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JUSTIN CATES MD, PHD
NPI 1780768895
Pathology - Anatomic Pathology in Nashville, TN

Active since October 25, 2006PECOS EnrolledAccepts Medicare Assignment
97.12/100
CMS Quality Rating
1010 AIRPARK CENTER DR, NASHVILLE, TN 37217(615) 562-9200 Get Directions Write a Review

NPPES record last updated: September 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 9, 2022, Oct 15, 2020 (2 updates tracked since 2020).

About Justin Cates Md, Phd NPPES

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

JUSTIN CATES MD, PHD (NPI 1780768895) is an individual anatomic pathology provider in Nashville, Tennessee, licensed in Tennessee (MD39948) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with High Point Regional Health System, and maintains a secondary practice location in Nashville.

NPPES Registry Identity

NPI1780768895
Entity TypeIndividualMale
Primary Taxonomy207ZP0101X
Provider Legal NameJUSTIN CATESCredential: MD, PHD
Location Address1010 AIRPARK CENTER DRNashville, TN 37217-5200
Mailing Address1010 Airpark Center DrNashville, TN 37217-5200 · (615) 221-4400
Phone(615) 562-9200
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateOctober 25, 2006
Last NPPES UpdateSeptember 9, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2022
✔ NPI 1780768895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0101X
License✔ Licensed in TN · MD39948
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X · License MD39948 (TN)
1010 AIRPARK CENTER DR, Nashville, TN 37217
Open in Google Maps ↗

Secondary Practice Location 1

Location 13601 TvcNashville, TN 37232-0001 · Phone (615) 322-3000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, CareSource, Health Advantage 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 Cates Md, Phd 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 ID7214964501
PECOS Enrollment IDI20050820000051, I20230131002506, I20230204000361, I20230224000549, I20230224002569, I20251001004004
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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
3,354 services1,313 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
507 services244 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
135 services92 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
133 services39 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
64 services16 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
48 services39 patients

Hospital Affiliations CMS Care Compare 5

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

High Point Regional Health System

Acute Care Hospitals · High Point, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340004
Location601 N Elm StHigh Point, NC 27261 · Guilford County
Emergency services Birthing friendly

North Carolina Baptist Hospital

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340047
LocationMedical Center BoulevardWinston-Salem, NC 27157 · Forsyth County
Emergency services Birthing friendly

Wilkes Regional Medical Center

Acute Care Hospitals · North Wilkesboro, NC
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340064
Location1370 West D StNorth Wilkesboro, NC 28659 · Wilkes County
Emergency services Birthing friendly

Lexington Memorial Hospital Inc

Acute Care Hospitals · Lexington, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340096
Location250 Hospital Drive PO Box 1817Lexington, NC 27293 · Davidson County
Emergency services

Tristar Centennial Medical Center

Acute Care Hospitals · Nashville, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440161
Location2300 Patterson StreetNashville, TN 37203 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37217 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.64
Promoting Interoperability100
Improvement Activities40

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.

ASSOCIATED PATHOLOGISTS, LLC
Pathology (Anatomic Pathology & Clinical Pathology)
1010 AIRPARK CENTER DR
NASHVILLE, TN 37217
Davidson County (615) 221-4400
JULI ANNE MCCAY M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1010 AIRPARK CENTER DR
NASHVILLE, TN 37217
Davidson County (615) 221-4400
MOHSIN JAMAL
Pathology (Anatomic Pathology & Clinical Pathology)
1010 AIRPARK CENTER DR
NASHVILLE, TN 37217
Davidson County (615) 562-9200
NITIN MARWAHA M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1010 AIRPARK CENTER DR
NASHVILLE, TN 37217
Davidson County (615) 562-9200
DR. DEREK C. WELCH M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1010 AIRPARK CENTER DR
NASHVILLE, TN 37217
Davidson County (615) 562-9200
SRINIVASA CHEKURI
Pathology (Anatomic Pathology & Clinical Pathology)
1010 AIRPARK CENTER DR
NASHVILLE, TN 37217
Davidson County (615) 562-9200
ASSOCIATED PATHOLOGISTS LLC
Clinical Medical Laboratory
1010 AIRPARK CENTER DR
NASHVILLE, TN 37217
Davidson County (615) 221-4474
DR. RONGQIN REN M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1010 AIRPARK CENTER DR
NASHVILLE, TN 37217
Davidson County (615) 562-9200

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 Cates's NPI number?

The NPI number for Justin Cates is 1780768895. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Justin Cates located?

Justin Cates practices at 1010 Airpark Center Dr, Nashville, TN 37217. The listed phone number is (615) 562-9200.

What is Justin Cates's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology, with taxonomy code 207ZP0101X.

Is Justin Cates enrolled in Medicare?

Yes. Justin Cates 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 Cates accept?

Health plans from Arkansas Blue Cross and Blue Shield, CareSource, Health Advantage, Octave and Oscar Insurance Company list Justin Cates 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 Cates affiliated with any hospitals?

According to CMS data, Justin Cates is affiliated with High Point Regional Health System, North Carolina Baptist Hospital, Wilkes Regional Medical Center, Lexington Memorial Hospital Inc and Tristar Centennial Medical Center.

When was this NPI record last updated?

The NPPES record for Justin Cates was last updated on September 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.