DR. JUSTIN M. POORE D.O.
NPI 1306849161
Family Medicine in Concordia, KS

Q: What is Justin Poore's NPI number?

The NPI number for Justin Poore is 1306849161. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Q: What is Justin Poore's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Justin Poore was last updated on December 29, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 24, 2005PECOS EnrolledAccepts Medicare Assignment

70.54/100

CMS Quality Rating

1100 HIGHLAND DR, FL 3, CONCORDIA, KS 66901(785) 243-4272(785) 243-4275 Get Directions Write a Review

NPPES record last updated: December 29, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Justin M. Poore D.o. NPPES

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

DR. JUSTIN M. POORE D.O. (NPI 1306849161) is an individual family medicine provider in Concordia, Kansas, licensed in Kansas (0529357) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Salina Regional Health Center, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1306849161

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JUSTIN M. POORECredential: D.O.

Location Address1100 HIGHLAND DR, FL 3Concordia, KS 66901-3923

Mailing Address1518 Quail RdConcordia, KS 66901-6885

Phone(785) 243-4272

Fax(785) 243-4275

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateMay 24, 2005

Last NPPES UpdateDecember 29, 2009

✔ NPI 1306849161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in KS · 0529357

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.

1100 HIGHLAND DR, Concordia, KS 66901

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Other Identifiers 3

Medicare PIN103041KS

Medicare UPINH49111KS

Medicaid100415450BKS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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 M. Poore 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 ID8729182548

PECOS Enrollment IDI20100910001017

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 CMS Part B claims 11

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

165 services17 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

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.

109 services48 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

48 services12 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

46 services37 patients

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.

36 services25 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.

24 services16 patients

Hospital Affiliations CMS Care Compare 5

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

Salina Regional Health Center

Acute Care Hospitals · Salina, KS

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number170012

Location400 South Santa Fe AvenueSalina, KS 67401 · Saline County

Emergency services Birthing friendly

Cloud County Health Center

Critical Access Hospitals · Concordia, KS

OwnershipVoluntary non-profit - Private

CMS Certification Number171349

Location155 West College DriveConcordia, KS 66901 · Cloud County

Emergency services

Republic County Hospital

Critical Access Hospitals · Belleville, KS

OwnershipVoluntary non-profit - Private

CMS Certification Number171361

Location2420 G StreetBelleville, KS 66935 · Republic County

Emergency services

Clay County Medical Center

Critical Access Hospitals · Clay Center, KS

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number171371

Location617 LibertyClay Center, KS 67432 · Clay County

Emergency services

Mitchell County Hospital Health Systems

Critical Access Hospitals · Beloit, KS

OwnershipGovernment - Local

CMS Certification Number171375

Location400 W 8th Street, P O Box 399Beloit, KS 67420 · Mitchell County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66901 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

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$94.12 typical visit price

range $16.88 – $132.11

Typical copayment $23.53 (range $4.22 – $33.02)

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.

70.54/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

83.24

Promoting Interoperability

100

Improvement Activities

Cost

14.04

Referred Medical Equipment & Supplies CMS DME claims 19

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

4 suppliers98 claims181 services$5.76 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

4 suppliers44 claims44 services$0.95 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604