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JUSTIN W REED D.O.
NPI 1487186839
Internal Medicine - Rheumatology in Joplin, MO

Active since April 03, 2017PECOS EnrolledAccepts Medicare Assignment
94.04/100
CMS Quality Rating
1027 S MAIN ST LOWR LEVEL, JOPLIN, MO 64801(417) 605-7123 Get Directions Write a Review

NPPES record last updated: June 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 14, 2024, Mar 15, 2023, Apr 20, 2017 (3 updates tracked since 2017).

About Justin W Reed D.o. NPPES

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

JUSTIN W REED D.O. (NPI 1487186839) is an individual rheumatology provider in Joplin, Missouri, licensed in Missouri (2022021802) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Citizens Memorial Hospital, and maintains a secondary practice location in Bolivar.

NPPES Registry Identity

NPI1487186839
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameJUSTIN W REEDCredential: D.O.
Location Address1027 S MAIN ST LOWR LEVELJoplin, MO 64801-4565
Mailing Address1027 S Main St Lowr LevelJoplin, MO 64801-4565 · (417) 605-7123 · Fax (417) 605-7012
Phone(417) 605-7123
Sole ProprietorYes
Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 2017
Enumeration DateApril 3, 2017
Last NPPES UpdateJune 14, 20243 updates tracked since enumeration
NPPES CertifiedJune 14, 2024
✔ NPI 1487186839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses✔ Licensed in MO · 2022021802✔ Licensed in KS · 05-47164
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1027 S MAIN ST LOWR LEVEL, Joplin, MO 64801
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Secondary Practice Location 1

Location 11500 N Oakland AveBolivar, MO 65613-3099 · Phone (417) 326-6000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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

Justin W Reed 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 ID8729402441
PECOS Enrollment IDI20220816000857
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 2

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.

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.
32 services18 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
24 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Citizens Memorial Hospital

Acute Care Hospitals · Bolivar, MO
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number260195
Location1500 N OaklandBolivar, MO 65613 · Polk County
Emergency services Birthing friendly

Mercy Hospital Carthage

Critical Access Hospitals · Carthage, MO
OwnershipVoluntary non-profit - Private
CMS Certification Number261338
Location3125 Dr Russell Smith WayCarthage, MO 64836 · Jasper County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64801 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

94.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.8
Promoting Interoperability100
Improvement Activities40

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 Reed's NPI number?

The NPI number for Justin Reed is 1487186839. It was assigned to this individual provider in the NPPES registry on April 3, 2017.

Where is Justin Reed located?

Justin Reed practices at 1027 S Main St Lowr Level, Joplin, MO 64801. The listed phone number is (417) 605-7123.

What is Justin Reed's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Justin Reed enrolled in Medicare?

Yes. Justin Reed 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 Reed accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Justin Reed 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 Reed affiliated with any hospitals?

According to CMS data, Justin Reed is affiliated with Citizens Memorial Hospital and Mercy Hospital Carthage.

When was this NPI record last updated?

The NPPES record for Justin Reed was last updated on June 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.