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DR. JUSTIN TODD HUNSUCKER M.D.
NPI 1568720167
Internal Medicine - Pulmonary Disease in Somerset, KY

Active since May 02, 2012PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
305 MEDPARK DR, SOMERSET, KY 42503(606) 451-2950(606) 451-2951 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 6, 2024, Oct 15, 2020, Sep 23, 2019 (3 updates tracked since 2019).

About Dr. Justin Todd Hunsucker M.d. NPPES

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

DR. JUSTIN TODD HUNSUCKER M.D. (NPI 1568720167) is an individual pulmonary disease provider in Somerset, Kentucky, licensed in Kentucky (58769) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Lake Cumberland Regional Hospital, and is a graduate of University Of Louisville School Of Medicine (2012).

NPPES Registry Identity

NPI1568720167
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. JUSTIN TODD HUNSUCKERCredential: M.D.
Location Address305 MEDPARK DRSomerset, KY 42503-2816
Mailing Address305 Medpark DrSomerset, KY 42503-2816 · (606) 451-2950 · Fax (606) 451-2951
Phone(606) 451-2950
Fax(606) 451-2951
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2012
Enumeration DateMay 2, 2012
Last NPPES UpdateMay 6, 20243 updates tracked since enumeration
NPPES CertifiedMay 6, 2024
✔ NPI 1568720167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses✔ Licensed in KY · 58769✔ Licensed in FL · 142430
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
305 MEDPARK DR, Somerset, KY 42503
Open in Google Maps ↗

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 Todd Hunsucker 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 ID6709104953
PECOS Enrollment IDI20240327002534
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 9

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
87 services87 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.
79 services68 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.
71 services59 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
44 services44 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
31 services31 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
26 services26 patients

Hospital Affiliations CMS Care Compare 3

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

Lake Cumberland Regional Hospital

Acute Care Hospitals · Somerset, KY
2/5 CMS rating
OwnershipProprietary
CMS Certification Number180132
Location305 Langdon StreetSomerset, KY 42503 · Pulaski County
Emergency services Birthing friendly

Wayne County Hospital

Critical Access Hospitals · Monticello, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181321
Location166 Hospital StreetMonticello, KY 42633 · Wayne County
Emergency services

Russell County Hospital

Critical Access Hospitals · Russell Springs, KY
OwnershipGovernment - Local
CMS Certification Number181330
Location153 Dowell RoadRussell Springs, KY 42642 · Russell County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42503 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.75
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 10

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

Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers12 claims12 services$82.63 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers11 claims29 services$32.20 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
8 suppliers13 claims13 services$19.14 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
8 suppliers12 claims12 services$14.69 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
8 suppliers19 claims87 services$2.19 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers41 claims42 services$16.76 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 2

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

DREZ ONE, LLC
Neurological Surgery
305 MEDPARK DR
SOMERSET, KY 42503
Pulaski County (606) 263-2912
LAKE CUMBERLAND PHYSICIAN PRACTICES LLC
Internal Medicine
305 MEDPARK DR
SOMERSET, KY 42503
Pulaski County (606) 451-3885

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 Hunsucker's NPI number?

The NPI number for Justin Hunsucker is 1568720167. It was assigned to this individual provider in the NPPES registry on May 2, 2012.

Where is Justin Hunsucker located?

Justin Hunsucker practices at 305 Medpark Dr, Somerset, KY 42503. The listed phone number is (606) 451-2950.

What is Justin Hunsucker's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Justin Hunsucker enrolled in Medicare?

Yes. Justin Hunsucker 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 Hunsucker affiliated with any hospitals?

According to CMS data, Justin Hunsucker is affiliated with Lake Cumberland Regional Hospital, Wayne County Hospital and Russell County Hospital.

When was this NPI record last updated?

The NPPES record for Justin Hunsucker was last updated on May 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.