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JUSTIN D. STULL M.D.
NPI 1861854747
Orthopaedic Surgery in Lancaster, PA

Active since March 22, 2016PECOS EnrolledAccepts Medicare Assignment
80.29/100
CMS Quality Rating
538 N QUEEN ST STE 200, LANCASTER, PA 17603(717) 393-1900(717) 553-5040 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 27, 2025, Nov 23, 2021, May 29, 2021 and 2 more (5 updates tracked since 2016).

About Justin D. Stull M.d. NPPES

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

JUSTIN D. STULL M.D. (NPI 1861854747) is an individual orthopaedic surgery provider in Lancaster, Pennsylvania, licensed in Pennsylvania (MD483825) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1861854747
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameJUSTIN D. STULLCredential: M.D.
Location Address538 N QUEEN ST STE 200Lancaster, PA 17603-3027
Mailing Address538 N Queen St Ste 200Lancaster, PA 17603-3027 · (717) 669-1458
Phone(717) 393-1900
Fax(717) 553-5040
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 22, 2016
Last NPPES UpdateMay 27, 20255 updates tracked since enumeration
NPPES CertifiedMay 27, 2025
✔ NPI 1861854747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in PA · MD483825
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Orthopaedic Surgery of the SpineTaxonomy 207XS0117X · License MD483825 (PA)
538 N QUEEN ST STE 200, Lancaster, PA 17603
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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 D. Stull 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 ID8729386610
PECOS Enrollment IDI20240523000499
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 5

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 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.
165 services118 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
69 services64 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.
59 services59 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.
18 services17 patients
X-ray of upper spine, 4-5 views 72050
An X-ray of the upper spine with 4-5 views is a non-invasive imaging test. It uses radiation to capture detailed images of the bones and structures in your neck and upper back. This procedure helps identify issues like fractures, infections, or deformities.
17 services17 patients

Hospital Affiliations CMS Care Compare 4

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

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

Penn State Health St. Joseph

Acute Care Hospitals · Reading, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390096
Location2500 Bernville RoadReading, PA 19605 · Berks County
Emergency services Birthing friendly

Lancaster General Hospital

Acute Care Hospitals · Lancaster, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390100
Location555 North Duke StreetLancaster, PA 17602 · Lancaster County
Emergency services Birthing friendly

Surgical Institute Of Reading

Acute Care Hospitals · Wyomissing, PA
OwnershipPhysician
CMS Certification Number390316
Location2752 Century BoulevardWyomissing, PA 19610 · Berks County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17603 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.

80.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.81
Promoting Interoperability99
Improvement Activities40
Cost49.34

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.

LANCASTER GENERAL HOSPITAL
Orthopaedic Surgery
538 N QUEEN ST STE 200
LANCASTER, PA 17603
Lancaster County (717) 393-1900
KIMBERLY GRACE BUCHER PA-C
Orthopaedic Surgery
538 N QUEEN ST STE 200
LANCASTER, PA 17603
Lancaster County (717) 393-1900
MISS RACHEL DYKES PA-C
Physician Assistant (Medical)
538 N QUEEN ST STE 200
LANCASTER, PA 17603
Lancaster County (717) 393-1900
DR. BRIAN THOMAS BRISLIN MD
Orthopaedic Surgery
538 N QUEEN ST STE 200
LANCASTER, PA 17603
Lancaster County (717) 393-1900

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 Stull's NPI number?

The NPI number for Justin Stull is 1861854747. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Where is Justin Stull located?

Justin Stull practices at 538 N Queen St Ste 200, Lancaster, PA 17603. The listed phone number is (717) 393-1900.

What is Justin Stull's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Justin Stull enrolled in Medicare?

Yes. Justin Stull 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 Stull accept?

Health plans from Molina Healthcare list Justin Stull 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 Stull affiliated with any hospitals?

According to CMS data, Justin Stull is affiliated with Reading Hospital, Penn State Health St. Joseph, Lancaster General Hospital and Surgical Institute Of Reading.

When was this NPI record last updated?

The NPPES record for Justin Stull was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.