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DR. JUSTIN SLOANE M.D.
NPI 1790198901
Obstetrics & Gynecology in Exton, PA

Active since June 05, 2014PECOS EnrolledAccepts Medicare Assignment
86.75/100
CMS Quality Rating
728 W LINCOLN HWY, EXTON, PA 19341(610) 903-6200(610) 903-6201 Get Directions Write a Review

NPPES record last updated: June 4, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Justin Sloane M.d. NPPES

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

DR. JUSTIN SLOANE M.D. (NPI 1790198901) is an individual obstetrics & gynecology provider in Exton, Pennsylvania, licensed in Pennsylvania (MT205706) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1790198901
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. JUSTIN SLOANECredential: M.D.
Location Address728 W LINCOLN HWYExton, PA 19341
Mailing Address728 W Lincoln HwyExton, PA 19341-2547 · (610) 903-6200
Phone(610) 903-6200
Fax(610) 903-6201
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 2014
Enumeration DateJune 5, 2014
Last NPPES UpdateJune 4, 2018
✔ NPI 1790198901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in PA · MT205706
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
728 W LINCOLN HWY, Exton, PA 19341
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11200 Old York RdAbington, PA 19001-3720 · Phone (215) 481-6784 · Fax (215) 481-4787
Location 2600 E Marshall St Ste 205West Chester, PA 19380-4453 · Phone (610) 903-6200
Location 3455 Woodview Rd Ste 105West Grove, PA 19390-9152 · Phone (610) 903-6200

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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 Sloane 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 ID7012136120
PECOS Enrollment IDI20180724003332
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 2

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
17 services17 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.
16 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Chester County Hospital

Acute Care Hospitals · West Chester, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390179
Location701 East Marshall StreetWest Chester, PA 19380 · Chester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19341 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

86.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.91
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

CHRISTINA E ELLIS M.D.
Obstetrics & Gynecology (Gynecology)
728 W LINCOLN HWY
EXTON, PA 19341
Chester County (610) 903-6200
LINDSAY ODELL PFEIFFENBERGER MD
Obstetrics & Gynecology (Gynecology)
728 W LINCOLN HWY, 2ND FLOOR
EXTON, PA 19341
Chester County (610) 903-6200
RENEE M HOFFMAN D.O.
Obstetrics & Gynecology
728 W LINCOLN HWY
EXTON, PA 19341
Chester County (610) 903-6200
CORAZON G GEMIL M.D.
Obstetrics & Gynecology (Gynecology)
728 W LINCOLN HWY
EXTON, PA 19341
Chester County (610) 903-6200

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 Sloane's NPI number?

The NPI number for Justin Sloane is 1790198901. It was assigned to this individual provider in the NPPES registry on June 5, 2014.

Where is Justin Sloane located?

Justin Sloane practices at 728 W Lincoln Hwy, Exton, PA 19341. The listed phone number is (610) 903-6200.

What is Justin Sloane's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Justin Sloane enrolled in Medicare?

Yes. Justin Sloane 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 Sloane accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Justin Sloane 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 Sloane affiliated with any hospitals?

According to CMS data, Justin Sloane is affiliated with Hospital Of Univ Of Pennsylvania and Chester County Hospital.

When was this NPI record last updated?

The NPPES record for Justin Sloane was last updated on June 4, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.