JUSTIN WAYNE WOODRUFF DO
NPI 1851554216
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Gilbert, AZ

Active since July 07, 2008PECOS EnrolledAccepts Medicare Assignment
87.81/100
CMS Quality Rating
1920 N HIGLEY RD, STE 206, GILBERT, AZ 85234(480) 543-6700(480) 543-6725 Get Directions Write a Review

NPPES record last updated: April 27, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Justin Wayne Woodruff Do NPPES

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

JUSTIN WAYNE WOODRUFF DO (NPI 1851554216) is an individual adult reconstructive orthopaedic surgery provider in Gilbert, Arizona, licensed in Arizona (006133) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS and is a graduate of Arizona College Of Osteopathic Medicine Mid Western University (2008).

NPPES Registry Identity

NPI1851554216
Entity TypeIndividualMale
Primary Taxonomy207XS0114X
Provider Legal NameJUSTIN WAYNE WOODRUFFCredential: DO
Location Address1920 N HIGLEY RD, STE 206Gilbert, AZ 85234-1623
Mailing Address1920 N Higley Rd, Suite 206Gilbert, AZ 85234-1623 · (480) 543-6700 · Fax (480) 543-6725
Fax(480) 543-6725
Sole ProprietorNo
Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2008
Enumeration DateJuly 7, 2008
Last NPPES UpdateApril 27, 2017
NPI 1851554216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0114X
License Licensed in AZ · 006133
Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 006133 (AZ)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License OT012676 (PA)
1920 N HIGLEY RD, Gilbert, AZ 85234

Other Identifiers 2

Medicare PINZAZ
Medicaid806901AZ

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

Justin Wayne Woodruff Do 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 ID2860632973
PECOS Enrollment IDI20130715000328
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 15

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
280 services49 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.
175 services147 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
143 services129 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.
122 services122 patients
Musculoskeletal surgical navigational orthopedic operation using imaging guidance 0055T
This is a precise orthopedic surgery using advanced imaging technology. It helps the surgeon navigate through your musculoskeletal system (bones, muscles, and joints) accurately. This method reduces the risk of damage to nearby areas and aids in a more successful operation.
68 services64 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
63 services61 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.

87.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities40
Cost61.22

Other Providers at the Same Location NPPES 16

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

Physician Assistant
1920 N HIGLEY RD, SUITE 308
GILBERT, AZ 85234
Orthopaedic Surgery (Sports Medicine)
1920 N HIGLEY RD
GILBERT, AZ 85234
Physician Assistant (Surgical)
1920 N HIGLEY RD, SUITE 206
GILBERT, AZ 85234
Surgery
1920 N HIGLEY RD, SUITE 308
GILBERT, AZ 85234
Physician Assistant
1920 N HIGLEY RD
GILBERT, AZ 85234
Orthopaedic Surgery
1920 N HIGLEY RD
GILBERT, AZ 85234
Orthopaedic Surgery
1920 N HIGLEY RD, SUITE 206
GILBERT, AZ 85234
Psychologist (Clinical)
1920 N HIGLEY RD, SUITE 106
GILBERT, AZ 85234

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 Woodruff's NPI number?

The NPI number for Justin Woodruff is 1851554216. It was assigned to this individual provider in the NPPES registry on July 7, 2008.

Where is Justin Woodruff located?

Justin Woodruff practices at 1920 N Higley Rd Ste 206, Gilbert, AZ 85234. The listed phone number is (480) 543-6700.

What is Justin Woodruff's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is Justin Woodruff enrolled in Medicare?

Yes. Justin Woodruff 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 Woodruff accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Justin Woodruff 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 Woodruff was last updated on April 27, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.