JUSTIN ELLIS GROSSMAN FICHTNER MD
NPI 1285325431
Family Medicine in Lexington, SC

Active since May 18, 2023PECOS EnrolledAccepts Medicare Assignment
811 W MAIN ST STE 204, LEXINGTON, SC 29072(803) 358-6420(803) 358-6450 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 17, 2026, Mar 12, 2025, Aug 23, 2024 and 1 more (4 updates tracked since 2023).

About Justin Ellis Grossman Fichtner Md NPPES

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

JUSTIN ELLIS GROSSMAN FICHTNER MD (NPI 1285325431) is an individual family medicine provider in Lexington, South Carolina, licensed in South Carolina (90207) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS, is affiliated with Lexington Medical Center, and maintains a secondary practice location in West Columbia.

NPPES Registry Identity

NPI1285325431
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJUSTIN ELLIS GROSSMAN FICHTNERCredential: MD
Location Address811 W MAIN ST STE 204Lexington, SC 29072-2500
Mailing Address145 Sunset Ct Ste 100West Columbia, SC 29169-2429 · (803) 739-3491
Fax(803) 358-6450
Sole ProprietorYes
Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 2023
Enumeration DateMay 18, 2023
Last NPPES UpdateJune 12, 20264 updates tracked since enumeration
NPPES CertifiedJune 12, 2026
✔ NPI 1285325431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in SC · 90207
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.
811 W MAIN ST STE 204, Lexington, SC 29072

Secondary Practice Location 1

Location 1145 Sunset Ct Ste 100West Columbia, SC 29169-2429 · Phone (803) 739-3491

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

Justin Ellis Grossman Fichtner 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 ID9830550227
PECOS Enrollment IDI20260717001432
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 Reassignment

Medicare enrollment records show Justin Fichtner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rehabilitation, Cardiac Facilities
811 W MAIN ST STE 212
Lexington, SC 29072
  • Reassigned Medicare billing, South Carolina enrollment
  • 1,219 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.

Lexington Medical Center

Acute Care Hospitals · West Columbia, SC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420073
Location2720 Sunset BlvdWest Columbia, SC 29169 · Lexington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29072 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

Other Providers at the Same Location NPPES 6

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
811 W MAIN ST STE 204
LEXINGTON, SC 29072
Pediatrics
811 W MAIN ST STE 204
LEXINGTON, SC 29072
Pediatrics
811 W MAIN ST STE 204
LEXINGTON, SC 29072
Nurse Practitioner (Pediatrics)
811 W MAIN ST STE 204
LEXINGTON, SC 29072
Nurse Practitioner (Family)
811 W MAIN ST STE 204
LEXINGTON, SC 29072
Family Medicine
811 W MAIN ST STE 204
LEXINGTON, SC 29072

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 Fichtner's NPI number?

The NPI number for Justin Fichtner is 1285325431. It was assigned to this individual provider in the NPPES registry on May 18, 2023.

Where is Justin Fichtner located?

Justin Fichtner practices at 811 W Main St Ste 204, Lexington, SC 29072. The listed phone number is (803) 358-6420.

What is Justin Fichtner's specialty?

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

Is Justin Fichtner enrolled in Medicare?

Yes. Justin Fichtner 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 Justin Fichtner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Fichtner reassigns Medicare benefits to Lexington Health Inc (Lexington, SC). 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 Justin Fichtner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Fichtner accept?

Health plans from BlueCross BlueShield of South Carolina, Molina Healthcare and UnitedHealthcare list Justin Fichtner 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 Fichtner affiliated with any hospitals?

According to CMS data, Justin Fichtner is affiliated with Lexington Medical Center.

When was this NPI record last updated?

The NPPES record for Justin Fichtner was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.