JUSTIN T CASEY M.D.
NPI 1730470899
Otolaryngology in Fort Myers, FL

Active since April 25, 2011PECOS EnrolledAccepts Medicare Assignment
94.06/100
CMS Quality Rating
39 BARKLEY CIR, FORT MYERS, FL 33907(239) 936-1616(239) 936-0837 Get Directions Write a Review

NPPES record last updated: May 10, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 10, 2017, Jan 4, 2017, Sep 30, 2016 and 3 more (6 updates tracked since 2016).

About Justin T Casey M.d. NPPES

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

JUSTIN T CASEY M.D. (NPI 1730470899) is an individual otolaryngology provider in Fort Myers, Florida, licensed in Florida (ME126584) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Lee Memorial Hospital, and is a graduate of Florida State University College Of Medicine (2011).

NPPES Registry Identity

NPI1730470899
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameJUSTIN T CASEYCredential: M.D.
Location Address39 BARKLEY CIRFort Myers, FL 33907-7531
Mailing Address2234 Colonial Blvd, Attn: Payer Contracting & Relations Dept.Fort Myers, FL 33907-1412 · (239) 931-7342 · Fax (239) 931-7385
Fax(239) 936-0837
Sole ProprietorNo
Medical School CMSFlorida State University College Of MedicineGraduated 2011
Enumeration DateApril 25, 2011
Last NPPES UpdateMay 10, 20176 updates tracked since enumeration
NPI 1730470899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in FL · ME126584
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

39 BARKLEY CIR, Fort Myers, FL 33907

Other Identifiers 9

Medicare PINIR187ZFL
OtherP1043848FL · Freedom
Medicaid018272400FL
OtherP01716775FL · Rr Medicare
OtherP978488FL · Optimum
Other1254617FL · Wellcare Healthy Kids
OtherKQKBHFL · Bcbs
Other8349059FL · Cigna
Other1344406FL · Wellcare Medicare/medicaid

Accepted 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

Justin T Casey 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 ID941441935
PECOS Enrollment IDI20160914002803
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 23

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.

Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
468 services315 patients
Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
449 services15 patients
Test for allergy using allergenic extract injected into skin 95024
An allergy skin test involves injecting a small amount of allergenic extract into your skin. This test helps determine if you're allergic to specific substances. If allergic, a small red bump appears at the test site. It's safe and quick.
394 services14 patients
Ct scan of face without contrast 70486
A CT scan of the face without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your face, including bones, soft tissues, and blood vessels. It's often used to diagnose diseases, injuries, or abnormalities. No contrast dye is used in this procedure.
331 services328 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.
232 services232 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.
226 services159 patients

Hospital Affiliations CMS Care Compare 3

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

Lee Memorial Hospital

Acute Care Hospitals · Fort Myers, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100012
Location2776 Cleveland AveFort Myers, FL 33901 · Lee County
Emergency services Birthing friendly

Gulf Coast Medical Center Lee Health

Acute Care Hospitals · Fort Myers, FL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100220
Location13681 Doctors WayFort Myers, FL 33912 · Lee County
Emergency services

Cape Coral Hospital

Acute Care Hospitals · Cape Coral, FL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100244
Location636 Del Prado BlvdCape Coral, FL 33990 · Lee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33907 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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.

94.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality90.84
Promoting Interoperability97
Improvement Activities40

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)
98%46 patients4/55-star benchmark: 100%
Breast Cancer Screening
67%467 patients3/55-star benchmark: 93%
Closing the Referral Loop: Receipt of Specialist Report
19%102 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
58%1,018 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
84%259 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
98%2,438 patients4/55-star benchmark: 100%
e-Prescribing
67%523 patients1/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
38%1,609 patients3/55-star benchmark: 61%
Provide Patients Electronic Access to Their Health Information
99%635 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
82%206 patients4/55-star benchmark: 91%
Support Electronic Referral Loops By Receiving and Reconciling Health Information
100%70 patients5/55-star benchmark: 98%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 884 patients
Patients totalRate: 1% · 884 patients
0%884 patients5/55-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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
4 suppliers12 claims1,080 services$0.80 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

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

Otolaryngology
39 BARKLEY CIR
FORT MYERS, FL 33907
Hearing Aid Equipment
39 BARKLEY CIR
FORT MYERS, FL 33907
Audiologist
39 BARKLEY CIR
FORT MYERS, FL 33907
Audiologist
39 BARKLEY CIR
FORT MYERS, FL 33907
Physician Assistant
39 BARKLEY CIR
FORT MYERS, FL 33907
Otolaryngology
39 BARKLEY CIR
FORT MYERS, FL 33907
Otolaryngology
39 BARKLEY CIR
FORT MYERS, FL 33907
Audiologist
39 BARKLEY CIR
FORT MYERS, FL 33907

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 Casey's NPI number?

The NPI number for Justin Casey is 1730470899. It was assigned to this individual provider in the NPPES registry on April 25, 2011.

Where is Justin Casey located?

Justin Casey practices at 39 Barkley Cir, Fort Myers, FL 33907. The listed phone number is (239) 936-1616.

What is Justin Casey's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Justin Casey enrolled in Medicare?

Yes. Justin Casey 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 Casey accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and UnitedHealthcare list Justin Casey 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 Casey affiliated with any hospitals?

According to CMS data, Justin Casey is affiliated with Lee Memorial Hospital, Gulf Coast Medical Center Lee Health and Cape Coral Hospital.

When was this NPI record last updated?

The NPPES record for Justin Casey was last updated on May 10, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.