DR. JUSTIN DANIEL NEEDHAM M.D.
NPI 1699923516
Ophthalmology in Wilmington, NC

Q: What is Justin Needham's NPI number?

The NPI number for Justin Needham is 1699923516. It was assigned to this individual provider in the NPPES registry on September 4, 2008.

Q: What is Justin Needham's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Justin Needham was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since September 04, 2008PECOS EnrolledAccepts Medicare Assignment

77.57/100

CMS Quality Rating

1915 S 17TH ST STE 101, WILMINGTON, NC 28401(910) 769-4590(910) 769-4653 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jun 26, 2025, Aug 7, 2018, Jul 10, 2018 (3 updates tracked since 2018).

On this page

About Dr. Justin Daniel Needham M.d. NPPES

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

DR. JUSTIN DANIEL NEEDHAM M.D. (NPI 1699923516) is an individual ophthalmology provider in Wilmington, North Carolina, licensed in North Carolina (2023-03120) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, is affiliated with J Arthur Dosher Memorial Hospital, and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (2007).

NPPES Registry Identity

NPI1699923516

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. JUSTIN DANIEL NEEDHAMCredential: M.D.

Location Address1915 S 17TH ST STE 101Wilmington, NC 28401-6682

Mailing Address1915 S 17th St Ste 101Wilmington, NC 28401-6682 · (910) 769-4590 · Fax (910) 769-4563

Phone(910) 769-4590

Fax(910) 769-4653

Sole ProprietorNo

Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 2007

Enumeration DateSeptember 4, 2008

Last NPPES UpdateJune 26, 20253 updates tracked since enumeration

NPPES CertifiedJune 26, 2025

✔ NPI 1699923516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Licenses✔ Licensed in NC · 2023-03120✔ Licensed in NE · 24771✔ Licensed in GA · 79768

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedGeneral PracticeTaxonomy 208D00000X · License 24771 (NE)

1915 S 17TH ST STE 101, Wilmington, NC 28401

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Other Identifiers 1

OtherUPIN: VAD000Upin

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Justin Daniel Needham 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 ID6800793472

PECOS Enrollment IDI20240729003609

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.

Areas of Expertise CMS Part B claims 11

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.

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

360 services178 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.

195 services195 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

162 services97 patients

Ct scan of cornea 92025

A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.

157 services140 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

149 services149 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.

97 services94 patients

Hospital Affiliations CMS Care Compare

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

J Arthur Dosher Memorial Hospital

Critical Access Hospitals · Southport, NC

OwnershipVoluntary non-profit - Other

CMS Certification Number341327

Location924 Howe StSouthport, NC 28461 · Brunswick County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28401 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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.

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.

77.57/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Promoting Interoperability

Improvement Activities

Cost

29.42

Other Providers at the Same Location NPPES 3

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

DARRELL E HESTER MD

Ophthalmology

1915 S 17TH ST STE 101
WILMINGTON, NC 28401

New Hanover County (910) 251-8200

CAPE FEAR CATARACT AND CORNEA, P.A.

Ophthalmology

1915 S 17TH ST STE 101
WILMINGTON, NC 28401

New Hanover County (843) 822-5496

DR. BRIAN GROAT M.D.

Ophthalmology

1915 S 17TH ST STE 101
WILMINGTON, NC 28401

New Hanover County (910) 251-8200

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 Needham's NPI number?

The NPI number for Justin Needham is 1699923516. It was assigned to this individual provider in the NPPES registry on September 4, 2008.

Where is Justin Needham located?

Justin Needham practices at 1915 S 17th St Ste 101, Wilmington, NC 28401. The listed phone number is (910) 769-4590.

What is Justin Needham's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Justin Needham enrolled in Medicare?

Yes. Justin Needham 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.

What insurance does Justin Needham accept?

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

According to CMS data, Justin Needham is affiliated with J Arthur Dosher Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Justin Needham was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.