JUSTIN KIEL MEDLIN PA-C
NPI 1538437629
Physician Assistant - Surgical in South Charleston, WV

Q: What is Justin Medlin's NPI number?

The NPI number for Justin Medlin is 1538437629. It was assigned to this individual provider in the NPPES registry on December 5, 2011.

Q: What is Justin Medlin's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Justin Medlin was last updated on December 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 05, 2011PECOS EnrolledAccepts Medicare Assignment

90.11/100

CMS Quality Rating

610 CHESTNUT ST, SOUTH CHARLESTON, WV 25309(304) 766-7515(304) 766-7566 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 30, 2021, Jan 8, 2021, Jul 31, 2017 and 1 more (4 updates tracked since 2017).

On this page

About Justin Kiel Medlin Pa-c NPPES

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

JUSTIN KIEL MEDLIN PA-C (NPI 1538437629) is an individual surgical provider in South Charleston, West Virginia, licensed in West Virginia (577) and active in the NPI registry since December 2011. He is enrolled in Medicare PECOS, is affiliated with Thomas Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1538437629

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameJUSTIN KIEL MEDLINCredential: PA-C

Location Address610 CHESTNUT STSouth Charleston, WV 25309-1251

Mailing Address4605 Maccorkle Ave SwSouth Charleston, WV 25309-1311 · (304) 414-4800 · Fax (304) 766-7566

Phone(304) 766-7515

Fax(304) 766-7566

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateDecember 5, 2011

Last NPPES UpdateDecember 30, 20214 updates tracked since enumeration

NPPES CertifiedDecember 30, 2021

✔ NPI 1538437629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in WV · 577

610 CHESTNUT ST, South Charleston, WV 25309

Open in Google Maps ↗

Secondary Practice Locations 2

Location 111924 Winfield RdWinfield, WV 25213-7913 · Phone (304) 767-7790 · Fax (304) 767-7566

Location 24605 MacCorkle Ave SWSouth Charleston, WV 25309-1311 · Phone (304) 414-4800 · Fax (304) 766-7566

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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 Kiel Medlin Pa-c 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 ID6800062530

PECOS Enrollment IDI20111230000505

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.

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

44 services40 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.

27 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Thomas Memorial Hospital

Acute Care Hospitals · South Charleston, WV

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510029

Location4605 Maccorkle Avenue SWSouth Charleston, WV 25309 · Kanawha County

Emergency services Birthing friendly

Boone Memorial Hospital

Critical Access Hospitals · Madison, WV

OwnershipGovernment - Local

CMS Certification Number511313

Location701 Madison AvenueMadison, WV 25130 · Boone County

Emergency services

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.

90.11/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

66.96

Promoting Interoperability

100

Improvement Activities

Leave this field empty

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.

BRUCE FREDRIC HAUPT MD

Orthopaedic Surgery