JUSTIN M. FOLEY MD
NPI 1609336569
Physical Medicine & Rehabilitation in Mankato, MN

Active since March 25, 2019PECOS EnrolledAccepts Medicare Assignment
1025 MARSH ST, MANKATO, MN 56001(507) 625-4031 Get Directions Write a Review

NPPES record last updated: August 31, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 31, 2026, Aug 20, 2026, Aug 21, 2024 and 1 more (4 updates tracked since 2020).

About Justin M. Foley Md NPPES

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

JUSTIN M. FOLEY MD (NPI 1609336569) is an individual physical medicine & rehabilitation provider in Mankato, Minnesota, licensed in Minnesota (76990) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Health System - Mankato, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1609336569
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameJUSTIN M. FOLEYCredential: MD
Location Address1025 MARSH STMankato, MN 56001-4752
Mailing Address200 1st St SwRochester, MN 55905-0001 · (507) 625-4031
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 25, 2019
Last NPPES UpdateAugust 31, 20264 updates tracked since enumeration
NPPES CertifiedAugust 31, 2026
✔ NPI 1609336569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
Licenses✔ Licensed in MN · 76990✔ Licensed in UT · 11899053-1205
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
1025 MARSH ST, Mankato, MN 56001

Secondary Practice Locations 5

Location 11 Medical Center DrLebanon, NH 03756-0001 · Phone (603) 650-5000
Location 2273 County RdNew London, NH 03257-7700 · Phone (603) 526-2911
Location 311 John Stark HwyNewport, NH 03773-1807 · Phone (603) 863-4100
Location 430 N 1900 E Rm 1C301Salt Lake City, UT 84132-0002 · Phone (801) 581-7985
Location 510 Alice Peck Day DrLebanon, NH 03766-2900 · Phone (603) 448-3121

Accepted 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 M. Foley 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 ID7810315363
PECOS Enrollment IDI20240830001973
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 Foley reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
1025 MARSH ST
Mankato, MN 56001
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,572 clinicians in this Medicare group
Internal Medicine
ONE MEDICAL CENTER DR
Lebanon, NH 03756
  • Reassigned Medicare billing, New Hampshire enrollment
  • 2,999 clinicians in this Medicare group
General Acute Care Hospital
ONE MEDICAL CENTER DR
Lebanon, NH 03756
  • Reassigned Medicare billing, New Hampshire enrollment
  • 2,620 clinicians in this Medicare group
Family Medicine
10 ALICE PECK DAY DR
Lebanon, NH 03766
  • Reassigned Medicare billing, New Hampshire enrollment
  • 309 clinicians in this Medicare group
Multi-Specialty
11 JOHN STARK HWY
Newport, NH 03773
  • Reassigned Medicare billing, New Hampshire enrollment
  • Also billed through NPI 1639610611 (New Hampshire), NPI 1518007236 (New Hampshire)
  • 219 clinicians in this Medicare group

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.

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
44 services41 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
34 services34 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.
21 services20 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
15 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Mayo Clinic Health System - Mankato

Acute Care Hospitals · Mankato, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240093
Location1025 Marsh StreetMankato, MN 56001 · Blue Earth County
Emergency services Birthing friendly

Mayo Clinic Health System - Fairmont

Acute Care Hospitals · Fairmont, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number240166
Location800 Medical Center DriveFairmont, MN 56031 · Martin County
Emergency services Birthing friendly

Mayo Clinic Health System St. James

Critical Access Hospitals · St James, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241333
Location1101 Moulton And Parsons DriveSt James, MN 56081 · Watonwan County
Emergency services

Mayo Clinic Health System - Waseca

Critical Access Hospitals · Waseca, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241345
Location501 North State StreetWaseca, MN 56093 · Waseca County
Emergency services

Mayo Clinic Health System New Prague

Critical Access Hospitals · New Prague, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241361
Location301 2nd Street NortheastNew Prague, MN 56071 · Scott County
Emergency services Birthing friendly

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.

Nurse Practitioner
1025 MARSH ST
MANKATO, MN 56001
Anesthesiology
1025 MARSH ST
MANKATO, MN 56001
Nurse Practitioner (Family)
1025 MARSH ST
MANKATO, MN 56001
Neurological Surgery
1025 MARSH ST
MANKATO, MN 56001
Nurse Practitioner
1025 MARSH ST
MANKATO, MN 56001
Pharmacist
1025 MARSH ST
MANKATO, MN 56001
Nurse Anesthetist, Certified Registered
1025 MARSH ST
MANKATO, MN 56001
Internal Medicine (Interventional Cardiology)
1025 MARSH ST
MANKATO, MN 56001

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 Foley's NPI number?

The NPI number for Justin Foley is 1609336569. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Where is Justin Foley located?

Justin Foley practices at 1025 Marsh St, Mankato, MN 56001. The listed phone number is (507) 625-4031.

What is Justin Foley's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Justin Foley enrolled in Medicare?

Yes. Justin Foley 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 Foley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Foley reassigns Medicare benefits to 5 organizations: Mayo Clinic Health System-Southwest Minnesota Region (Mankato, MN), Dartmouth-Hitchcock Clinic (Lebanon, NH), Mary Hitchcock Memorial Hospital (Lebanon, NH), Alice Peck Day Memorial Hospital (Lebanon, NH) and The New London Hospital Association, Inc. (Newport, NH). 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 Foley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Foley accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Justin Foley 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 Foley affiliated with any hospitals?

According to CMS data, Justin Foley is affiliated with Mayo Clinic Health System - Mankato, Mayo Clinic Health System - Fairmont, Mayo Clinic Health System St. James, Mayo Clinic Health System - Waseca and Mayo Clinic Health System New Prague.

When was this NPI record last updated?

The NPPES record for Justin Foley was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.