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JUSTIN DANIEL WHEELER MD
NPI 1265564009
Family Medicine in Olympia, WA

Active since March 09, 2007PECOS EnrolledAccepts Medicare Assignment
1620 COOPER POINT RD SW, OLYMPIA, WA 98502(360) 486-6710(360) 705-0269 Get Directions Write a Review

NPPES record last updated: April 29, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 29, 2021, Feb 25, 2020 (2 updates tracked since 2020).

About Justin Daniel Wheeler Md NPPES

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

JUSTIN DANIEL WHEELER MD (NPI 1265564009) is an individual family medicine provider in Olympia, Washington, licensed in Washington (MD60889819) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Providence Centralia Hospital, and is a graduate of Warren Alpert Medical School Of Brown University (2005).

NPPES Registry Identity

NPI1265564009
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJUSTIN DANIEL WHEELERCredential: MD
Location Address1620 COOPER POINT RD SWOlympia, WA 98502-5736
Mailing Address1620 Cooper Point Rd SwOlympia, WA 98502-5736 · (360) 486-6710 · Fax (360) 705-0269
Phone(360) 486-6710
Fax(360) 705-0269
Sole ProprietorNo
Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 2005
Enumeration DateMarch 9, 2007
Last NPPES UpdateApril 29, 20212 updates tracked since enumeration
NPPES CertifiedApril 29, 2021
✔ NPI 1265564009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · MD60889819
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.
1620 COOPER POINT RD SW, Olympia, WA 98502
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Justin Daniel Wheeler 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 ID7416022504
PECOS Enrollment IDI20190701001371
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Justin Wheeler reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Providence Health & Services Washington
1.7 mi
General Practice
1018 CAPITOL WAY S STE 300
Olympia, WA 98501
  • Reassigned Medicare billing, Washington enrollment
  • 646 clinicians in this Medicare group
NPI 1134656135 (360) 486-6508
Clinica Campesina Family Health Services
1,006 mi
Federally Qualified Health Center (FQHC)
1333 IRIS AVE
Boulder, CO 80304
  • Reassigned Medicare billing, Colorado enrollment
  • 183 clinicians in this Medicare group
NPI 1659649135 (303) 665-3036

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

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.
272 services182 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
150 services17 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
77 services17 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.
69 services63 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
57 services57 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
32 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Providence Centralia Hospital

Acute Care Hospitals · Centralia, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number500019
Location914 S Scheuber RoadCentralia, WA 98531 · Lewis County
Emergency services Birthing friendly

Providence St Peter Hospital

Acute Care Hospitals · Olympia, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500024
Location413 Lilly Road NEOlympia, WA 98506 · Thurston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98502 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers24 claims73 services$6.64 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$17.51 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers28 claims28 services$89.73 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
3 suppliers16 claims16 services$34.41 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers14 claims14 services$170.36 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MR. AARON J. BECK MD
Family Medicine
1620 COOPER POINT RD SW
OLYMPIA, WA 98502
Thurston County (360) 486-6710
MELISSA B PURTTEMAN M.D.
Family Medicine
1620 COOPER POINT RD SW, PMG SW WA W OLYMPIA FAM MED
OLYMPIA, WA 98502
Thurston County (360) 486-6710
ANNELISE HAFT PA
Physician Assistant
1620 COOPER POINT RD SW
OLYMPIA, WA 98502
Thurston County (360) 486-6710
BRUCE A WING PA-C
Physician Assistant
1620 COOPER POINT RD SW
OLYMPIA, WA 98502
Thurston County (360) 486-6710
DR. DENNIS W PECK MD
Family Medicine
1620 COOPER POINT RD SW
OLYMPIA, WA 98502
Thurston County (360) 486-6710
JOSEPH A ROOD PA-C
Physician Assistant
1620 COOPER POINT RD SW
OLYMPIA, WA 98502
Thurston County (360) 486-6710
HESHANI W ABEYSUNDARA M.D.
Family Medicine
1620 COOPER POINT RD SW
OLYMPIA, WA 98502
Thurston County (604) 866-7103
DR. JULIA LING-LING HAMILTON D.O.
Family Medicine
1620 COOPER POINT RD SW
OLYMPIA, WA 98502
Thurston County (360) 486-6710

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 Wheeler's NPI number?

The NPI number for Justin Wheeler is 1265564009. It was assigned to this individual provider in the NPPES registry on March 9, 2007.

Where is Justin Wheeler located?

Justin Wheeler practices at 1620 Cooper Point Rd SW, Olympia, WA 98502. The listed phone number is (360) 486-6710.

What is Justin Wheeler's specialty?

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

Is Justin Wheeler enrolled in Medicare?

Yes. Justin Wheeler 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 organizations bill Medicare for Justin Wheeler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Wheeler reassigns Medicare benefits to 2 organizations: Providence Health & Services Washington (Olympia, WA) and Clinica Campesina Family Health Services (Boulder, CO). Each 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 Justin Wheeler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Wheeler accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Justin Wheeler 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 Wheeler affiliated with any hospitals?

According to CMS data, Justin Wheeler is affiliated with Providence Centralia Hospital and Providence St Peter Hospital.

When was this NPI record last updated?

The NPPES record for Justin Wheeler was last updated on April 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.