Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JUSTEN T DESPAIN DO
NPI 1740801125
Internal Medicine - Critical Care Medicine in Nellis Afb, NV

Q: What is Justen Despain's NPI number?

The NPI number for Justen Despain is 1740801125. It was assigned to this individual provider in the NPPES registry on April 27, 2020.

Q: What is Justen Despain's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Q: When was this NPI record last updated?

The NPPES record for Justen Despain was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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 April 27, 2020PECOS Enrolled

4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191(702) 653-2273 Get Directions Write a Review

NPPES record last updated: August 14, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 14, 2026, May 21, 2025, Aug 22, 2023 and 2 more (5 updates tracked since 2023).

On this page

About Justen T Despain Do NPPES

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

JUSTEN T DESPAIN DO (NPI 1740801125) is an individual critical care medicine provider in Nellis Afb, Nevada, licensed in Indiana (02006741A) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Las Vegas.

NPPES Registry Identity

NPI1740801125

Entity TypeIndividualMale

Primary Taxonomy207RC0200X

Provider Legal NameJUSTEN T DESPAINCredential: DO

Location Address4700 LAS VEGAS BLVD NNellis Afb, NV 89191-6600

Mailing Address4700 Las Vegas Blvd NNellis Afb, NV 89191-6600 · (702) 653-2273

Phone(702) 653-2273

Sole ProprietorNo

Enumeration DateApril 27, 2020

Last NPPES UpdateAugust 14, 20265 updates tracked since enumeration

NPPES CertifiedAugust 14, 2026

✔ NPI 1740801125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

License✔ Licensed in IN · 02006741A

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal MedicineTaxonomy 207R00000X · License 02006741A (IN)

Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License 02006741A (IN)

4700 LAS VEGAS BLVD N, Nellis Afb, NV 89191

Open in Google Maps ↗

Secondary Practice Location 1

Location 11800 W Charleston BlvdLas Vegas, NV 89102-2386 · Phone (702) 383-2000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justen T Despain Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89191 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

$131.25 typical visit price

range $57.07 – $173.24

Typical copayment $32.81 (range $14.26 – $43.31)

Most-billed visit code 99204

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

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.

DR. DEBRA A KOENIGSBERGER MD

Integrative Medicine