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JUSTIN MICHAEL GARZONE D.O.
NPI 1770806804
Internal Medicine in Mount Pleasant, SC

Active since March 03, 2010PECOS Enrolled
1200 HOSPITAL DR, MOUNT PLEASANT, SC 29464(843) 375-4000 Get Directions Write a Review

NPPES record last updated: May 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Justin Michael Garzone D.o. NPPES

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

JUSTIN MICHAEL GARZONE D.O. (NPI 1770806804) is an individual internal medicine provider in Mount Pleasant, South Carolina, licensed in North Carolina (2013-01843) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS and maintains a secondary practice location in Sumter.

NPPES Registry Identity

NPI1770806804
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJUSTIN MICHAEL GARZONECredential: D.O.
Location Address1200 HOSPITAL DRMount Pleasant, SC 29464-3251
Mailing Address1201 Central Haven Dr, Apt 1115Mount Pleasant, SC 29464-3791 · (862) 432-2967
Phone(843) 375-4000
Sole ProprietorNo
Enumeration DateMarch 3, 2010
Last NPPES UpdateMay 28, 2020
NPPES CertifiedMay 28, 2020
✔ NPI 1770806804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NC · 2013-01843✔ Licensed in SC · 1307
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 2013-01843 (NC), 1307 (SC)
1200 HOSPITAL DR, Mount Pleasant, SC 29464
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Secondary Practice Location 1

Location 1129 N Washington StSumter, SC 29150-4949 · Phone (803) 774-9680

Other Identifiers 3

Medicaid1770806804NC
Medicaid013078SC
Other1307SC · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justin Michael Garzone D.o. 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 29464 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%83 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.

Other Providers at the Same Location NPPES 10

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

MATTHEW EKLUND PHARMD
Pharmacist
1200 HOSPITAL DR
MOUNT PLEASANT, SC 29464
Charleston County (843) 375-4119
CHARLESTON-AMG SPECIALTY HOSPITAL, INC.
Long Term Care Hospital
1200 HOSPITAL DR
MT PLEASANT, SC 29464
Charleston County (337) 269-9566
STEFANIE S STROUD
Respiratory Therapist, Registered
1200 HOSPITAL DR
MOUNT PLEASANT, SC 29464
Charleston County (843) 375-4000
VIBRA HOSPITAL OF CHARLESTON LLC
Long Term Care Hospital
1200 HOSPITAL DR, 3RD FLOOR
MT PLEASANT, SC 29464
Charleston County (843) 375-4000
CAROLINA INDEPENDENT ID, LLC
Specialist
1200 HOSPITAL DR
MT PLEASANT, SC 29464
Charleston County (843) 270-9518
VIBRA HOSPITAL OF CHARLESTON LLC
Skilled Nursing Facility
1200 HOSPITAL DR, 2ND FLOOR
MT PLEASANT, SC 29464
Charleston County (843) 375-4220
LAURA ELLEN BOSELOWITZ
Speech-Language Pathologist
1200 HOSPITAL DR
MT PLEASANT, SC 29464
Charleston County (843) 375-4000
ASHLEY CONNELL
Physical Therapist
1200 HOSPITAL DR
MOUNT PLEASANT, SC 29464
Charleston County (843) 693-4330

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 Garzone's NPI number?

The NPI number for Justin Garzone is 1770806804. It was assigned to this individual provider in the NPPES registry on March 3, 2010.

Where is Justin Garzone located?

Justin Garzone practices at 1200 Hospital Dr, Mount Pleasant, SC 29464. The listed phone number is (843) 375-4000.

What is Justin Garzone's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Justin Garzone enrolled in Medicare?

Yes. Justin Garzone is registered in the Medicare PECOS enrollment system.

What insurance does Justin Garzone accept?

Health plans from Molina Healthcare list Justin Garzone 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.

When was this NPI record last updated?

The NPPES record for Justin Garzone was last updated on May 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.