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JUSTINE FRATZ-ORR NP-C
NPI 1790369593
Nurse Practitioner - Gerontology in Oakland, MD

Active since May 07, 2021PECOS EnrolledAccepts Medicare Assignment
70.94/100
CMS Quality Rating
215 N 4TH ST, OAKLAND, MD 21550(301) 533-4290 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Justine Fratz-orr Np-c NPPES

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

JUSTINE FRATZ-ORR NP-C (NPI 1790369593) is an individual gerontology provider in Oakland, Maryland, licensed in West Virginia (108476) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, is affiliated with Garrett Regional Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1790369593
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameJUSTINE FRATZ-ORRCredential: NP-C
Location Address215 N 4TH STOakland, MD 21550-1375
Mailing Address215 N 4th StOakland, MD 21550-1375 · (301) 533-4290
Phone(301) 533-4290
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMay 7, 2021
Last NPPES UpdateFebruary 13, 2024
NPPES CertifiedFebruary 13, 2024
✔ NPI 1790369593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in WV · 108476
215 N 4TH ST, Oakland, MD 21550
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Justine Fratz-orr Np-c 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 ID2466842455
PECOS Enrollment IDI20230413001853
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 4

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 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.
277 services78 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.
20 services20 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
13 services13 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Garrett Regional Medical Center

Acute Care Hospitals · Oakland, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210017
Location251 North Fourth StreetOakland, MD 21550 · Garrett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21550 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

70.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.4
Promoting Interoperability100
Improvement Activities0
Cost76.73

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 Justine Fratz-orr's NPI number?

The NPI number for Justine Fratz-orr is 1790369593. It was assigned to this individual provider in the NPPES registry on May 7, 2021.

Where is Justine Fratz-orr located?

Justine Fratz-orr practices at 215 N 4th St, Oakland, MD 21550. The listed phone number is (301) 533-4290.

What is Justine Fratz-orr's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Justine Fratz-orr enrolled in Medicare?

Yes. Justine Fratz-orr 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 Justine Fratz-orr accept?

Health plans from CareSource list Justine Fratz-orr 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 Justine Fratz-orr affiliated with any hospitals?

According to CMS data, Justine Fratz-orr is affiliated with Garrett Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Justine Fratz-orr was last updated on February 13, 2024. 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.