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DR. JUSTIN D WALTROUS MD
NPI 1679890636
Physical Medicine & Rehabilitation - Sports Medicine in Hanover, MD

Active since April 29, 2010PECOS EnrolledAccepts Medicare Assignment
7467 RIDGE RD STE 140, HANOVER, MD 21076(410) 768-5050(410) 768-8013 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 29, 2026, Feb 6, 2026, Nov 24, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Justin D Waltrous Md NPPES

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

DR. JUSTIN D WALTROUS MD (NPI 1679890636) is an individual sports medicine provider in Hanover, Maryland, licensed in Maryland (D77249) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Maryland School Of Medicine (2010).

NPPES Registry Identity

NPI1679890636
Entity TypeIndividualMale
Primary Taxonomy2081S0010X
Provider Legal NameDR. JUSTIN D WALTROUSCredential: MD
Location Address7467 RIDGE RD STE 140Hanover, MD 21076-3118
Mailing Address7467 Ridge Rd Ste 140Hanover, MD 21076-3118 · (410) 768-5050 · Fax (410) 768-8013
Phone(410) 768-5050
Fax(410) 768-8013
Sole ProprietorYes
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 2010
Enumeration DateApril 29, 2010
Last NPPES UpdateJuly 29, 20264 updates tracked since enumeration
NPPES CertifiedJuly 29, 2026
✔ NPI 1679890636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
License✔ Licensed in MD · D77249
Definition
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
7467 RIDGE RD STE 140, Hanover, MD 21076
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Secondary Practice Locations 2

Location 11630 Main St Ste 108Chester, MD 21619-2792 · Phone (410) 768-5050 · Fax (410) 768-8013
Location 22635 Riva Rd Ste 108Annapolis, MD 21401-7430 · Phone (410) 768-5050 · Fax (410) 768-8013

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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 D Waltrous 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 ID2961706601
PECOS Enrollment IDI20160201001945
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

4

Medicare enrollment records show Justin Waltrous reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Centers For Advanced Orthopaedics, LLC
5.1 mi
Orthopaedic Surgery
200 HOSPITAL DR FL 2
Glen Burnie, MD 21061
  • Reassigned Medicare billing, Maryland enrollment
  • 453 clinicians in this Medicare group
NPI 1508204389 (410) 768-5555
Mnr Industries, LLC
13 mi
Urgent Care
6000 LAUREL BOWIE RD
Bowie, MD 20715
  • Reassigned Medicare billing, District of Columbia enrollment
  • 132 clinicians in this Medicare group
NPI 1093130924 (301) 383-0330
PA Post Acute Services PC
247 mi
General Practice
8055 ADDISON RD
Masury, OH 44438
  • Reassigned Medicare billing, District of Columbia, Indiana, Maryland, Ohio and Virginia enrollments
  • 27 clinicians in this Medicare group
NPI 1255057063 (330) 448-2547
Cnp Operating Co LLC
  • Reassigned Medicare billing, Indiana, Maryland, Ohio and Virginia enrollments
  • 50 clinicians in this Medicare group
No phone listed

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
316 services81 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
240 services69 patients
Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304
An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.
144 services144 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
69 services30 patients
Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304
An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.
28 services27 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
28 services28 patients

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

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%781 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
14%169 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
12%82 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
25%122 patients2/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
13%30 patients1/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
61%92 patients3/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
74%82 patients3/55-star benchmark: 100%
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 11

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

DR. MARK R LINZER DPM
Podiatrist (Foot & Ankle Surgery)
7467 RIDGE RD STE 140
HANOVER, MD 21076
Howard County (410) 468-5050
DR. WILLIAM CARLTON DOUKAS MD
Orthopaedic Surgery (Sports Medicine)
7467 RIDGE RD STE 140
HANOVER, MD 21076
Howard County (410) 768-5050
SELMA SADIK MUSTAFA PA
Physician Assistant
7467 RIDGE RD STE 140
HANOVER, MD 21076
Howard County (410) 768-5050
DR. EMMANUEL NYARKO KOLI MD
Orthopaedic Surgery (Sports Medicine)
7467 RIDGE RD STE 140
HANOVER, MD 21076
Howard County (410) 768-5050
AMEE RAJNIKANT PATEL
Physical Therapist
7467 RIDGE RD STE 140
HANOVER, MD 21076
Howard County (410) 768-5050
DR. JOSEPH MICHAEL WAZEN DO
Orthopaedic Surgery (Sports Medicine)
7467 RIDGE RD STE 140
HANOVER, MD 21076
Howard County (410) 768-5050
RACHEL DANIELLE HOLLANDER PA-C
Physician Assistant
7467 RIDGE RD STE 140
HANOVER, MD 21076
Howard County (410) 768-5050
CENTERS FOR ADVANCED ORTHOPAEDICS, LLC
Durable Medical Equipment & Medical Supplies
7467 RIDGE RD STE 140
HANOVER, MD 21076
Howard County (410) 768-5050

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 Waltrous's NPI number?

The NPI number for Justin Waltrous is 1679890636. It was assigned to this individual provider in the NPPES registry on April 29, 2010.

Where is Justin Waltrous located?

Justin Waltrous practices at 7467 Ridge Rd Ste 140, Hanover, MD 21076. The listed phone number is (410) 768-5050.

What is Justin Waltrous's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

Is Justin Waltrous enrolled in Medicare?

Yes. Justin Waltrous 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 Waltrous's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Waltrous reassigns Medicare benefits to 4 organizations: Centers For Advanced Orthopaedics, LLC (Glen Burnie, MD), Mnr Industries, LLC (Bowie, MD), PA Post Acute Services PC (Masury, OH) and Cnp Operating Co LLC (IN). 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 Waltrous's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Waltrous accept?

Health plans from CareSource list Justin Waltrous 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 Waltrous was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.