Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. JUSTIN RACKLEY MD
NPI 1407353105
Internal Medicine - Cardiovascular Disease in Shelton, CT

Active since April 09, 2018PECOS Enrolled
2 IVY BROOK RD STE 120, SHELTON, CT 06484(203) 732-1524(203) 954-0084 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 9, 2026, Mar 6, 2026, Apr 9, 2018 (3 updates tracked since 2018).

About Dr. Justin Rackley Md NPPES

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

DR. JUSTIN RACKLEY MD (NPI 1407353105) is an individual cardiovascular disease provider in Shelton, Connecticut, licensed in Connecticut (83848) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and is a graduate of Drexel University College Of Medicine (2018).

NPPES Registry Identity

NPI1407353105
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. JUSTIN RACKLEYCredential: MD
Location Address2 IVY BROOK RD STE 120Shelton, CT 06484-6417
Mailing Address67 Maple AveDerby, CT 06418-1328
Fax(203) 954-0084
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 2018
Enumeration DateApril 9, 2018
Last NPPES UpdateJuly 9, 20263 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
NPI 1407353105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in CT · 83848
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal Medicine · Clinical Cardiac ElectrophysiologyTaxonomy 207RC0001X · License 83848 (CT)
2 IVY BROOK RD STE 120, Shelton, CT 06484

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Justin Rackley Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759631062
PECOS Enrollment IDI20260424003052
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06484 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
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 2

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

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
1 supplier12 claims2,700 services$0.03 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
1 supplier12 claims12 services$21.65 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

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

Internal Medicine
2 IVY BROOK RD STE 120
SHELTON, CT 06484

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407353105, enumerated as an "individual" on April 09, 2018.

The provider is located at 2 IVY BROOK RD STE 120 SHELTON, CT 06484 and the phone number is (203) 732-1524.

Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.