 clinicians in this Medicare group
NPI 1154948271 (540) 334-5511
Carilion Rockbridge Community Hospital
22 mi
Rural Health
18080 MAIN ST
Buchanan, VA 24066
  • Reassigned Medicare billing, Virginia enrollment
  • Also billed through NPI 1942854427 (Virginia)
  • 507 clinicians in this Medicare group
NPI 1144848003 (540) 254-1239
Cogent Healthcare Of Montana P C
1,858 mi
Internal Medicine
2827 FORT MISSOULA RD
Missoula, MT 59804
  • Reassigned Medicare billing, Montana enrollment
  • 155 clinicians in this Medicare group
NPI 1053569525 (406) 728-4100

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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
339 services154 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
119 services78 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
110 services108 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
30 services30 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
23 services23 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
21 services21 patients

Hospital Affiliations CMS Care Compare 5

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

Carilion Medical Center

Acute Care Hospitals · Roanoke, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490024
Location1906 Belleview Avenue, SERoanoke, VA 24014 · Roanoke City County
Emergency services Birthing friendly

Carilion New River Valley Medical Center

Acute Care Hospitals · Christiansburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490042
Location2900 Lamb CircleChristiansburg, VA 24073 · Montgomery County
Emergency services Birthing friendly

Carilion Franklin Memorial Hospital

Acute Care Hospitals · Rocky Mount, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490089
Location180 Floyd AvenueRocky Mount, VA 24151 · Franklin County
Emergency services

Carilion Giles Community Hospital

Critical Access Hospitals · Pearisburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number491302
Location159 Hartley WayPearisburg, VA 24134 · Giles County
Emergency services

Carilion Stonewall Jackson Hospital

Critical Access Hospitals · Lexington, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number491304
Location1 Health CircleLexington, VA 24450 · Lexington City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24014 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
92%283 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 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers31 claims31 services$15.79 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
2 suppliers21 claims21 services$911.04 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers53 claims53 services$87.73 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.

JOHN K THOMPSON PA-C, ATC
Physician Assistant
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
DR. JAMES LIGHT MD
Anesthesiology
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
SUJINA PRADHAN M.D.
Family Medicine
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
DR. SAMMY ZAKI ELSARRAG M.D.
Anesthesiology
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
NIMA JAHROMI DO
Student in an Organized Health Care Education/Training Program
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
TAYLOR ALEXIS KEYS
Student in an Organized Health Care Education/Training Program
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
NATHAN WILLIAM WAKEFIELD
Student in an Organized Health Care Education/Training Program
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
ASHLYN BROOKE CONRAD
Nurse Practitioner
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000

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 Price's NPI number?

The NPI number for Justin Price is 1174789465. It was assigned to this individual provider in the NPPES registry on August 6, 2008.

Where is Justin Price located?

Justin Price practices at 1906 Belleview Ave SE, Roanoke, VA 24014. The listed phone number is (540) 981-7000.

What is Justin Price's specialty?

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

Is Justin Price enrolled in Medicare?

Yes. Justin Price 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 Price's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Price reassigns Medicare benefits to 5 organizations: Carilion Medical Center (Roanoke, VA), Carilion Healthcare Corporation (Roanoke, VA), Carilion Giles Community Hospital (Boones Mill, VA), Carilion Rockbridge Community Hospital (Buchanan, VA) and Cogent Healthcare Of Montana P C (Missoula, MT). 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 Price's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Price accept?

Health plans from Providence Health Plan list Justin Price 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 Price affiliated with any hospitals?

According to CMS data, Justin Price is affiliated with Carilion Medical Center, Carilion New River Valley Medical Center, Carilion Franklin Memorial Hospital, Carilion Giles Community Hospital and Carilion Stonewall Jackson Hospital.

When was this NPI record last updated?

The NPPES record for Justin Price was last updated on February 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.