ANTOINETTE JUSTICE D.O.
NPI 1245559632
Family Medicine in Pikeville, KY

Active since May 25, 2010PECOS EnrolledAccepts Medicare Assignment
86.86/100
CMS Quality Rating
184 S MAYO TRL, PIKEVILLE, KY 41501(606) 218-4800 Get Directions Write a Review

NPPES record last updated: July 11, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Antoinette Justice D.o. NPPES

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

ANTOINETTE JUSTICE D.O. (NPI 1245559632) is an individual family medicine provider in Pikeville, Kentucky, licensed in Kentucky (03474) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS, is affiliated with Pikeville Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1245559632
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameANTOINETTE JUSTICECredential: D.O.
Location Address184 S MAYO TRLPikeville, KY 41501-1518
Mailing AddressPo Box 2917Pikeville, KY 41502-2917 · (606) 218-4800
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMay 25, 2010
Last NPPES UpdateJuly 11, 2014
NPI 1245559632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in KY · 03474
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.
Also ListedNeuromusculoskeletal Medicine & OMMTaxonomy 204D00000X · License 03474 (KY)
184 S MAYO TRL, Pikeville, KY 41501

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

Antoinette Justice D.o. 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 ID6305065699
PECOS Enrollment IDI20140918001667
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.

Hospital Affiliations CMS Care Compare

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

Pikeville Medical Center

Acute Care Hospitals · Pikeville, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180044
Location911 Bypass RoadPikeville, KY 41501 · Pike County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41501 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

86.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.39
Promoting Interoperability100
Improvement Activities40
Cost70.65

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.

Student in an Organized Health Care Education/Training Program
184 S MAYO TRL
PIKEVILLE, KY 41501
Family Medicine
184 S MAYO TRL
PIKEVILLE, KY 41501
Family Medicine
184 S MAYO TRL
PIKEVILLE, KY 41501
Internal Medicine (Nephrology)
184 S MAYO TRL
PIKEVILLE, KY 41501
Family Medicine
184 S MAYO TRL
PIKEVILLE, KY 41501
Family Medicine
184 S MAYO TRL
PIKEVILLE, KY 41501
Family Medicine
184 S MAYO TRL
PIKEVILLE, KY 41501
Clinic/Center (Federally Qualified Health Center (FQHC))
184 S MAYO TRL
PIKEVILLE, KY 41501

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 Antoinette Justice's NPI number?

The NPI number for Antoinette Justice is 1245559632. It was assigned to this individual provider in the NPPES registry on May 25, 2010.

Where is Antoinette Justice located?

Antoinette Justice practices at 184 S Mayo Trl, Pikeville, KY 41501. The listed phone number is (606) 218-4800.

What is Antoinette Justice's specialty?

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

Is Antoinette Justice enrolled in Medicare?

Yes. Antoinette Justice 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 Antoinette Justice accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Antoinette Justice 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 Antoinette Justice affiliated with any hospitals?

According to CMS data, Antoinette Justice is affiliated with Pikeville Medical Center.

When was this NPI record last updated?

The NPPES record for Antoinette Justice was last updated on July 11, 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.