ANTOINETTE JUSTICE D.O.
NPI 1245559632
Family Medicine in Pikeville, KY
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
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Antoinette Justice reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pikeville, KY 41501
- Reassigned Medicare billing, Kentucky enrollment
- 579 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, KYPhysician 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.
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.
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.
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.
Which organization bills Medicare for Antoinette Justice's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Antoinette Justice reassigns Medicare benefits to Pikeville Medical Center Inc. (Pikeville, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Antoinette Justice's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Antoinette Justice accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield 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.
# Antoinette Justice, D.O. · NPI 1245559632
Family Medicine physician in Pikeville, Kentucky. Individual provider, active in the CMS NPPES registry since May 25, 2010.
## Identity
- **NPI:** 1245559632 (Entity type: Individual)
- **Enumerated:** May 25, 2010
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 03474 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 184 S MAYO TRL, Pikeville, KY 41501-1518
- **Phone:** (606) 218-4800
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Pikeville Medical Center Inc. (NPI 1528195864, Pikeville, KY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** July 11, 2014
---
Source: [NPI Profile](https://npiprofile.com/npi/1245559632) · Data from the CMS NPPES public registry.