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DR. JUSTIN ASHLEY KRAJCA M.D.
NPI 1386816106
Orthopaedic Surgery - Orthopaedic Trauma in Sioux Falls, SD

Active since April 01, 2008PECOS EnrolledAccepts Medicare Assignment
911 E 20TH ST STE 300, SIOUX FALLS, SD 57105(605) 322-1300(605) 322-1301 Get Directions Write a Review

NPPES record last updated: April 17, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 17, 2018, Mar 17, 2018, Aug 17, 2017 (3 updates tracked since 2017).

About Dr. Justin Ashley Krajca M.d. NPPES

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

DR. JUSTIN ASHLEY KRAJCA M.D. (NPI 1386816106) is an individual orthopaedic trauma provider in Sioux Falls, South Dakota, licensed in South Dakota (10643) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with Spencer Municipal Hospital, and is a graduate of University Of Texas Medical School At Houston (2008).

NPPES Registry Identity

NPI1386816106
Entity TypeIndividualMale
Primary Taxonomy207XX0801X
Provider Legal NameDR. JUSTIN ASHLEY KRAJCACredential: M.D.
Location Address911 E 20TH ST STE 300Sioux Falls, SD 57105-1045
Mailing Address911 E 20th St Ste 300Sioux Falls, SD 57105-1045 · (605) 322-1300 · Fax (605) 322-1301
Phone(605) 322-1300
Fax(605) 322-1301
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2008
Enumeration DateApril 1, 2008
Last NPPES UpdateApril 17, 20183 updates tracked since enumeration
✔ NPI 1386816106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic TraumaAllopathic & Osteopathic Physicians
Taxonomy Code207XX0801X
Licenses✔ Licensed in SD · 10643✔ Licensed in TX · P9891
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis.
911 E 20TH ST STE 300, Sioux Falls, SD 57105
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Other Identifiers 2

Medicaid342696701TX
OtherP9891TX · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.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

Dr. Justin Ashley Krajca M.d. 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 ID5092936609
PECOS Enrollment IDI20180214001891
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

3

Medicare enrollment records show Justin Krajca reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Avera Mckennan
Same address
Psychiatry
911 E 20TH ST, STE. 403
Sioux Falls, SD 57105
  • Reassigned Medicare billing, South Dakota enrollment
  • 1,277 clinicians in this Medicare group
NPI 1609848175 (605) 322-7516
Avera Queen Of Peace
36 mi
Rural Health
741 S HILL ST
Salem, SD 57058
  • Reassigned Medicare billing, South Dakota enrollment
  • 227 clinicians in this Medicare group
NPI 1619201829 (605) 425-3038
Sacred Heart Health Services
56 mi
Physical Therapist
2525 FOX RUN PKWY STE 100
Yankton, SD 57078
  • Reassigned Medicare billing, South Dakota enrollment
  • 227 clinicians in this Medicare group
NPI 1053838508 (605) 260-0918

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 3

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.

Treatment of broken neck of thigh bone with bone implant 27245
This procedure involves repairing a fractured thigh bone by inserting a bone implant. The implant helps stabilize the bone, allowing it to heal correctly. It's performed under anesthesia and requires a hospital stay for recovery.
32 services30 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.
25 services20 patients
Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement 27236
This procedure involves treating a fracture at the top of your thigh bone. A stabilizing device or prosthetic replacement is placed to aid in healing. This helps restore mobility and function while reducing pain. The treatment aims for a quick and safe recovery.
24 services24 patients

Hospital Affiliations CMS Care Compare 5

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

Spencer Municipal Hospital

Acute Care Hospitals · Spencer, IA
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number160112
Location1200 1st Avenue EastSpencer, IA 51301 · Clay County
Emergency services Birthing friendly

Hegg Memorial Health Center

Critical Access Hospitals · Rock Valley, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161336
Location1202 21st AvenueRock Valley, IA 51247 · Sioux County
Emergency services

Sioux Center Health

Critical Access Hospitals · Sioux Center, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161346
Location1101 9th Street SESioux Center, IA 51250 · Sioux County
Emergency services

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430016
Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Freeman Medical Center - Cah

Critical Access Hospitals · Freeman, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431313
Location510 E 8th St Post Office Box 370Freeman, SD 57029 · Hutchinson County
Emergency services

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA CLARK CNP
Nurse Practitioner
911 E 20TH ST STE 300
SIOUX FALLS, SD 57105
Minnehaha County (605) 504-1100
JOHN H. FARYNA MD
Orthopaedic Surgery
911 E 20TH ST STE 300
SIOUX FALLS, SD 57105
Minnehaha County (605) 504-1100
TIFFANY MARIE JOHNSTON CNP
Nurse Practitioner
911 E 20TH ST STE 300
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-1300
DR. KATHLYN JOAN DREXLER M.D.
Orthopaedic Surgery (Hand Surgery)
911 E 20TH ST STE 300
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-1300
JONATHAN BUCHANAN MD
Internal Medicine (Sports Medicine)
911 E 20TH ST STE 300
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-1300
TIMOTHY FAGERNESS CNP
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
911 E 20TH ST STE 300
SIOUX FALLS, SD 57105
Minnehaha County (605) 504-1100
MRS. TARA ANN POE MS, ATC
Specialist/Technologist (Athletic Trainer)
911 E 20TH ST STE 300
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-1300
AARON PEMBERTON M.D.
Orthopaedic Surgery
911 E 20TH ST STE 300
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-1300

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 Krajca's NPI number?

The NPI number for Justin Krajca is 1386816106. It was assigned to this individual provider in the NPPES registry on April 1, 2008.

Where is Justin Krajca located?

Justin Krajca practices at 911 E 20th St Ste 300, Sioux Falls, SD 57105. The listed phone number is (605) 322-1300.

What is Justin Krajca's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Trauma, with taxonomy code 207XX0801X.

Is Justin Krajca enrolled in Medicare?

Yes. Justin Krajca 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 Krajca's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Krajca reassigns Medicare benefits to 3 organizations: Avera Mckennan (Sioux Falls, SD), Avera Queen Of Peace (Salem, SD) and Sacred Heart Health Services (Yankton, SD). 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 Krajca's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Krajca accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Avera Health Plans and Oscar Insurance Company and 2 other insurers list Justin Krajca 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 Krajca affiliated with any hospitals?

According to CMS data, Justin Krajca is affiliated with Spencer Municipal Hospital, Hegg Memorial Health Center, Sioux Center Health, Avera Mckennan Hospital & University Health Center and Freeman Medical Center - Cah.

When was this NPI record last updated?

The NPPES record for Justin Krajca was last updated on April 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.