JUSTIN DARWIN PA-C
NPI 1477968535
Physician Assistant in Colorado Springs, CO

Active since June 27, 2014PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
5818 N NEVADA AVE STE 110, COLORADO SPRINGS, CO 80918(719) 365-1950(719) 364-0022 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 7, 2022, Sep 29, 2021, Apr 14, 2020 and 1 more (4 updates tracked since 2016).

About Justin Darwin Pa-c NPPES

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

JUSTIN DARWIN PA-C (NPI 1477968535) is an individual physician assistant in Colorado Springs, Colorado, licensed in Colorado (PA.0006165) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1477968535
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJUSTIN DARWINCredential: PA-C
Location Address5818 N NEVADA AVE STE 110Colorado Springs, CO 80918-3505
Mailing Address2695 Rocky Mountain Ave Ste 150Loveland, CO 80538-9071 · (719) 365-1950 · Fax (719) 364-0022
Fax(719) 364-0022
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 27, 2014
Last NPPES UpdateJuly 24, 20254 updates tracked since enumeration
NPPES CertifiedJuly 24, 2025
NPI 1477968535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in CO · PA.0006165 Licensed in TX · PA09355
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5818 N NEVADA AVE STE 110, Colorado Springs, CO 80918

Other Identifiers 1

Medicaid9000182084CO

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

Justin Darwin Pa-c 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 ID7113229493
PECOS Enrollment IDI20200417000663
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 5

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
204 services37 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.
65 services49 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
47 services39 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.
37 services37 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80918 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Physician Assistant
5818 N NEVADA AVE STE 110
COLORADO SPRINGS, CO 80918
Clinic/Center (Radiology)
5818 N NEVADA AVE STE 110
COLORADO SPRINGS, CO 80918
Physician Assistant
5818 N NEVADA AVE STE 110
COLORADO SPRINGS, CO 80918
Physician Assistant
5818 N NEVADA AVE STE 110
COLORADO SPRINGS, CO 80918
Orthopaedic Surgery
5818 N NEVADA AVE STE 110
COLORADO SPRINGS, CO 80918
Physician Assistant
5818 N NEVADA AVE STE 110
COLORADO SPRINGS, CO 80918
Physician Assistant
5818 N NEVADA AVE STE 110
COLORADO SPRINGS, CO 80918
Physician Assistant
5818 N NEVADA AVE STE 110
COLORADO SPRINGS, CO 80918

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 Darwin's NPI number?

The NPI number for Justin Darwin is 1477968535. It was assigned to this individual provider in the NPPES registry on June 27, 2014.

Where is Justin Darwin located?

Justin Darwin practices at 5818 N Nevada Ave Ste 110, Colorado Springs, CO 80918. The listed phone number is (719) 365-1950.

What is Justin Darwin's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Justin Darwin enrolled in Medicare?

Yes. Justin Darwin 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.

What insurance does Justin Darwin accept?

Health plans from UnitedHealthcare list Justin Darwin 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.

When was this NPI record last updated?

The NPPES record for Justin Darwin was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.