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JUSTIN W POWELL D.O.
NPI 1487663191
Pediatrics in Hallettsville, TX

Active since August 05, 2006PECOS EnrolledAccepts Medicare Assignment
147 COUNTY ROAD 129, HALLETTSVILLE, TX 77964(361) 798-2112(361) 798-2112 Get Directions Write a Review

NPPES record last updated: July 14, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Justin W Powell D.o. NPPES

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

JUSTIN W POWELL D.O. (NPI 1487663191) is an individual pediatrics provider in Hallettsville, Texas, licensed in Texas (TXBJ8722) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Cuero Regional Hospital, and is a graduate of Fort Worth School Of Medicine (1994).

NPPES Registry Identity

NPI1487663191
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJUSTIN W POWELLCredential: D.O.
Location Address147 COUNTY ROAD 129Hallettsville, TX 77964-5186
Mailing AddressPo Box 801Hallettsville, TX 77964-0801 · (361) 798-2112 · Fax (361) 798-2112
Phone(361) 798-2112
Fax(361) 798-2112
Sole ProprietorNo
Medical School CMSFort Worth School Of MedicineGraduated 1994
Enumeration DateAugust 5, 2006
Last NPPES UpdateJuly 14, 2014
✔ NPI 1487663191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · TXBJ8722
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedEmergency MedicineTaxonomy 207P00000X · License J8722 (TX)
Also ListedFamily MedicineTaxonomy 207Q00000X · License TXBJ8722 (TX)
Also ListedInternal MedicineTaxonomy 207R00000X · License TXBJ8722 (TX)
147 COUNTY ROAD 129, Hallettsville, TX 77964
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Other Identifiers 3

Medicaid111956205TX
Medicare UPING95554TX
Medicare ID-Type Unspecified8A01388TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Justin W Powell 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 ID2264446939
PECOS Enrollment IDI20100706000335
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

7

Medicare enrollment records show Justin Powell reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dewitt Medical District
31 mi
Family Medicine
2550 N ESPLANADE ST
Cuero, TX 77954
  • Reassigned Medicare billing, Texas enrollment
  • 74 clinicians in this Medicare group
NPI 1043645955 (361) 275-6191
Texas Emergency Group LLC
31 mi
Emergency Medicine
2550 N ESPLANADE ST
Cuero, TX 77954
  • Reassigned Medicare billing, Texas enrollment
  • 135 clinicians in this Medicare group
NPI 1699288811 (361) 275-6191
Ballinger Memorial Hospital District
240 mi
Critical Access
608 AVENUE B
Ballinger, TX 76821
  • Reassigned Medicare billing, Texas enrollment
  • 30 clinicians in this Medicare group
NPI 1225038938 (325) 365-2531
Hendrick Provider Network
267 mi
Internal Medicine
1904 PINE ST, SUITE 200
Abilene, TX 79601
  • Reassigned Medicare billing, Texas enrollment
  • 420 clinicians in this Medicare group
NPI 1396961322 (325) 670-4220
Southwest Medical Associates, Inc.
337 mi
Emergency Medicine
1207 S BAILEY ST
Electra, TX 76360
  • Reassigned Medicare billing, Texas enrollment
  • 155 clinicians in this Medicare group
NPI 1831299122 (940) 495-3981
Concord Medical Group PLLC
408 mi
Emergency Medicine
1602 AVENUE Q
Lubbock, TX 79401
  • Reassigned Medicare billing, Texas enrollment
  • 1,338 clinicians in this Medicare group
NPI 1083630610 (888) 264-0330
Victoria Hospitalist Associates, LLC
463 mi
Hospitalist
4500 S GARNETT RD, STE 919
Tulsa, OK 74146
  • Reassigned Medicare billing, Texas enrollment
  • 100 clinicians in this Medicare group
NPI 1023236825 (918) 728-6145

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 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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
36 services35 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
35 services33 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
18 services18 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
13 services13 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Cuero Regional Hospital

Acute Care Hospitals · Cuero, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450597
Location2550 N EsplanadeCuero, TX 77954 · De Witt County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77964 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$19.33 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$108.39 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Powell's NPI number?

The NPI number for Justin Powell is 1487663191. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Justin Powell located?

Justin Powell practices at 147 County Road 129, Hallettsville, TX 77964. The listed phone number is (361) 798-2112.

What is Justin Powell's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Justin Powell enrolled in Medicare?

Yes. Justin Powell 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 Powell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Powell reassigns Medicare benefits to 7 organizations: Dewitt Medical District (Cuero, TX), Texas Emergency Group LLC (Cuero, TX), Ballinger Memorial Hospital District (Ballinger, TX), Hendrick Provider Network (Abilene, TX), Southwest Medical Associates, Inc. (Electra, TX) and 2 more organizations, listed in the Medicare section above. 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 Powell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Powell accept?

Health plans from Blue Cross and Blue Shield of Texas list Justin Powell 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 Powell affiliated with any hospitals?

According to CMS data, Justin Powell is affiliated with Cuero Regional Hospital.

When was this NPI record last updated?

The NPPES record for Justin Powell was last updated on July 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.