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DR. JUSTIN MICHAEL KING M.D.
NPI 1497938567
Otolaryngology in Broomfield, CO

Active since December 12, 2007PECOS EnrolledAccepts Medicare Assignment
87.52/100
CMS Quality Rating
403 SUMMIT BLVD, SUITE 204, BROOMFIELD, CO 80021(303) 619-3527 Get Directions Write a Review

NPPES record last updated: May 1, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Justin Michael King M.d. NPPES

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

DR. JUSTIN MICHAEL KING M.D. (NPI 1497938567) is an individual otolaryngology provider in Broomfield, Colorado, licensed in Colorado (47905) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS and is a graduate of Northeastern Ohio University College Of Medicine (2003).

NPPES Registry Identity

NPI1497938567
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. JUSTIN MICHAEL KINGCredential: M.D.
Location Address403 SUMMIT BLVD, SUITE 204Broomfield, CO 80021-8294
Mailing Address403 Summit Blvd, Suite 204Broomfield, CO 80021-8252 · (303) 619-3527
Phone(303) 619-3527
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2003
Enumeration DateDecember 12, 2007
Last NPPES UpdateMay 1, 2017
✔ NPI 1497938567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in CO · 47905
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
403 SUMMIT BLVD, Broomfield, CO 80021
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Other Identifiers 3

Medicaid194619601TX
Medicare PINP00986448TX
Medicare PIN8L0106TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Dr. Justin Michael King M.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 ID1254406614
PECOS Enrollment IDI20111115000128
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 10

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, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
2,997 services24 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.
177 services90 patients
Exam to assess movement of vocal cord flaps using an endoscope 31579
This procedure involves using a thin, flexible tube called an endoscope to view your vocal cords. The endoscope is gently inserted through your nose or mouth to observe the movement of your vocal cords. This helps identify any abnormalities or issues.
117 services78 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.
104 services74 patients
Injection of drug into side of voice box using an endoscope 31573
This procedure involves the use of a thin tube called an endoscope to deliver medication directly into the side of your voice box. This method allows for precise placement of the drug, helping to address specific issues with your voice or throat.
66 services25 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
45 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80021 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
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.

87.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality77.31
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use
100%21 patients
Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)
Lower rates are better for this measure.
23%53 patients4/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
78%174 patients4/55-star benchmark: 87%
Controlling High Blood Pressure
52%52 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%20 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
88%5,030 patients4/55-star benchmark: 100%
e-Prescribing
100%136 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
41%1,760 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
23%2,668 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 88% · 2,483 patients
Patients screened: 92% · 2,483 patients
31%143 patients2/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients combinedPopulations: 72% · 911 patients
Patients screened: 83% · 911 patients
0%102 patients
Provide Patients Electronic Access to Their Health Information
95%445 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
51%43 patients2/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 595 patients
Patients totalRate: 1% · 596 patients
1%596 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 11

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

CENTENO-SCHULTZ, INC
Pain Medicine (Interventional Pain Medicine)
403 SUMMIT BLVD, SUITE 201
BROOMFIELD, CO 80021
Jefferson County (303) 429-6448
SHANNON BOCK PA-C
Physician Assistant
403 SUMMIT BLVD, STE 201
BROOMFIELD, CO 80021
Jefferson County (303) 429-6448
MICHAEL C VIDAS MD
Otolaryngology
403 SUMMIT BLVD
BROOMFIELD, CO 80021
Jefferson County (720) 401-2139
CORNERSTONE AUDIOLOGY, LLC
Audiologist
403 SUMMIT BLVD, SUITE 204
BROOMFIELD, CO 80021
Jefferson County (970) 302-2389
DR. LINDSAY DANIELLE COLLINS AU.D.
Audiologist
403 SUMMIT BLVD, SUITE 204
BROOMFIELD, CO 80021
Jefferson County (720) 401-2139
JOHN R SCHULTZ MD
Pain Medicine (Interventional Pain Medicine)
403 SUMMIT BLVD, SUITE 201
BROOMFIELD, CO 80021
Jefferson County (303) 429-6448
COMPLETE DENTAL SOLUTIONS
Clinic/Center (Dental)
403 SUMMIT BLVD, UNIT 202
BROOMFIELD, CO 80021
Jefferson County (303) 665-1281
MARK F REILLY P.T.
Physical Therapist
403 SUMMIT BLVD, STE 201
BROOMFIELD, CO 80021
Jefferson County (303) 429-6448

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 King's NPI number?

The NPI number for Justin King is 1497938567. It was assigned to this individual provider in the NPPES registry on December 12, 2007.

Where is Justin King located?

Justin King practices at 403 Summit Blvd Suite 204, Broomfield, CO 80021. The listed phone number is (303) 619-3527.

What is Justin King's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Justin King enrolled in Medicare?

Yes. Justin King 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 King accept?

Health plans from UnitedHealthcare list Justin King 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 King was last updated on May 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.