JUSTIN MICHAEL MEDLOCK D.O.
NPI 1891132866
Family Medicine in Tacoma, WA
About Justin Michael Medlock D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUSTIN MICHAEL MEDLOCK D.O. (NPI 1891132866) is an individual family medicine provider in Tacoma, Washington, licensed in Washington (OP60668377) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Kaiser Foundation Hospital, and is a graduate of Pacific Nw Un Of Hs, Col Of Osteopathic Medicine (2013).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Justin Michael Medlock 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.
Medicare Billing Reassignments
2Medicare enrollment records show Justin Medlock reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Renton, WA 98057
- Reassigned Medicare billing, Washington enrollment
- 2,678 clinicians in this Medicare group
Honolulu, HI 96819
- Reassigned Medicare billing, Hawaii enrollment
- 1,187 clinicians in this Medicare group
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
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Kaiser Foundation Hospital
Acute Care Hospitals · Honolulu, HIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TACOMA, WA 98404
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 Medlock's NPI number?
The NPI number for Justin Medlock is 1891132866. It was assigned to this individual provider in the NPPES registry on May 30, 2013.
Where is Justin Medlock located?
Justin Medlock practices at 2209 E 32nd St, Tacoma, WA 98404. The listed phone number is (253) 593-0232.
What is Justin Medlock's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Justin Medlock enrolled in Medicare?
Yes. Justin Medlock 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 Medlock's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Justin Medlock reassigns Medicare benefits to 2 organizations: Kaiser Foundation Health Plan Of Washington (Renton, WA) and Hawaii Permanente Medical Group Inc (Honolulu, HI). 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 Medlock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Justin Medlock accept?
Health plans from Kaiser Permanente list Justin Medlock 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 Medlock affiliated with any hospitals?
According to CMS data, Justin Medlock is affiliated with Kaiser Foundation Hospital.
When was this NPI record last updated?
The NPPES record for Justin Medlock was last updated on November 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Justin Michael Medlock, D.O. · NPI 1891132866
Family Medicine physician in Tacoma, Washington. Individual provider, active in the CMS NPPES registry since May 30, 2013.
## Identity
- **NPI:** 1891132866 (Entity type: Individual)
- **Enumerated:** May 30, 2013
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** OP60668377 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 2209 E 32ND ST, Tacoma, WA 98404-4922
- **Phone:** (253) 593-0232
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Kaiser Foundation Health Plan Of Washington (NPI 1124264577, Renton, WA); Hawaii Permanente Medical Group Inc (NPI 1710945969, Honolulu, HI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Pacific Nw Un Of Hs, Col Of Osteopathic Medicine, class of 2013
## Record status
- **NPPES last updated:** November 8, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1891132866) · Data from the CMS NPPES public registry.