DR. JUSTIN CHACKO D.O.
NPI 1306227038
Internal Medicine - Critical Care Medicine in Philadelphia, PA

Active since June 18, 2015PECOS EnrolledAccepts Medicare Assignment
2601 HOLME AVE, PHILADELPHIA, PA 19152(855) 768-6363 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 25, 2026, Jun 24, 2020 (2 updates tracked since 2020).

About Dr. Justin Chacko D.o. NPPES

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

DR. JUSTIN CHACKO D.O. (NPI 1306227038) is an individual critical care medicine provider in Philadelphia, Pennsylvania, licensed in Nevada (CL0262) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Ssm Health Depaul Hospital St Louis, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1306227038
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameDR. JUSTIN CHACKOCredential: D.O.
Location Address2601 HOLME AVEPhiladelphia, PA 19152-2007
Mailing Address501 Madison AveScranton, PA 18510-2401 · (570) 343-2383
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 18, 2015
Last NPPES UpdateMarch 25, 20262 updates tracked since enumeration
NPPES CertifiedMarch 25, 2026
NPI 1306227038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in NV · CL0262
Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal MedicineTaxonomy 207R00000X · License OT016725 (PA), CL0262 (NV)
2601 HOLME AVE, Philadelphia, PA 19152

Secondary Practice Locations 2

Location 13001 Saint Rose PkwyHenderson, NV 89052-3839 · Phone (702) 616-5615 · Fax (702) 616-5120
Location 28280 W Warm Springs RdLas Vegas, NV 89113-3612 · Phone (702) 492-8614 · Fax (702) 492-8163

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

Dr. Justin Chacko 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 ID1759682602
PECOS Enrollment IDI20200721000039, I20230221000940, I20230428002446, I20240104004690, I20250415000642
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

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Critical care, each additional 30 minutes

Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.

This service was performed 37 times for 23 patients

Critical care, first 30-74 minutes

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

This service was performed 237 times for 132 patients

Emergent insertion of breathing tube into windpipe using an endoscope

This is a procedure where a thin tube is inserted into your windpipe to aid in breathing. It's done in emergency situations, using an endoscope, a tool with a light and camera, to ensure correct placement.

This service was performed 11 times for 11 patients

Insertion of artery tube for blood sampling or infusion through skin

This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.

This service was performed 19 times for 17 patients

Insertion of non-tunneled central venous tube for infusion (5 years or older)

This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.

This service was performed 19 times for 19 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

This service was performed 23 times for 21 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $34.29 for a new patient copayment and $26.3 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 19152 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $137.17
  • Minimum New Patient Price $59.88
  • Maximum New Patient Price $180.99
  • Average New Patient Copayment $34.29
  • Minimum New Patient Copayment $14.97
  • Maximum New Patient Copayment $45.24

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $105.21
  • Minimum Established Patient Price $19.3
  • Maximum Established Patient Price $147.29
  • Average Established Patient Copayment $26.3
  • Minimum Established Patient Copayment $4.82
  • Maximum Established Patient Copayment $36.82

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Justin Chacko is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
SSM HEALTH DEPAUL HOSPITAL ST LOUIS12303 DEPAUL DRIVE
BRIDGETON, MO 63044
(314) 344-6000Acute Care Hospitals
SAINT ROSE DOMINICAN HOSPITALS - SIENA CAMPUS3001 ST ROSE PARKWAY
HENDERSON, NV 89052
(702) 616-5000Acute Care Hospitals
NAZARETH HOSPITAL2601 HOLME AVE
PHILADELPHIA, PA 19152
(215) 335-6000Acute Care Hospitals
EINSTEIN MEDICAL CENTER MONTGOMERY559 WEST GERMANTOWN PIKE
EAST NORRITON, PA 19403
(484) 662-1000Acute Care Hospitals
TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO6200 W PARKER RD
PLANO, TX 75093
(972) 981-8000Acute Care Hospitals

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Anesthetist, Certified Registered
2601 HOLME AVE
PHILADELPHIA, PA 19152
Radiology (Diagnostic Radiology)
2601 HOLME AVE
PHILADELPHIA, PA 19152
Pathology (Anatomic Pathology & Clinical Pathology)
2601 HOLME AVE
PHILADELPHIA, PA 19152
Nurse Anesthetist, Certified Registered
2601 HOLME AVE
PHILADELPHIA, PA 19152
Emergency Medicine
2601 HOLME AVE
PHILADELPHIA, PA 19152
Emergency Medicine
2601 HOLME AVE, NAZARETH HOSPITAL
PHILADELPHIA, PA 19152
Physician Assistant
2601 HOLME AVE
PHILADELPHIA, PA 19152
Emergency Medicine
2601 HOLME AVE
PHILADELPHIA, PA 19152
Emergency Medicine
2601 HOLME AVE
PHILADELPHIA, PA 19152
Family Medicine
2601 HOLME AVE
PHILADELPHIA, PA 19152
Emergency Medicine
2601 HOLME AVE
PHILADELPHIA, PA 19152
Internal Medicine
2601 HOLME AVE
PHILADELPHIA, PA 19152
Anesthesiology
2601 HOLME AVE
PHILADELPHIA, PA 19152
Contractor
2601 HOLME AVE
PHILADELPHIA, PA 19152
Hospitalist
2601 HOLME AVE
PHILADELPHIA, PA 19152
Registered Nurse (Gerontology)
2601 HOLME AVE
PHILADELPHIA, PA 19152
Physician Assistant (Medical)
2601 HOLME AVE
PHILADELPHIA, PA 19152
Nurse Practitioner (Adult Health)
2601 HOLME AVE
PHILADELPHIA, PA 19152
Internal Medicine
2601 HOLME AVE
PHILADELPHIA, PA 19152
Internal Medicine
2601 HOLME AVE
PHILADELPHIA, PA 19152

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306227038, enumerated as an "individual" on June 18, 2015.

The provider is located at 2601 HOLME AVE PHILADELPHIA, PA 19152 and the phone number is (855) 768-6363.

Internal Medicine with taxonomy code 207RC0200X and a focus in Critical Care Medicine.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas and Molina. Please consult your insurance carrier or call the provider to verify.

Justin Chacko is affiliated with: SSM HEALTH DEPAUL HOSPITAL ST LOUIS, SAINT ROSE DOMINICAN HOSPITALS - SIENA CAMPUS, NAZARETH HOSPITAL, EINSTEIN MEDICAL CENTER MONTGOMERY and TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO.