JUSTIN KANE M.D., PH.D.
NPI 1487885745
Emergency Medicine in Worthington, MN

Active since August 05, 2009PECOS EnrolledAccepts Medicare Assignment
77.02/100
CMS Quality Rating
1018 6TH AVE, WORTHINGTON, MN 56187(507) 372-2941 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 17, 2023, Jul 21, 2021 (2 updates tracked since 2021).

About Justin Kane M.d., Ph.d. NPPES

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

JUSTIN KANE M.D., PH.D. (NPI 1487885745) is an individual emergency medicine provider in Worthington, Minnesota, licensed in Minnesota (53709) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS, is affiliated with Sanford Worthington Medical Center, and maintains a secondary practice location in Edina.

NPPES Registry Identity

NPI1487885745
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJUSTIN KANECredential: M.D., PH.D.
Location Address1018 6TH AVEWorthington, MN 56187-2202
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2007
Enumeration DateAugust 5, 2009
Last NPPES UpdateAugust 17, 20232 updates tracked since enumeration
NPPES CertifiedAugust 17, 2023
NPI 1487885745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in MN · 53709
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedHospitalistTaxonomy 208M00000X · License 53709 (MN)
1018 6TH AVE, Worthington, MN 56187

Secondary Practice Location 1

Location 16401 France Ave SEdina, MN 55435-2104 · Phone (952) 924-8463 · Fax (952) 924-8358

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 Kane M.d., Ph.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 ID1850574443
PECOS Enrollment IDI20110318000594
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.

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.
199 services180 patients
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.
65 services60 patients

Hospital Affiliations CMS Care Compare 3

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

Sanford Worthington Medical Center

Acute Care Hospitals · Worthington, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number240022
Location1018 Sixth Avenue PO Box 997Worthington, MN 56187 · Nobles County
Emergency services Birthing friendly

Windom Area Health

Critical Access Hospitals · Windom, MN
OwnershipGovernment - Local
CMS Certification Number241332
Location2150 Hospital Drive, PO Box 339Windom, MN 56101 · Cottonwood County
Emergency services

Sanford Luverne Medical Center

Critical Access Hospitals · Luverne, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241371
Location1600 N Kniss AvenueLuverne, MN 56156 · Rock County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56187 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

77.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.9
Promoting Interoperability98
Improvement Activities40
Cost22.35

Other Providers at the Same Location NPPES 16

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

Nurse Practitioner
1018 6TH AVE
WORTHINGTON, MN 56187
Nurse Anesthetist, Certified Registered
1018 6TH AVE
WORTHINGTON, MN 56187
Obstetrics & Gynecology
1018 6TH AVE
WORTHINGTON, MN 56187
Dietitian, Registered
1018 6TH AVE
WORTHINGTON, MN 56187
Radiology (Radiation Oncology)
1018 6TH AVE
WORTHINGTON, MN 56187
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1018 6TH AVE
WORTHINGTON, MN 56187
Nurse Anesthetist, Certified Registered
1018 6TH AVE
WORTHINGTON, MN 56187
Nurse Anesthetist, Certified Registered
1018 6TH AVE
WORTHINGTON, MN 56187

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 Kane's NPI number?

The NPI number for Justin Kane is 1487885745. It was assigned to this individual provider in the NPPES registry on August 5, 2009.

Where is Justin Kane located?

Justin Kane practices at 1018 6th Ave, Worthington, MN 56187. The listed phone number is (507) 372-2941.

What is Justin Kane's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Justin Kane enrolled in Medicare?

Yes. Justin Kane 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 Kane accept?

Health plans from Medica list Justin Kane 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 Kane affiliated with any hospitals?

According to CMS data, Justin Kane is affiliated with Sanford Worthington Medical Center, Windom Area Health and Sanford Luverne Medical Center.

When was this NPI record last updated?

The NPPES record for Justin Kane was last updated on August 17, 2023. 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.