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DR. JUSTIN HEPKER M.D.
NPI 1659692853
Emergency Medicine in Cedar Rapids, IA

Active since June 22, 2010PECOS EnrolledAccepts Medicare Assignment
701 10TH ST SE, CEDAR RAPIDS, IA 52403(563) 398-6037 Get Directions Write a Review

NPPES record last updated: July 20, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Justin Hepker M.d. NPPES

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

DR. JUSTIN HEPKER M.D. (NPI 1659692853) is an individual emergency medicine provider in Cedar Rapids, Iowa, licensed in Iowa (MD-42611) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with University Of Iowa Health Care Medical Center Down, and is a graduate of Ohio State University College Of Medicine (2010).

NPPES Registry Identity

NPI1659692853
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JUSTIN HEPKERCredential: M.D.
Location Address701 10TH ST SECedar Rapids, IA 52403-1251
Mailing Address2210 Poplar StCoralville, IA 52241-3614 · (563) 340-3524
Phone(563) 398-6037
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2010
Enumeration DateJune 22, 2010
Last NPPES UpdateJuly 20, 2021
NPPES CertifiedJuly 20, 2021
✔ NPI 1659692853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in IA · MD-42611✔ Licensed in IL · 036.132061
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.
701 10TH ST SE, Cedar Rapids, IA 52403
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Wellmark Health Plan of Iowa, Inc..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 Hepker 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 ID2365684727
PECOS Enrollment IDI20150825002938
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 Justin Hepker reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Linn County Emergency Medicine PC
Same address
Emergency Medicine
701 10TH ST SE
Cedar Rapids, IA 52403
  • Reassigned Medicare billing, Iowa enrollment
  • 51 clinicians in this Medicare group
NPI 1679521124 (319) 398-6297
Johnson County Emergency Medicine, Plc
23 mi
Emergency Medicine
500 E MARKET ST
Iowa City, IA 52245
  • Reassigned Medicare billing, Iowa enrollment
  • 55 clinicians in this Medicare group
NPI 1316582729 (817) 451-4208

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.
327 services321 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.
151 services143 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.
39 services39 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.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Iowa Health Care Medical Center Down

Acute Care Hospitals · Iowa City, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number160029
Location500 E Market StreetIowa City, IA 52245 · Johnson County
Emergency services Birthing friendly

Mercy Medical Center - Cedar Rapids

Acute Care Hospitals · Cedar Rapids, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number160079
Location701 10th Street SECedar Rapids, IA 52403 · Linn County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52403 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

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.

MERCY PHYSICIAN ASSOCIATES, INC
Psychiatry & Neurology (Psychiatry)
701 10TH ST SE
CEDAR RAPIDS, IA 52403
Linn County (319) 369-4798
KORI R ASSMAN NOLTING
Speech-Language Pathologist
701 10TH ST SE
CEDAR RAPIDS, IA 52403
Linn County (319) 398-6104
OWEN M MCCARRON MD
Obstetrics & Gynecology
701 10TH ST SE, J EDWARD LUNDY PAVILION 4TH FLOOR
CEDAR RAPIDS, IA 52403
Linn County (319) 221-8400
ERIN BURNS MSN, ARNP, NNP-BC
Nurse Practitioner (Neonatal)
701 10TH ST SE
CEDAR RAPIDS, IA 52403
Linn County (319) 398-6011
WILLIAM JAMES HALLS PHARMD
Pharmacist
701 10TH ST SE
CEDAR RAPIDS, IA 52403
Linn County (319) 398-6060
JENNIFER BRADLEY ARNP
Nurse Practitioner (Psychiatric/Mental Health)
701 10TH ST SE
CEDAR RAPIDS, IA 52403
Linn County (319) 369-4777
MR. DAVID NEIRA PT
Physical Therapist
701 10TH ST SE
CEDAR RAPIDS, IA 52403
Linn County (319) 398-6020
LINDSEY STANLEY
Nurse Practitioner (Pediatrics)
701 10TH ST SE
CEDAR RAPIDS, IA 52403
Linn County (319) 398-6011

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 Hepker's NPI number?

The NPI number for Justin Hepker is 1659692853. It was assigned to this individual provider in the NPPES registry on June 22, 2010.

Where is Justin Hepker located?

Justin Hepker practices at 701 10th St SE, Cedar Rapids, IA 52403. The listed phone number is (563) 398-6037.

What is Justin Hepker's specialty?

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

Is Justin Hepker enrolled in Medicare?

Yes. Justin Hepker 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 Hepker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Hepker reassigns Medicare benefits to 2 organizations: Linn County Emergency Medicine PC (Cedar Rapids, IA) and Johnson County Emergency Medicine, Plc (Iowa City, IA). 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 Hepker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Hepker accept?

Health plans from Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list Justin Hepker 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 Hepker affiliated with any hospitals?

According to CMS data, Justin Hepker is affiliated with University Of Iowa Health Care Medical Center Down and Mercy Medical Center - Cedar Rapids.

When was this NPI record last updated?

The NPPES record for Justin Hepker was last updated on July 20, 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.