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JUSTIN HAROLD M.D.
NPI 1588026652
Obstetrics & Gynecology in New Haven, CT

Active since March 28, 2016PECOS EnrolledAccepts Medicare Assignment
73.56/100
CMS Quality Rating
20 YORK ST, NEW HAVEN, CT 06510(203) 200-4176(203) 200-5077 Get Directions Write a Review

NPPES record last updated: June 4, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 4, 2020, Mar 28, 2016 (2 updates tracked since 2016).

About Justin Harold M.d. NPPES

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

JUSTIN HAROLD M.D. (NPI 1588026652) is an individual obstetrics & gynecology provider in New Haven, Connecticut, licensed in Connecticut (64968) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1588026652
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameJUSTIN HAROLDCredential: M.D.
Location Address20 YORK STNew Haven, CT 06510-3220
Mailing Address309 Rutherford St Apt AGreenville, SC 29609-5318 · (803) 924-4101
Phone(203) 200-4176
Fax(203) 200-5077
Sole ProprietorYes
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2016
Enumeration DateMarch 28, 2016
Last NPPES UpdateJune 4, 20202 updates tracked since enumeration
NPPES CertifiedJune 4, 2020
✔ NPI 1588026652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CT · 64968
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
20 YORK ST, New Haven, CT 06510
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Secondary Practice Location 1

Location 19200 W Wisconsin AveMilwaukee, WI 53226-3522 · Phone (414) 805-6600

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, First Choice Next, Molina Healthcare and more.Insurance ›

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 Harold 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 ID547525644
PECOS Enrollment IDI20230905004173
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 Reassignment

Medicare enrollment records show Justin Harold reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Medical Associates
699 mi
Multi-Specialty
1200 JOHNNIE DODDS BLVD
Mt Pleasant, SC 29464
  • Reassigned Medicare billing, South Carolina enrollment
  • Medicare enrollment name: University Medical Associates Of The Medical University Of South Carol
  • 2,594 clinicians in this Medicare group
NPI 1437176039 (843) 792-1414

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 14

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.

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.
54 services48 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.
34 services20 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.
28 services25 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
28 services24 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
27 services12 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.
25 services23 patients

Hospital Affiliations CMS Care Compare 4

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

Musc Medical Center

Acute Care Hospitals · Charleston, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420004
Location169 Ashley AveCharleston, SC 29425 · Charleston County
Emergency services Birthing friendly

Tidelands Georgetown Memorial Hospital

Acute Care Hospitals · Georgetown, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420020
Location606 Black River Rd Drawer 1718Georgetown, SC 29440 · Georgetown County
Emergency services

Tidelands Waccamaw Community Hospital

Acute Care Hospitals · Murrells Inlet, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420098
Location4070 Hwy 17Murrells Inlet, SC 29576 · Horry County
Emergency services Birthing friendly

Mcleod Loris Hospital

Acute Care Hospitals · Loris, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420105
Location3655 Mitchell StreetLoris, SC 29569 · Horry County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06510 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
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.

73.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.84
Promoting Interoperability74
Improvement Activities40
Cost51.43

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.

AUDREY P SENIOR APRN
Nurse Practitioner (Family)
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-5860
DR. YEISID F FIGUEREDO M.D.
Pediatrics (Neonatal-Perinatal Medicine)
20 YORK ST, DEPT OF NEONATOLOGY
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-2320
YALE NEW HAVEN HOSPITAL
Durable Medical Equipment & Medical Supplies (Customized Equipment)
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-2046
TAYLOR KINGSTON
Dietitian, Registered
20 YORK ST, FOOD AND NUTRITION EPB806
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-9185
DR. TRAVIS DANIEL BONTRAGER MD
Hospitalist
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-1734
TERESA JOSEPH D.O.
Internal Medicine (Nephrology)
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 737-8894
MR. BRAD ST. MARTIN MD
Obstetrics & Gynecology
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4242
BERNADETTE BIMONTE-HACKETT LCSW
Social Worker (Clinical)
20 YORK ST, SOCIAL WORK EP10-635
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-5161

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 Harold's NPI number?

The NPI number for Justin Harold is 1588026652. It was assigned to this individual provider in the NPPES registry on March 28, 2016.

Where is Justin Harold located?

Justin Harold practices at 20 York St, New Haven, CT 06510. The listed phone number is (203) 200-4176.

What is Justin Harold's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Justin Harold enrolled in Medicare?

Yes. Justin Harold 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 organization bills Medicare for Justin Harold's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Harold reassigns Medicare benefits to University Medical Associates (Mt Pleasant, SC). The 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 Harold's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Harold accept?

Health plans from BlueCross BlueShield of South Carolina, First Choice Next, Molina Healthcare and UnitedHealthcare list Justin Harold 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 Harold affiliated with any hospitals?

According to CMS data, Justin Harold is affiliated with Musc Medical Center, Tidelands Georgetown Memorial Hospital, Tidelands Waccamaw Community Hospital and Mcleod Loris Hospital.

When was this NPI record last updated?

The NPPES record for Justin Harold was last updated on June 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.