JUSTIN D DIGBY M.D.
NPI 1760435937
Surgery in Elizabethton, TN

Q: What is Justin Digby's NPI number?

The NPI number for Justin Digby is 1760435937. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Q: What is Justin Digby's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Justin Digby was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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 May 18, 2006PECOS EnrolledAccepts Medicare Assignment

1497 W ELK AVE, SUITE 10, ELIZABETHTON, TN 37643(423) 542-7440(423) 542-7445 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 20, 2024, Feb 1, 2017, Mar 3, 2016 (3 updates tracked since 2016).

On this page

About Justin D Digby M.d. NPPES

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

JUSTIN D DIGBY M.D. (NPI 1760435937) is an individual surgery provider in Elizabethton, Tennessee, licensed in Tennessee (MD34171) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Sycamore Shoals Hospital, and is a graduate of University Of Oklahoma College Of Medicine (1997).

NPPES Registry Identity

NPI1760435937

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameJUSTIN D DIGBYCredential: M.D.

Location Address1497 W ELK AVE, SUITE 10Elizabethton, TN 37643-2895

Mailing Address1021 W Oakland Ave Ste 310Johnson City, TN 37604-2192 · (423) 302-6565

Phone(423) 542-7440

Fax(423) 542-7445

Sole ProprietorNo

Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1997

Enumeration DateMay 18, 2006

Last NPPES UpdateAugust 20, 20243 updates tracked since enumeration

NPPES CertifiedAugust 20, 2024

✔ NPI 1760435937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in TN · MD34171

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1497 W ELK AVE, Elizabethton, TN 37643

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Other Identifiers 3

Medicaid1760435937VA

OtherP01081176TN · Railroad Medicare

MedicaidQ003376TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.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 D Digby 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 ID446310536

PECOS Enrollment IDI20101103000831

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 6

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 hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

36 services19 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

25 services25 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

21 services17 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

18 services18 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

17 services17 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Sycamore Shoals Hospital

Acute Care Hospitals · Elizabethton, TN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440018

Location1501 West Elk AvenueElizabethton, TN 37643 · Carter County

Emergency services

Johnson City Medical Center

Acute Care Hospitals · Johnson City, TN

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440063

Location400 N State Of Franklin RdJohnson City, TN 37604 · Washington County

Emergency services Birthing friendly

Johnson County Community Hospital

Critical Access Hospitals · Mountain City, TN

OwnershipVoluntary non-profit - Private

CMS Certification Number441304

Location1901 S Shady StMountain City, TN 37683 · Johnson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37643 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

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.

Other Providers at the Same Location NPPES 13

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

MR. KERMIT L. DUGGER FNP, PMHNP

Nurse Practitioner (Family)

1497 W ELK AVE, SUITE 11
ELIZABETHTON, TN 37643

Carter County (423) 542-8929

MRS. TIFFANY CHARLOTTE JENKINS FNP

Nurse Practitioner (Family)

1497 W ELK AVE, SUITE 21
ELIZABETHTON, TN 37643

Carter County (423) 542-7420

BLUE RIDGE MEDICAL MANAGEMENT C ORPORATION

Internal Medicine

1497 W ELK AVE, SUITE 20
ELIZABETHTON, TN 37643

Carter County (423) 547-2762

ELIZABETH ANNE DEFLUITER MD

Surgery

1497 W ELK AVE, SUITE 10
ELIZABETHTON, TN 37643

Carter County (423) 542-7440

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

Internal Medicine (Hematology & Oncology)

1497 W ELK AVE, SUITE 11A
ELIZABETHTON, TN 37643

Carter County (423) 232-6900

MRS. MEGAN D JOHNSON

Family Medicine

1497 W ELK AVE, SUITE 21
ELIZABETHTON, TN 37643

Carter County (423) 542-7420

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

Internal Medicine

1497 W ELK AVE, SUITE 11
ELIZABETHTON, TN 37643

Carter County (423) 542-8929

DR. BUDDY J CLAYTON MD

Family Medicine

1497 W ELK AVE, SUITE 11
ELIZABETHTON, TN 37643

Carter County (423) 542-8929

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 Digby's NPI number?

The NPI number for Justin Digby is 1760435937. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Justin Digby located?

Justin Digby practices at 1497 W Elk Ave Suite 10, Elizabethton, TN 37643. The listed phone number is (423) 542-7440.

What is Justin Digby's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Justin Digby enrolled in Medicare?

Yes. Justin Digby 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 Digby accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Justin Digby 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 Digby affiliated with any hospitals?

According to CMS data, Justin Digby is affiliated with Sycamore Shoals Hospital, Johnson City Medical Center and Johnson County Community Hospital.

When was this NPI record last updated?

The NPPES record for Justin Digby was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.