JUSTIN DOUGLAS RICE D.O.
NPI 1578739629
Hospitalist in Shenandoah, TX

Active since May 07, 2008PECOS EnrolledAccepts Medicare Assignment
17201 I H 45 S, SHENANDOAH, TX 77385(936) 270-2099 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Feb 25, 2020, Nov 21, 2017 (3 updates tracked since 2017).

About Justin Douglas Rice D.o. NPPES

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

JUSTIN DOUGLAS RICE D.O. (NPI 1578739629) is an individual hospitalist provider in Shenandoah, Texas, licensed in Texas (N4700) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Houston Methodist The Woodlands Hospital, and maintains a secondary practice location in Conroe.

NPPES Registry Identity

NPI1578739629
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameJUSTIN DOUGLAS RICECredential: D.O.
Location Address17201 I H 45 SShenandoah, TX 77385-3311
Mailing Address17201 I H 45 SShenandoah, TX 77385-3311 · (936) 270-2099
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateMay 7, 2008
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2020
NPI 1578739629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in TX · N4700
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.

Also ListedInternal MedicineTaxonomy 207R00000X · License N4700 (TX)
17201 I H 45 S, Shenandoah, TX 77385

Secondary Practice Location 1

Location 1504 Medical Center BlvdConroe, TX 77304-2808 · Phone (281) 408-4108

Other Identifiers 3

Other094010801TX · Group Medicaid
Medicaid907544TX
Other00J21ATX · Group Medicare Number

Accepted 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 Douglas Rice 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 ID9638345770
PECOS Enrollment IDI20111220000670
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 3

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.
325 services142 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.
138 services138 patients
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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Houston Methodist The Woodlands Hospital

Acute Care Hospitals · The Woodlands, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670122
Location17201 Interstate 45 SouthThe Woodlands, TX 77385 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77385 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
99%570 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%373 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers52 claims54 services$14.70 avg. paid by Medicare
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
4 suppliers58 claims60 services$65.24 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier23 claims23 services$13.98 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
2 suppliers13 claims13 services$18.53 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier23 claims23 services$6.32 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.

Hospitalist
17201 I H 45 S
SHENANDOAH, TX 77385
Nurse Practitioner (Acute Care)
17201 I H 45 S
SHENANDOAH, TX 77385
Nurse Practitioner (Acute Care)
17201 I H 45 S
SHENANDOAH, TX 77385
Hospitalist
17201 I H 45 S
SHENANDOAH, TX 77385
Nurse Practitioner (Adult Health)
17201 I H 45 S
SHENANDOAH, TX 77385
Hospitalist
17201 I H 45 S
SHENANDOAH, TX 77385
Nurse Practitioner (Acute Care)
17201 I H 45 S
SHENANDOAH, TX 77385
Hospitalist
17201 I H 45 S
SHENANDOAH, TX 77385

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 Rice's NPI number?

The NPI number for Justin Rice is 1578739629. It was assigned to this individual provider in the NPPES registry on May 7, 2008.

Where is Justin Rice located?

Justin Rice practices at 17201 I H 45 S, Shenandoah, TX 77385. The listed phone number is (936) 270-2099.

What is Justin Rice's specialty?

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

Is Justin Rice enrolled in Medicare?

Yes. Justin Rice 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.

What insurance does Justin Rice accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice and Molina Healthcare list Justin Rice as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Justin Rice affiliated with any hospitals?

According to CMS data, Justin Rice is affiliated with Houston Methodist The Woodlands Hospital.

When was this NPI record last updated?

The NPPES record for Justin Rice was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.