JUSTIN M RISMA M.D.
NPI 1194042820
Ophthalmology in Dubuque, IA

Active since April 20, 2010PECOS EnrolledAccepts Medicare Assignment
2140 JFK RD, SUITE F, DUBUQUE, IA 52002(563) 582-0769(563) 582-5772 Get Directions Write a Review

NPPES record last updated: May 9, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Justin M Risma M.d. NPPES

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

JUSTIN M RISMA M.D. (NPI 1194042820) is an individual ophthalmology provider in Dubuque, Iowa, licensed in Iowa (41585) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Midwest Medical Center, and is a graduate of University Of Nebraska College Of Medicine (2010).

NPPES Registry Identity

NPI1194042820
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameJUSTIN M RISMACredential: M.D.
Location Address2140 JFK RD, SUITE FDubuque, IA 52002-3883
Mailing Address2140 Jfk Rd, Suite FDubuque, IA 52002-3883 · (563) 582-0769 · Fax (563) 582-5772
Fax(563) 582-5772
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2010
Enumeration DateApril 20, 2010
Last NPPES UpdateMay 9, 2014
NPI 1194042820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in IA · 41585
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
2140 JFK RD, Dubuque, IA 52002

Other Identifiers 2

Medicaid0201517IA
Medicare PIN01619IA

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

Justin M Risma 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 ID4183864416
PECOS Enrollment IDI20140516001289, I20141120001217
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 15

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.

Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
487 services224 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.
370 services272 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
246 services23 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.
225 services211 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
211 services37 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
117 services75 patients

Hospital Affiliations CMS Care Compare 2

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

Midwest Medical Center

Critical Access Hospitals · Galena, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141302
Location1 Medical Center DriveGalena, IL 61036 · Jo Daviess County
Emergency services

Finley Hospital

Acute Care Hospitals · Dubuque, IA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160117
Location350 North Grandview AvenueDubuque, IA 52001 · Dubuque County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52002 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
3 suppliers19 claims19 services$50.90 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.

Eyewear Supplier
2140 JFK RD, STE F
DUBUQUE, IA 52002
Internal Medicine (Rheumatology)
2140 JFK RD, SUITE B
DUBUQUE, IA 52002
Specialist/Technologist, Other (Surgical Technologist)
2140 JFK RD, STE F
DUBUQUE, IA 52002
Ophthalmology
2140 JFK RD
DUBUQUE, IA 52002
Ophthalmology
2140 JFK RD
DUBUQUE, IA 52002
Optometrist
2140 JFK RD
DUBUQUE, IA 52002
Ophthalmology
2140 JFK RD
DUBUQUE, IA 52002
Specialist
2140 JFK RD, SUITE A
DUBUQUE, IA 52002

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 Risma's NPI number?

The NPI number for Justin Risma is 1194042820. It was assigned to this individual provider in the NPPES registry on April 20, 2010.

Where is Justin Risma located?

Justin Risma practices at 2140 Jfk Rd Suite F, Dubuque, IA 52002. The listed phone number is (563) 582-0769.

What is Justin Risma's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Justin Risma enrolled in Medicare?

Yes. Justin Risma 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 Justin Risma accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 3 other insurers list Justin Risma 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 Risma affiliated with any hospitals?

According to CMS data, Justin Risma is affiliated with Midwest Medical Center and Finley Hospital.

When was this NPI record last updated?

The NPPES record for Justin Risma was last updated on May 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.