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JUSTIN LEE MARLAR MD
NPI 1609165760
Emergency Medicine in Jackson, TN

Active since March 29, 2011PECOS EnrolledAccepts Medicare Assignment
92.68/100
CMS Quality Rating
294 SUMMAR DR, JACKSON, TN 38301(731) 423-1932(731) 410-0367 Get Directions Write a Review

NPPES record last updated: June 23, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Justin Lee Marlar Md NPPES

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

JUSTIN LEE MARLAR MD (NPI 1609165760) is an individual emergency medicine provider in Jackson, Tennessee, licensed in Tennessee (49097) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2011).

NPPES Registry Identity

NPI1609165760
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJUSTIN LEE MARLARCredential: MD
Location Address294 SUMMAR DRJackson, TN 38301-3915
Mailing Address294 Summar DrJackson, TN 38301-3915 · (731) 423-1932 · Fax (731) 410-0367
Phone(731) 423-1932
Fax(731) 410-0367
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2011
Enumeration DateMarch 29, 2011
Last NPPES UpdateJune 23, 2014
✔ NPI 1609165760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in TN · 49097
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
294 SUMMAR DR, Jackson, TN 38301
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave 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 Lee Marlar Md 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 ID143470799
PECOS Enrollment IDI20180522002033, I20181121001008
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

5

Medicare enrollment records show Justin Marlar reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Tennessee
Same address
Family Medicine
294 SUMMAR DR
Jackson, TN 38301
  • Reassigned Medicare billing, Tennessee enrollment
  • 54 clinicians in this Medicare group
NPI 1780686436 (731) 423-1932
Eagle Creek Emergency Group, PC
54 mi
Emergency Medicine
301 TYSON AVE
Paris, TN 38242
  • Reassigned Medicare billing, Tennessee enrollment
  • 65 clinicians in this Medicare group
NPI 1134627557 (731) 642-1220
Emergency Coverage, LLC
318 mi
Family Medicine
435 2ND ST
Newport, TN 37821
  • Reassigned Medicare billing, Tennessee enrollment
  • 664 clinicians in this Medicare group
NPI 1427005008 (423) 625-2200
Southeastern Emergency Physicians LLC
346 mi
Emergency Medicine
989 MEDICAL PARK DR
Maysville, KY 41056
  • Reassigned Medicare billing, Arkansas, Mississippi and Tennessee enrollments
  • 310 clinicians in this Medicare group
NPI 1356379382 (606) 759-5311
Concord Medical Group PLLC
755 mi
Emergency Medicine
1602 AVENUE Q
Lubbock, TX 79401
  • Reassigned Medicare billing, Tennessee enrollment
  • 116 clinicians in this Medicare group
NPI 1083630610 (888) 264-0330

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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
656 services609 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
311 services297 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
277 services264 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38301 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

92.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality84.35
Improvement Activities40

Reported Quality Measures

Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)
Lower rates are better for this measure.
6%34 patients4/55-star benchmark: 100%
Adult Sinusitis: Appropriate Choice of Antibiotic: Amoxicillin With or Without Clavulanate Prescribed for Patients with Acute Bacterial Sinusitis (Appropriate Use)
100%25 patients
Avoidance of Antibiotic Treatment for Acute Bronchitis/Bronchiolitis
100%56 patients
Emergency Medicine: Emergency Department Utilization of CT for Minor Blunt Head Trauma for Patients Aged 18 Years and Older
100%60 patients
Ultrasound Determination of Pregnancy Location for Pregnant Patients with Abdominal Pain
100%28 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 20

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

JOAN CRENSHAW MD
Student in an Organized Health Care Education/Training Program
294 SUMMAR DR
JACKSON, TN 38301
Madison County (731) 423-1932
WT UNIVERSITY MEDICAL ASSOCIATES INC
Family Medicine
294 SUMMAR DR
JACKSON, TN 38301
Madison County (731) 423-1932
DR. JAMES PARKER LEWIS MD
Family Medicine
294 SUMMAR DR
JACKSON, TN 38301
Madison County (731) 423-1932
HUNTER WILLIS DO
Family Medicine
294 SUMMAR DR
JACKSON, TN 38301
Madison County (731) 423-1932
CHRISTOPHER REYES CAANGAY MD
Family Medicine
294 SUMMAR DR
JACKSON, TN 38301
Madison County (731) 541-3755
LISMAR COLLADO MD
Student in an Organized Health Care Education/Training Program
294 SUMMAR DR
JACKSON, TN 38301
Madison County (787) 616-3176
ELLY K RILEY DO
Family Medicine
294 SUMMAR DR
JACKSON, TN 38301
Madison County (731) 423-1932
KEVIN J WHEATLEY M.D.
Family Medicine
294 SUMMAR DR
JACKSON, TN 38301
Madison County (731) 423-1932

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 Marlar's NPI number?

The NPI number for Justin Marlar is 1609165760. It was assigned to this individual provider in the NPPES registry on March 29, 2011.

Where is Justin Marlar located?

Justin Marlar practices at 294 Summar Dr, Jackson, TN 38301. The listed phone number is (731) 423-1932.

What is Justin Marlar's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Justin Marlar enrolled in Medicare?

Yes. Justin Marlar 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 Justin Marlar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Marlar reassigns Medicare benefits to 5 organizations: University Of Tennessee (Jackson, TN), Eagle Creek Emergency Group, PC (Paris, TN), Emergency Coverage, LLC (Newport, TN), Southeastern Emergency Physicians LLC (Maysville, KY) and Concord Medical Group PLLC (Lubbock, TX). 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 Justin Marlar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Marlar accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage, Octave, Oscar Health and Oscar Health Plan, Inc. and 1 other insurer list Justin Marlar 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 Justin Marlar was last updated on June 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.