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DR. JUSTIN J ERNAT M.D.
NPI 1205120177
Orthopaedic Surgery - Sports Medicine in Vail, CO

Active since June 07, 2011PECOS EnrolledAccepts Medicare Assignment
92.06/100
CMS Quality Rating
181 W MEADOW DR, VAIL, CO 81657(970) 476-1100 Get Directions Write a Review

NPPES record last updated: October 25, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 22, 2021, Jan 14, 2020, Nov 12, 2019 and 2 more (5 updates tracked since 2017).

About Dr. Justin J Ernat M.d. NPPES

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

DR. JUSTIN J ERNAT M.D. (NPI 1205120177) is an individual sports medicine provider in Vail, Colorado, licensed in Colorado (DR.0063541) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1205120177
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDR. JUSTIN J ERNATCredential: M.D.
Location Address181 W MEADOW DRVail, CO 81657-5242
Mailing Address2951 Prince DrClarksville, TN 37043-9306 · (815) 252-9486
Phone(970) 476-1100
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 7, 2011
Last NPPES UpdateOctober 25, 20215 updates tracked since enumeration
NPPES CertifiedOctober 25, 2021
✔ NPI 1205120177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
Licenses✔ Licensed in CO · DR.0063541✔ Licensed in TN · 54531
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 2016032298 (MO), 49721 (KY)
Also ListedGeneral PracticeTaxonomy 208D00000X · License MD-16545 (HI)
181 W MEADOW DR, Vail, CO 81657
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Other Identifiers 1

Other1205120177Npi

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.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

Dr. Justin J Ernat 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 ID1355627001
PECOS Enrollment IDI20210728001209
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.
23 services21 patients

Hospital Affiliations CMS Care Compare

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

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

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.

92.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.57
Promoting Interoperability100
Improvement Activities40

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.

DEVON BLITZ CCC-SLP
Speech-Language Pathologist
181 W MEADOW DR
VAIL, CO 81657
Eagle County (310) 963-3004
RANDALL W VIOLA MD
Orthopaedic Surgery (Sports Medicine)
181 W MEADOW DR, SUITE 400
VAIL, CO 81657
Eagle County (970) 476-1100
DR. WILLIAM ARNOLD BEVAN JR. M.D.
Emergency Medicine
181 W MEADOW DR
VAIL, CO 81657
Eagle County (970) 479-7225
ELYSSE CELESTE SCHMIDT DPT
Physical Therapist
181 W MEADOW DR
VAIL, CO 81657
Eagle County (970) 476-1225
JOEL HEGEMAN
Physical Therapist
181 W MEADOW DR
VAIL, CO 81657
Eagle County (970) 476-2451
DR. JULIE GACA MD
Anesthesiology
181 W MEADOW DR
VAIL, CO 81657
Eagle County (303) 422-9438
FREDERICK J ECK MD
Internal Medicine
181 W MEADOW DR, 800
VAIL, CO 81657
Eagle County (970) 476-7600
DR. EMANUEL PODGORNY III M.D.
Emergency Medicine
181 W MEADOW DR
VAIL, CO 81657
Eagle County (970) 479-7225

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 Ernat's NPI number?

The NPI number for Justin Ernat is 1205120177. It was assigned to this individual provider in the NPPES registry on June 7, 2011.

Where is Justin Ernat located?

Justin Ernat practices at 181 W Meadow Dr, Vail, CO 81657. The listed phone number is (970) 476-1100.

What is Justin Ernat's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Justin Ernat enrolled in Medicare?

Yes. Justin Ernat 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 Ernat accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Justin Ernat 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 Ernat affiliated with any hospitals?

According to CMS data, Justin Ernat is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Justin Ernat was last updated on October 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.