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DR. JUSTIN CHARLES BROWER D.O.
NPI 1801182274
Surgery in Warren, PA

Active since June 23, 2011PECOS EnrolledAccepts Medicare Assignment
103 W SAINT CLAIR ST RM 2E, WARREN, PA 16365(814) 723-2686(814) 726-9417 Get Directions Write a Review

NPPES record last updated: August 12, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 12, 2020, May 11, 2020 (2 updates tracked since 2020).

About Dr. Justin Charles Brower D.o. NPPES

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

DR. JUSTIN CHARLES BROWER D.O. (NPI 1801182274) is an individual surgery provider in Warren, Pennsylvania, licensed in Pennsylvania (OS016742) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Penn Highlands Huntingdon, and maintains a secondary practice location in Warren.

NPPES Registry Identity

NPI1801182274
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. JUSTIN CHARLES BROWERCredential: D.O.
Location Address103 W SAINT CLAIR ST RM 2EWarren, PA 16365-2188
Mailing Address2 Crescent Park WestWarren, PA 16365
Phone(814) 723-2686
Fax(814) 726-9417
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2011
Enumeration DateJune 23, 2011
Last NPPES UpdateAugust 12, 20202 updates tracked since enumeration
NPPES CertifiedAugust 12, 2020
✔ NPI 1801182274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in PA · OS016742
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
103 W SAINT CLAIR ST RM 2E, Warren, PA 16365
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Secondary Practice Location 1

Location 12 Crescent Park WestWarren, PA 16365 · Phone (814) 723-3300

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Justin Charles Brower D.o. 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 ID9335446152
PECOS Enrollment IDI20160808000681
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Justin Brower reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jc Blair Memorial Hospital
96 mi
Pulmonary Disease
239 COLONNADE BLVD
State College, PA 16803
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: J C Blair Memorial Hospital
  • 45 clinicians in this Medicare group
NPI 1093567182 (814) 375-3770
J C Blair Medical Services Inc
111 mi
Family Medicine
1225 WARM SPRINGS AVE
Huntingdon, PA 16652
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 82 clinicians in this Medicare group
NPI 1861575938 (814) 643-2290

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
37 services32 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
29 services29 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
29 services29 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.
29 services17 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.
16 services16 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Penn Highlands Huntingdon

Acute Care Hospitals · Huntingdon, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390056
Location1225 Warm Springs AveHuntingdon, PA 16652 · Huntingdon County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16365 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
13%67 patients1/55-star benchmark: 95%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
74%742 patients4/55-star benchmark: 85%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
88%197 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
95%2,670 patients4/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 488 patients
0%488 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.

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 Brower's NPI number?

The NPI number for Justin Brower is 1801182274. It was assigned to this individual provider in the NPPES registry on June 23, 2011.

Where is Justin Brower located?

Justin Brower practices at 103 W Saint Clair St Rm 2E, Warren, PA 16365. The listed phone number is (814) 723-2686.

What is Justin Brower's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Justin Brower enrolled in Medicare?

Yes. Justin Brower 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.

Which organizations bill Medicare for Justin Brower's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Brower reassigns Medicare benefits to 2 organizations: Jc Blair Memorial Hospital (State College, PA) and J C Blair Medical Services Inc (Huntingdon, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Justin Brower's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Brower accept?

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

According to CMS data, Justin Brower is affiliated with Penn Highlands Huntingdon.

When was this NPI record last updated?

The NPPES record for Justin Brower was last updated on August 12, 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.