DR. JUSTIN WALTER FAIRLESS DO
NPI 1760615496
Emergency Medicine in Fort Worth, TX

Q: What is Justin Fairless's NPI number?

The NPI number for Justin Fairless is 1760615496. It was assigned to this individual provider in the NPPES registry on August 28, 2009.

Q: What is Justin Fairless's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Justin Fairless was last updated on December 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 28, 2009PECOS EnrolledAccepts Medicare Assignment

1651 W ROSEDALE ST, FORT WORTH, TX 76104(817) 257-6633 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 12, 2023, Dec 8, 2023, Apr 28, 2022 and 1 more (4 updates tracked since 2017).

On this page

About Dr. Justin Walter Fairless Do NPPES

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

DR. JUSTIN WALTER FAIRLESS DO (NPI 1760615496) is an individual emergency medicine provider in Fort Worth, Texas, licensed in Texas (N3638) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS, is affiliated with Methodist Southlake Medical Center, and is a graduate of Oklahoma State University College Of Osteopathic Medicine (2008).

NPPES Registry Identity

NPI1760615496

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. JUSTIN WALTER FAIRLESSCredential: DO

Location Address1651 W ROSEDALE STFort Worth, TX 76104-7437

Mailing AddressTcu Box 297085Fort Worth, TX 76129-0001 · (817) 257-6633

Phone(817) 257-6633

Sole ProprietorYes

Medical School CMSOklahoma State University College Of Osteopathic MedicineGraduated 2008

Enumeration DateAugust 28, 2009

Last NPPES UpdateDecember 12, 20234 updates tracked since enumeration

NPPES CertifiedDecember 12, 2023

✔ NPI 1760615496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in TX · N3638

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License N3638 (TX)

1651 W ROSEDALE ST, Fort Worth, TX 76104

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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 Walter Fairless Do 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 ID8729110044

PECOS Enrollment IDI20100721000666

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 14

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.

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.

123 services65 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.

90 services37 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

70 services66 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

48 services48 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

42 services23 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

40 services40 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

36 services35 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

22 services21 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

21 services16 patients

Urine microalbumin (protein) analysis 82044

Urine microalbumin analysis is a test that measures the amount of a protein called albumin in your urine. This protein is usually present in very small amounts, but higher levels can indicate kidney issues. The test is non-invasive and involves a simple urine sample.

20 services20 patients

Administration of vaccine 90471

Administering a vaccine involves injecting a small, safe piece of a virus or bacteria into your body. This triggers your immune system to recognize and fight off the disease in the future. It's a vital tool in preventing serious illnesses and maintaining public health.

18 services16 patients

Injection, ceftriaxone sodium, per 250 mg J0696

Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.

17 services15 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

16 services16 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

15 services11 patients

Hospital Affiliations CMS Care Compare

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

Methodist Southlake Medical Center

Acute Care Hospitals · Southlake, TX

OwnershipProprietary

CMS Certification Number670132

Location421 E State Highway 114Southlake, TX 76092 · Tarrant County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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

$87.20 typical visit price

range $56.47 – $171.07

Typical copayment $21.80 (range $14.11 – $42.76)

Most-billed visit code 99203

Established Patient

$99.68 typical visit price

range $18.18 – $139.68

Typical copayment $24.92 (range $4.54 – $34.92)

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 8

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

CINDY LITTLEHALE

Specialist/Technologist (Athletic Trainer)

1651 W ROSEDALE ST, SUITE 200
FORT WORTH, TX 76104

Tarrant County (817) 810-0001

WILLIAM HORACE MITCHELL M.D.

Orthopaedic Surgery

1651 W ROSEDALE ST, SUITE 200
FORT WORTH, TX 76104

Tarrant County (817) 335-4316

JACK ANDREW WILL

Student in an Organized Health Care Education/Training Program

1651 W ROSEDALE ST
FORT WORTH, TX 76104

Tarrant County (817) 257-4212

TARRA LEIGH POWER SAHIM DPT, MSPT, CSCS, ATC

Physical Therapist

1651 W ROSEDALE ST, SUITE 200
FORT WORTH, TX 76104

Tarrant County (817) 810-0001

TEXAS HEALTH CARE, PLLC

Non-Pharmacy Dispensing Site

1651 W ROSEDALE ST, SUITE 200
FORT WORTH, TX 76104

Tarrant County (817) 335-4316

TORRANCE ANTHONY WALKER M.D.

Orthopaedic Surgery

1651 W ROSEDALE ST, SUITE 200
FORT WORTH, TX 76104

Tarrant County (817) 335-4316

DR. MAHA KHAN MD

Surgery

1651 W ROSEDALE ST
FORT WORTH, TX 76104

Tarrant County (817) 257-4212

DR. SAMUEL HARALDSON M.D.

Emergency Medicine

1651 W ROSEDALE ST, #200
FORT WORTH, TX 76104

Tarrant County (817) 335-4316

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 Fairless's NPI number?

The NPI number for Justin Fairless is 1760615496. It was assigned to this individual provider in the NPPES registry on August 28, 2009.

Where is Justin Fairless located?

Justin Fairless practices at 1651 W Rosedale St, Fort Worth, TX 76104. The listed phone number is (817) 257-6633.

What is Justin Fairless's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Justin Fairless enrolled in Medicare?

Yes. Justin Fairless 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 Fairless accept?

Health plans from Blue Cross and Blue Shield of Texas list Justin Fairless 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 Fairless affiliated with any hospitals?

According to CMS data, Justin Fairless is affiliated with Methodist Southlake Medical Center.

When was this NPI record last updated?

The NPPES record for Justin Fairless was last updated on December 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.