DR. JUSTIN PRUITT DO, MS NPI 1215303367
Family Medicine in Owens Cross Roads, AL
About DR. JUSTIN PRUITT DO, MS
Justin Pruitt is a primary care provider established in Owens Cross Roads, Alabama and his medical specialization is Family Medicine with more than 8 years of experience. He graduated from Lincoln Memorial University Medical Department in 2015. The NPI number of this provider is 1215303367 and was assigned on August 2015. The practitioner's primary taxonomy code is 207Q00000X with license number DO.1694 (AL). The provider is registered as an individual and his NPI record was last updated 3 years ago.
| NPI | 1215303367 |
| Provider Name | DR. JUSTIN PRUITT DO, MS |
| Location Address | 6388B HIGHWAY 431 S STE 2 OWENS CROSS ROADS, AL 35763 |
| Location Phone | (256) 469-6487 |
| Mailing Address | 5575 HIGHWAY 431 S STE 104 BROWNSBORO, AL 35741 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT |
| Graduation Year | 2015 |
| Is Sole Proprietor? | No |
| Enumeration Date | 08-12-2015 |
| Last Update Date | 06-10-2020 |
A primary care provider (PCP) like Justin Pruitt sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc Justin Pruitt is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Justin Pruitt is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services. According to Medicare claims data he has hospital affiliations with Huntsville Hospital and Crestwood Medical Center.
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 207Q00000X |
| Classification | Family Medicine |
| Type | Allopathic & Osteopathic Physicians |
| License No. | DO.1694 |
| License State | AL |
| Taxonomy Description | 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. |
Business Address
6388B HIGHWAY 431 S STE 2
OWENS CROSS ROADS, AL
ZIP 35763
Phone: (256) 469-6487
Mailing Address
5575 HIGHWAY 431 S
STE 104
BROWNSBORO, AL
ZIP 35741
Phone: (256) 469-6487
Secondary Locations
625 19th St S
Birmingham, AL 35233
(256) 551-4433
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 1850646589 |
| PECOS Enrollment ID | I20180620001149 |
| Accepts Medicare Assignment? | Maybe "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Clinician Utilization
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.
- 120Insertion of needle into vein for collection of blood sample (HCPCS:36415)
- 80Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
- 45Administration of influenza virus vaccine (HCPCS:G0008)
- 35Vaccine for influenza for injection into muscle (HCPCS:90662)
- 28Automated urinalysis test (HCPCS:81003)
- 24Hemoglobin a1c level (HCPCS:83036)
- 23Administration of pneumococcal vaccine (HCPCS:G0009)
Hospital Affiliations
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Justin Pruitt is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| HUNTSVILLE HOSPITAL | 101 SIVLEY RD HUNTSVILLE, AL 35801 | (256) 265-1000 | Acute Care Hospitals | 10039 | |
| CRESTWOOD MEDICAL CENTER | ONE HOSPITAL DR SE HUNTSVILLE, AL 35801 | (256) 882-3100 | Acute Care Hospitals | 10131 |
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program | No | |||
Taxonomy Description: an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. | |||||||
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 1 | 5 | 3 | 0 | 3 | 3 | 6 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 2 | 5 | 6 | 0 | 6 | 3 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 2 + 5 + 6 + 0 + 6 + 3 + 1 + 2 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1215303367 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1558859157 | FLINT RIVER FAMILY MEDICINE, P.C. Organization | Clinic/Center (Primary Care) | 6388B HIGHWAY 431 S STE 2 OWENS CROSS ROADS, AL 35763 (256) 490-7592 |
Frequently Asked Questions
What is Dr. Justin Pruitt DO, MS NPI number?
The NPI number assigned to this healthcare provider is 1215303367, registered as an "individual" on August 12, 2015
Where is Dr. Justin Pruitt DO, MS located?
The provider is located at 6388b Highway 431 S Ste 2 Owens Cross Roads, Al 35763 and the phone number is (256) 469-6487
Which is Dr. Justin Pruitt DO, MS specialty?
The provider's speciality is Family Medicine
How many years of experience does Dr. Justin Pruitt DO, MS have?
The provider has more than 8 years of experience. He graduated from Lincoln Memorial University Medical Department in 2015.
Is Dr. Justin Pruitt DO, MS registered in PECOS?
Yes, as of May 11, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
How much is a visit to Dr. Justin Pruitt DO, MS?
Medicare beneficiaries should expect a typical cost of $85.95 with an average copayment of $21.48 for new patient appointments. Established patients should expect a typical charge of $99.33 and an average copayment of 24.83. Please review your insurance plan or contact the provider directly to determine your specific costs.
What are some of the services provided by Dr. Justin Pruitt DO, MS?
The most common procedures or services performed by this practitioner are: Insertion of needle into vein for collection of blood sample, Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, Administration of influenza virus vaccine, Vaccine for influenza for injection into muscle, Automated urinalysis test, Hemoglobin a1c level and Administration of pneumococcal vaccine.
Is Dr. Justin Pruitt DO, MS affiliated to any hospitals?
The practitioner is affiliated to the following hospitals: HUNTSVILLE HOSPITAL and CRESTWOOD MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
How do I update my NPI information?
The NPI record of Dr. Justin Pruitt DO, MS was last updated on August 12, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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