1. Home
  2. Directory
  3. Tennessee
  4. Memphis
  5. Colon Rectal Surgery
  6. NPI Profile

JUSTIN MONROE MD
NPI 1760592935
Colon & Rectal Surgery in Memphis, TN

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
76.51/100
CMS Quality Rating
6029 WALNUT GROVE RD, SUITE 404, MEMPHIS, TN 38120(901) 726-1056(901) 726-5867 Get Directions Write a Review

NPPES record last updated: July 9, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Justin Monroe Md NPPES

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

JUSTIN MONROE MD (NPI 1760592935) is an individual colon & rectal surgery provider in Memphis, Tennessee, licensed in Tennessee (38516) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1999).

NPPES Registry Identity

NPI1760592935
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameJUSTIN MONROECredential: MD
Location Address6029 WALNUT GROVE RD, SUITE 404Memphis, TN 38120-2112
Mailing Address6029 Walnut Grove Rd, Suite 404Memphis, TN 38120-2112 · (901) 726-1056 · Fax (901) 726-5867
Phone(901) 726-1056
Fax(901) 726-5867
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1999
Enumeration DateAugust 30, 2006
Last NPPES UpdateJuly 9, 2021
NPPES CertifiedJuly 9, 2021
✔ NPI 1760592935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in TN · 38516
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Also ListedSurgeryTaxonomy 208600000X · License 38516 (TN)
6029 WALNUT GROVE RD, Memphis, TN 38120
Open in Google Maps ↗

Other Identifiers 2

Medicaid3893973TN
OtherP00207461TN · Railroad Medicare

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 Monroe 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 ID6608849161
PECOS Enrollment IDI20040813000842
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 10

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.
76 services27 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.
46 services39 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.
41 services41 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
41 services41 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.
35 services31 patients
Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
34 services28 patients

Hospital Affiliations CMS Care Compare 4

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

Baptist Memorial Hospital

Acute Care Hospitals · Memphis, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440048
Location6019 Walnut Grove RoadMemphis, TN 38120 · Shelby County
Emergency services Birthing friendly

Methodist Hospitals Of Memphis

Acute Care Hospitals · Memphis, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440049
Location1265 Union Ave Suite 700Memphis, TN 38104 · Shelby County
Emergency services Birthing friendly

Baptist Memorial Hospital Tipton

Acute Care Hospitals · Covington, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440131
Location1995 Highway 51 SCovington, TN 38019 · Tipton County
Emergency services Birthing friendly

St Francis Hospital

Acute Care Hospitals · Memphis, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440183
Location5959 Park AveMemphis, TN 38119 · Shelby County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38120 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.

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.

76.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.53
Promoting Interoperability82
Improvement Activities40
Cost66.19

Referred Medical Equipment & Supplies CMS DME claims 16

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

Ostomy skin barrier, powder, per oz A4371
DME-Orthotic Devices · category DF010N
5 suppliers19 claims34 services$3.32 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
8 suppliers50 claims1,550 services$4.79 avg. paid by Medicare
Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each A4389
DME-Orthotic Devices · category DF010N
2 suppliers12 claims340 services$6.00 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
7 suppliers56 claims1,192 services$2.12 avg. paid by Medicare
Ostomy skin barrier, pectin-based, paste, per ounce A4406
DME-Orthotic Devices · category DF010N
5 suppliers32 claims222 services$4.93 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
4 suppliers20 claims335 services$7.97 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 20

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

DR. ALEKSANDAR JANKOV MD
Internal Medicine (Hematology & Oncology)
6029 WALNUT GROVE RD, SUITE 301
MEMPHIS, TN 38120
Shelby County (901) 747-9081
MR. WILLIAM J POEPSEL R.N. F.A.
Registered Nurse (Registered Nurse First Assistant)
6029 WALNUT GROVE RD, SUITE 401
MEMPHIS, TN 38120
Shelby County (901) 747-3066
CARDIAC SURGERY ASSOCIATES, PC
Thoracic Surgery (Cardiothoracic Vascular Surgery)
6029 WALNUT GROVE RD, SUITE 109
MEMPHIS, TN 38120
Shelby County (901) 747-0017
RACHEL E. HARRISON MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
6029 WALNUT GROVE RD
MEMPHIS, TN 38120
Shelby County (901) 747-3066
WILLIAM SCOTT KING JR. MD
Surgery
6029 WALNUT GROVE RD, SUITE 404
MEMPHIS, TN 38120
Shelby County (901) 726-1056
DR. GUY R VOELLER MD
Surgery
6029 WALNUT GROVE RD, SUITE 106
MEMPHIS, TN 38120
Shelby County (901) 866-8530
CARTER ENNIS MCDANIEL III MD
Surgery
6029 WALNUT GROVE RD, SUITE 404
MEMPHIS, TN 38120
Shelby County (901) 726-1056
MID SOUTH REGIONAL THORACIC CENTER, LLC
Thoracic Surgery (Cardiothoracic Vascular Surgery)
6029 WALNUT GROVE RD, SUITE 100
MEMPHIS, TN 38120
Shelby County (901) 259-4130

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 Monroe's NPI number?

The NPI number for Justin Monroe is 1760592935. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Justin Monroe located?

Justin Monroe practices at 6029 Walnut Grove Rd Suite 404, Memphis, TN 38120. The listed phone number is (901) 726-1056.

What is Justin Monroe's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Justin Monroe enrolled in Medicare?

Yes. Justin Monroe 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 Monroe 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 7 other insurers list Justin Monroe 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 Monroe affiliated with any hospitals?

According to CMS data, Justin Monroe is affiliated with Baptist Memorial Hospital, Methodist Hospitals Of Memphis, Baptist Memorial Hospital Tipton and St Francis Hospital.

When was this NPI record last updated?

The NPPES record for Justin Monroe was last updated on July 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.