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JUSTIN D ROTHMIER MD
NPI 1225073398
Family Medicine - Sports Medicine in Seattle, WA

Active since June 20, 2006PECOS EnrolledAccepts Medicare Assignment
83.81/100
CMS Quality Rating
10330 MERIDIAN AVE N STE 300, SEATTLE, WA 98133(206) 520-5000 Get Directions Write a Review

NPPES record last updated: October 31, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Justin D Rothmier Md NPPES

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

JUSTIN D ROTHMIER MD (NPI 1225073398) is an individual sports medicine provider in Seattle, Washington, licensed in Washington (MD00044985) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Washington Medical Ctr, and is a graduate of University Of Washington School Of Medicine (2002).

NPPES Registry Identity

NPI1225073398
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameJUSTIN D ROTHMIERCredential: MD
Location Address10330 MERIDIAN AVE N STE 300Seattle, WA 98133-9463
Mailing AddressPo Box 50095Seattle, WA 98145-5095 · (206) 520-5700
Phone(206) 520-5000
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2002
Enumeration DateJune 20, 2006
Last NPPES UpdateOctober 31, 2019
✔ NPI 1225073398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in WA · MD00044985
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedFamily MedicineTaxonomy 207Q00000X · License MD00044985 (WA)
10330 MERIDIAN AVE N STE 300, Seattle, WA 98133
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Other Identifiers 1

Medicaid1225073398WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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 D Rothmier 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 ID5294738613
PECOS Enrollment IDI20060824000183
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 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.

Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg J7325
Synvisc or Synvisc-One is a treatment involving an injection of a substance called hyaluronan into your joints. This substance, naturally found in the body, helps lubricate and cushion your joints, reducing pain and improving mobility. It's often used for arthritis patients.
1,392 services20 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.
158 services111 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
137 services21 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
71 services38 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.
55 services43 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
39 services38 patients

Hospital Affiliations CMS Care Compare

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

University Of Washington Medical Ctr

Acute Care Hospitals · Seattle, WA
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number500008
Location1959 NE Pacific St Box 356151Seattle, WA 98195 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98133 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

83.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.26
Promoting Interoperability80
Improvement Activities40

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTIAN MOVALL PETERSON D.O.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
10330 MERIDIAN AVE N STE 300
SEATTLE, WA 98133
King County (206) 520-5000
MICHELLE DOUGAN RN
Registered Nurse
10330 MERIDIAN AVE N STE 300
SEATTLE, WA 98133
King County (206) 668-6100
LISA KETELSEN
Registered Nurse
10330 MERIDIAN AVE N STE 300
SEATTLE, WA 98133
King County (206) 368-6100
AUREA MAGBALOT PA-C
Physician Assistant
10330 MERIDIAN AVE N STE 300
SEATTLE, WA 98133
King County (206) 668-6101

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 Rothmier's NPI number?

The NPI number for Justin Rothmier is 1225073398. It was assigned to this individual provider in the NPPES registry on June 20, 2006.

Where is Justin Rothmier located?

Justin Rothmier practices at 10330 Meridian Ave N Ste 300, Seattle, WA 98133. The listed phone number is (206) 520-5000.

What is Justin Rothmier's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Justin Rothmier enrolled in Medicare?

Yes. Justin Rothmier 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 Rothmier accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Justin Rothmier 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 Rothmier affiliated with any hospitals?

According to CMS data, Justin Rothmier is affiliated with University Of Washington Medical Ctr.

When was this NPI record last updated?

The NPPES record for Justin Rothmier was last updated on October 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.