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JAMES JUSTOFIN CRNP
NPI 1588116248
Nurse Practitioner - Family in Telford, PA

Active since October 28, 2016PECOS EnrolledAccepts Medicare Assignment
463 RIDGE RD, TELFORD, PA 18969(610) 316-1164(866) 292-3662 Get Directions Write a Review

NPPES record last updated: June 24, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 24, 2021, Aug 16, 2020, Mar 19, 2020 and 3 more (6 updates tracked since 2016).

About James Justofin Crnp NPPES

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

JAMES JUSTOFIN CRNP (NPI 1588116248) is an individual family provider in Telford, Pennsylvania, licensed in Pennsylvania (SP016743) and active in the NPI registry since October 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1588116248
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJAMES JUSTOFINCredential: CRNP
Location Address463 RIDGE RDTelford, PA 18969-1440
Mailing Address463 Ridge RdTelford, PA 18969-1440 · (610) 316-1164 · Fax (866) 292-3662
Phone(610) 316-1164
Fax(866) 292-3662
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 28, 2016
Last NPPES UpdateJune 24, 20216 updates tracked since enumeration
NPPES CertifiedJune 24, 2021
✔ NPI 1588116248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP016743
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X · License SP016743 (PA)
463 RIDGE RD, Telford, PA 18969
Open in Google Maps ↗

Other Identifiers 1

Medicaid103502564-0005PA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

James Justofin Crnp 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 ID7810252764
PECOS Enrollment IDI20180525000248
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 Reassignments

2

Medicare enrollment records show James Justofin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

James Justofin Crnp LLC
Same address
Family
463 RIDGE RD
Telford, PA 18969
  • Reassigned Medicare billing, Pennsylvania enrollment
NPI 1942836572 (610) 316-1164
Performance Spine And Sports Physicians, PC
13 mi
Physical Medicine & Rehabilitation
1603 E HIGH ST, SUITE C
Pottstown, PA 19464
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Performance Spine & Sports Physicians, PC
  • 9 clinicians in this Medicare group
NPI 1225073877 (610) 970-4700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18969 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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

Cervical Cancer Screening
57%30 patients3/55-star benchmark: 98%
Colorectal Cancer Screening
14%35 patients1/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
87%387 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
36%75 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
40%52 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
65%196 patients5/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 48% · 60 patients
42%60 patients
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.

Other Providers at the Same Location NPPES

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

JAMES JUSTOFIN CRNP LLC
Nurse Practitioner (Family)
463 RIDGE RD
TELFORD, PA 18969
Montgomery County (610) 316-1164

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 James Justofin's NPI number?

The NPI number for James Justofin is 1588116248. It was assigned to this individual provider in the NPPES registry on October 28, 2016.

Where is James Justofin located?

James Justofin practices at 463 Ridge Rd, Telford, PA 18969. The listed phone number is (610) 316-1164.

What is James Justofin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is James Justofin enrolled in Medicare?

Yes. James Justofin 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 organizations bill Medicare for James Justofin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Justofin reassigns Medicare benefits to 2 organizations: James Justofin Crnp LLC (Telford, PA) and Performance Spine And Sports Physicians, PC (Pottstown, PA). Each 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 James Justofin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Justofin accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list James Justofin 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.

When was this NPI record last updated?

The NPPES record for James Justofin was last updated on June 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.