JUSTIN BUMGARDNER MD
NPI 1508361007
Hospitalist in Sparks, NV

Active since March 27, 2018PECOS EnrolledAccepts Medicare Assignment
2375 E PRATER WAY, SPARKS, NV 89434(775) 352-5301 Get Directions Write a Review

NPPES record last updated: January 5, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 5, 2022, Mar 27, 2018 (2 updates tracked since 2018).

About Justin Bumgardner Md NPPES

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

JUSTIN BUMGARDNER MD (NPI 1508361007) is an individual hospitalist provider in Sparks, Nevada, licensed in Nevada (21528) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Northern Nevada Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1508361007
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameJUSTIN BUMGARDNERCredential: MD
Location Address2375 E PRATER WAYSparks, NV 89434-9641
Mailing Address1155 Mill St # W11Reno, NV 89502-1576 · (775) 327-5174
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 27, 2018
Last NPPES UpdateJanuary 5, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2022
NPI 1508361007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in NV · 21528
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

2375 E PRATER WAY, Sparks, NV 89434

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 Bumgardner Md 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 ID8022360155
PECOS Enrollment IDI20211228002074
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
453 services167 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
156 services72 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.
132 services125 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
49 services21 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
34 services34 patients

Hospital Affiliations CMS Care Compare

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

Northern Nevada Medical Center

Acute Care Hospitals · Sparks, NV
3/5 CMS rating
OwnershipProprietary
CMS Certification Number290032
Location2375 E Prater WaySparks, NV 89434 · Washoe County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89434 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
$131.25 typical visit price
range $57.07 – $173.24
Typical copayment $32.81 (range $14.26 – $43.31)
Most-billed visit code 99204
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

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
2 suppliers14 claims14 services$88.51 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
2375 E PRATER WAY
SPARKS, NV 89434
Emergency Medicine
2375 E PRATER WAY
SPARKS, NV 89434
Emergency Medicine
2375 E PRATER WAY
SPARKS, NV 89434
Family Medicine
2375 E PRATER WAY
SPARKS, NV 89434
Emergency Medicine (Emergency Medical Services)
2375 E PRATER WAY
SPARKS, NV 89434
Physical Therapist
2375 E PRATER WAY, SUITE 301
SPARKS, NV 89434
General Acute Care Hospital
2375 E PRATER WAY
SPARKS, NV 89434
Internal Medicine
2375 E PRATER WAY
SPARKS, NV 89434

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 Bumgardner's NPI number?

The NPI number for Justin Bumgardner is 1508361007. It was assigned to this individual provider in the NPPES registry on March 27, 2018.

Where is Justin Bumgardner located?

Justin Bumgardner practices at 2375 E Prater Way, Sparks, NV 89434. The listed phone number is (775) 352-5301.

What is Justin Bumgardner's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Justin Bumgardner enrolled in Medicare?

Yes. Justin Bumgardner 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.

Is Justin Bumgardner affiliated with any hospitals?

According to CMS data, Justin Bumgardner is affiliated with Northern Nevada Medical Center.

When was this NPI record last updated?

The NPPES record for Justin Bumgardner was last updated on January 5, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.