DR. JUSTIN LEE ELDER D.O.
NPI 1821223413
Otolaryngology - Facial Plastic Surgery in Lewes, DE

Active since May 26, 2009PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
17005 OLD ORCHARD RD, LEWES, DE 19958(302) 703-4025(302) 703-4027 Get Directions Write a Review

NPPES record last updated: March 17, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Justin Lee Elder D.o. NPPES

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

DR. JUSTIN LEE ELDER D.O. (NPI 1821223413) is an individual facial plastic surgery provider in Lewes, Delaware, licensed in Delaware (C20010095) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (2007).

NPPES Registry Identity

NPI1821223413
Entity TypeIndividualMale
Primary Taxonomy207YS0123X
Provider Legal NameDR. JUSTIN LEE ELDERCredential: D.O.
Location Address17005 OLD ORCHARD RDLewes, DE 19958-4828
Mailing Address17005 Old Orchard RdLewes, DE 19958-4828 · (302) 703-4025 · Fax (302) 703-4027
Fax(302) 703-4027
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2007
Enumeration DateMay 26, 2009
Last NPPES UpdateMarch 17, 2021
NPPES CertifiedMarch 17, 2021
NPI 1821223413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
License Licensed in DE · C20010095
Definition
An otolaryngologist who specializes in facial plastic surgery.
Also ListedOtolaryngology · Otolaryngology/Facial Plastic SurgeryTaxonomy 207YX0905X · License AS2593778E50 (NJ)
17005 OLD ORCHARD RD, Lewes, DE 19958

Accepted 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 Lee Elder 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 ID8123284015
PECOS Enrollment IDI20130531000277
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 24

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.

Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
5,073 services128 patients
Test for allergy using allergenic extract injected into skin 95024
An allergy skin test involves injecting a small amount of allergenic extract into your skin. This test helps determine if you're allergic to specific substances. If allergic, a small red bump appears at the test site. It's safe and quick.
2,139 services61 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.
919 services733 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.
674 services569 patients
Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
612 services12 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
475 services407 patients

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 8

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

Audiologist
17005 OLD ORCHARD RD
LEWES, DE 19958
Orthopaedic Surgery
17005 OLD ORCHARD RD
LEWES, DE 19958
Orthopaedic Surgery
17005 OLD ORCHARD RD
LEWES, DE 19958
Nurse Practitioner
17005 OLD ORCHARD RD
LEWES, DE 19958
Otolaryngology (Facial Plastic Surgery)
17005 OLD ORCHARD RD
LEWES, DE 19958
Audiologist
17005 OLD ORCHARD RD
LEWES, DE 19958
Otolaryngology
17005 OLD ORCHARD RD
LEWES, DE 19958
Audiologist
17005 OLD ORCHARD RD
LEWES, DE 19958

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 Elder's NPI number?

The NPI number for Justin Elder is 1821223413. It was assigned to this individual provider in the NPPES registry on May 26, 2009.

Where is Justin Elder located?

Justin Elder practices at 17005 Old Orchard Rd, Lewes, DE 19958. The listed phone number is (302) 703-4025.

What is Justin Elder's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Is Justin Elder enrolled in Medicare?

Yes. Justin Elder 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 Elder accept?

Health plans from AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list Justin Elder 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 Elder was last updated on March 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.