JUSTIN LYELL HAZEN M.D.
NPI 1568482701
Emergency Medicine in Albuquerque, NM

Active since July 20, 2006Opted out of Medicare · through Dec 26, 2027
4411 MONTANO RD NW, SUITE F, ALBUQUERQUE, NM 87120(505) 899-4414(505) 898-2395 Get Directions Write a Review

NPPES record last updated: March 17, 2014. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Justin Lyell Hazen M.d. NPPES

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

JUSTIN LYELL HAZEN M.D. (NPI 1568482701) is an individual emergency medicine provider in Albuquerque, New Mexico, licensed in New Mexico (2004-0125) and active in the NPI registry since July 2006. He has opted out of Medicare through December 26, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1568482701
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJUSTIN LYELL HAZENCredential: M.D.
Location Address4411 MONTANO RD NW, SUITE FAlbuquerque, NM 87120-3235
Mailing Address4411 Montano Rd Nw, Suite FAlbuquerque, NM 87120-3235 · (505) 899-4414 · Fax (505) 898-2395
Fax(505) 898-2395
Sole ProprietorNo
Enumeration DateJuly 20, 2006
Last NPPES UpdateMarch 17, 2014
✔ NPI 1568482701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NM · 2004-0125
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.
4411 MONTANO RD NW, Albuquerque, NM 87120

Other Identifiers 1

Medicare UPINI23863NM

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Justin Lyell Hazen M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 26, 2017 through December 26, 2027.

Opt-Out Effective DateDecember 26, 2017
Opt-Out In Effect ThroughDecember 26, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87120 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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 7

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

Physical Therapist
4411 MONTANO RD NW, SUITE F
ALBUQUERQUE, NM 87120
Durable Medical Equipment & Medical Supplies
4411 MONTANO RD NW, SUITE F
ALBUQUERQUE, NM 87120
Clinic/Center (Primary Care)
4411 MONTANO RD NW, SUITE F
ALBUQUERQUE, NM 87120
Occupational Therapist
4411 MONTANO RD NW, SUITE F
ALBUQUERQUE, NM 87120
Nurse Practitioner (Family)
4411 MONTANO RD NW, SUITE F
ALBUQUERQUE, NM 87120
Dentist
4411 MONTANO RD NW, SUITE D
ALBUQUERQUE, NM 87120
Physical Therapist
4411 MONTANO RD NW, SUITE F
ALBUQUERQUE, NM 87120

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 Hazen's NPI number?

The NPI number for Justin Hazen is 1568482701. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Justin Hazen located?

Justin Hazen practices at 4411 Montano Rd NW Suite F, Albuquerque, NM 87120. The listed phone number is (505) 899-4414.

What is Justin Hazen's specialty?

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

Is Justin Hazen enrolled in Medicare?

No. Justin Hazen has opted out of Medicare through December 26, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Justin Hazen was last updated on March 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.