DR. JUSTIN ANDREW TAWFIK M.D.
NPI 1609151133
Surgery in Harker Heights, TX

Q: What is Justin Tawfik's NPI number?

The NPI number for Justin Tawfik is 1609151133. It was assigned to this individual provider in the NPPES registry on October 16, 2011.

Q: What is Justin Tawfik's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Justin Tawfik was last updated on June 15, 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.

Active since October 16, 2011PECOS EnrolledAccepts Medicare Assignment

800 W CENTRAL TEXAS EXPY STE 370, HARKER HEIGHTS, TX 76548(254) 618-4320(254) 618-4325 Get Directions Write a Review

NPPES record last updated: June 15, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 15, 2021, Aug 28, 2019 (2 updates tracked since 2019).

On this page

About Dr. Justin Andrew Tawfik M.d. NPPES

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

DR. JUSTIN ANDREW TAWFIK M.D. (NPI 1609151133) is an individual surgery provider in Harker Heights, Texas, licensed in Texas (R1139) and active in the NPI registry since October 2011. He is enrolled in Medicare PECOS, is affiliated with Seton Medical Center Harker Heights, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1609151133

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. JUSTIN ANDREW TAWFIKCredential: M.D.

Location Address800 W CENTRAL TEXAS EXPY STE 370Harker Heights, TX 76548-3201

Mailing AddressPo Box 841161Dallas, TX 75284-1161 · (918) 579-3987 · Fax (918) 579-7598

Phone(254) 618-4320

Fax(254) 618-4325

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateOctober 16, 2011

Last NPPES UpdateJune 15, 20212 updates tracked since enumeration

NPPES CertifiedJune 15, 2021

✔ NPI 1609151133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in TX · R1139✔ Licensed in CA · A130492✔ Licensed in FL · ME109142

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

800 W CENTRAL TEXAS EXPY STE 370, Harker Heights, TX 76548

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.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

Dr. Justin Andrew Tawfik 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 ID2567687015

PECOS Enrollment IDI20190131000600

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 Tawfik reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lhp Texas MD Services Inc

Same address

General Practice

800 W CENTRAL TEXAS EXPY STE 125
Harker Heights, TX 76548

Reassigned Medicare billing, Texas enrollment
89 clinicians in this Medicare group

NPI 1841562667 (245) 618-1020

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 7

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 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.

43 services43 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.

32 services27 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

32 services31 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.

28 services18 patients

Removal of gallbladder using an endoscope 47562

This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.

17 services17 patients

Fluoroscopic guidance for insertion or removal of central vein access device 77001

Fluoroscopic guidance for central vein access device insertion or removal is a procedure where a special X-ray, called a fluoroscope, is used to help accurately place or remove a device in a central vein. This device aids in delivering medications or collecting blood samples.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Seton Medical Center Harker Heights

Acute Care Hospitals · Harker Heights, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number670080

Location850 W Central Texas ExpresswayHarker Heights, TX 76548 · Bell County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76548 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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.

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.

BERNARD DAVID MORRIS JR. M.D.

Urology

800 W CENTRAL TEXAS EXPY STE 370
HARKER HEIGHTS, TX 76548

Bell County (254) 618-4320

AARON J RUSSELL M.D.

Surgery

800 W CENTRAL TEXAS EXPY STE 370
HARKER HEIGHTS, TX 76548

Bell County (254) 618-4319

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 Tawfik's NPI number?

The NPI number for Justin Tawfik is 1609151133. It was assigned to this individual provider in the NPPES registry on October 16, 2011.

Where is Justin Tawfik located?

Justin Tawfik practices at 800 W Central Texas Expy Ste 370, Harker Heights, TX 76548. The listed phone number is (254) 618-4320.

What is Justin Tawfik's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Justin Tawfik enrolled in Medicare?

Yes. Justin Tawfik 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 Tawfik's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Tawfik reassigns Medicare benefits to Lhp Texas MD Services Inc (Harker Heights, TX). 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 Tawfik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Tawfik accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Justin Tawfik 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 Tawfik affiliated with any hospitals?

According to CMS data, Justin Tawfik is affiliated with Seton Medical Center Harker Heights.

When was this NPI record last updated?

The NPPES record for Justin Tawfik was last updated on June 15, 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.