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JUSTIN BUCHHOLZ D.O.
NPI 1528449907
Internal Medicine in Pueblo, CO

Active since June 11, 2015PECOS EnrolledAccepts Medicare Assignment
400 W 16TH ST, PUEBLO, CO 81003(719) 584-4000 Get Directions Write a Review

NPPES record last updated: June 11, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Justin Buchholz D.o. NPPES

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

JUSTIN BUCHHOLZ D.O. (NPI 1528449907) is an individual internal medicine provider in Pueblo, Colorado, licensed in Colorado (TL.0005704) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1528449907
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJUSTIN BUCHHOLZCredential: D.O.
Location Address400 W 16TH STPueblo, CO 81003-2745
Mailing Address4145 Outlook Blvd Unit HPueblo, CO 81008-2609 · (417) 459-0348
Phone(719) 584-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 11, 2015
✔ NPI 1528449907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CO · TL.0005704
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
400 W 16TH ST, Pueblo, CO 81003
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Other Identifiers 1

OtherTL.0005704CO · Physician Training License

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 Buchholz 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 ID9436466067
PECOS Enrollment IDI20180719000301
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

2

Medicare enrollment records show Justin Buchholz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Salida Hospital District
47 mi
Rural Health
704 EDWARDS ST
Westcliffe, CO 81252
  • Reassigned Medicare billing, Colorado enrollment
  • Also billed through NPI 1730258971 (Colorado)
  • 206 clinicians in this Medicare group
NPI 1053790444 (719) 530-2000
Lutheran Hospital Association Of The San Luis Valley
89 mi
Obstetrics & Gynecology
106 BLANCA AVE
Alamosa, CO 81101
  • Reassigned Medicare billing, Colorado enrollment
  • Also billed through NPI 1194792762 (Colorado)
  • 203 clinicians in this Medicare group
NPI 1720269434 (719) 589-3000

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 4

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.

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.
72 services67 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
44 services44 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.
20 services18 patients
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.
19 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81003 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
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

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.

MISS EMILY ANNE KEARNEY RDN
Dietitian, Registered
400 W 16TH ST
PUEBLO, CO 81003
Pueblo County (719) 584-4994
CHRISTOPHER JON STARK
Internal Medicine
400 W 16TH ST
PUEBLO, CO 81003
Pueblo County (719) 595-2218
MARY RUSSO DO
Emergency Medicine
400 W 16TH ST
PUEBLO, CO 81003
Pueblo County (719) 584-4306
DR. DARYA BLEDNOVA MD
Internal Medicine
400 W 16TH ST
PUEBLO, CO 81003
Pueblo County (970) 624-2403
LARA KJURSTON KNOWLES CRNA
Nurse Anesthetist, Certified Registered
400 W 16TH ST
PUEBLO, CO 81003
Pueblo County (719) 584-4000
KAYLA TOENNIS DO
Internal Medicine
400 W 16TH ST
PUEBLO, CO 81003
Pueblo County (719) 595-7585
DR. SHAUN MICHAEL PITTS DO
Internal Medicine
400 W 16TH ST
PUEBLO, CO 81003
Pueblo County (719) 595-7585
DR. NICHOLAS CIURCZAK DO
Internal Medicine
400 W 16TH ST
PUEBLO, CO 81003
Pueblo County (719) 544-1488

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 Buchholz's NPI number?

The NPI number for Justin Buchholz is 1528449907. It was assigned to this individual provider in the NPPES registry on June 11, 2015.

Where is Justin Buchholz located?

Justin Buchholz practices at 400 W 16th St, Pueblo, CO 81003. The listed phone number is (719) 584-4000.

What is Justin Buchholz's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Justin Buchholz enrolled in Medicare?

Yes. Justin Buchholz 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 Buchholz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Buchholz reassigns Medicare benefits to 2 organizations: Salida Hospital District (Westcliffe, CO) and Lutheran Hospital Association Of The San Luis Valley (Alamosa, CO). 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 Buchholz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Justin Buchholz was last updated on June 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.