DR. JUSTIN THOMAS ATHERTON MD
NPI 1912935644
Surgery in Tulsa, OK

Q: What is Justin Atherton's NPI number?

The NPI number for Justin Atherton is 1912935644. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Q: What is Justin Atherton's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Justin Atherton was last updated on March 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since June 29, 2006PECOS EnrolledAccepts Medicare Assignment

97.58/100

CMS Quality Rating

1725 E 19TH ST, SUITE 800, TULSA, OK 74104(918) 301-2505(918) 744-3633 Get Directions Write a Review

NPPES record last updated: March 9, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Justin Thomas Atherton Md NPPES

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

DR. JUSTIN THOMAS ATHERTON MD (NPI 1912935644) is an individual surgery provider in Tulsa, Oklahoma, licensed in Oklahoma (19797) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension St John Medical Center, and is a graduate of University Of Oklahoma College Of Medicine (1995).

NPPES Registry Identity

NPI1912935644

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. JUSTIN THOMAS ATHERTONCredential: MD

Location Address1725 E 19TH ST, SUITE 800Tulsa, OK 74104-5472

Mailing Address1725 E 19th St, Suite 800Tulsa, OK 74104-5472 · (918) 301-2505 · Fax (918) 744-3633

Phone(918) 301-2505

Fax(918) 744-3633

Sole ProprietorNo

Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1995

Enumeration DateJune 29, 2006

Last NPPES UpdateMarch 9, 2010

✔ NPI 1912935644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in OK · 19797

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.

Also ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X · License 19797 (OK)

Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X · License 19797 (OK)

1725 E 19TH ST, Tulsa, OK 74104

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Other Identifiers 4

Other$$$$$$$$$001OK · Blue Cross Blue Shield

Other020045078OK · Railroad Medicare

Medicare UPINH10699OK

Medicaid100131760AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, CommunityCare, Medica and more.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 Thomas Atherton Md 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 ID6406952969

PECOS Enrollment IDI20100330000225

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 14

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.

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.

149 services149 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.

116 services102 patients

Ultrasonic guidance during surgery 76998

Ultrasonic guidance during surgery is a technique that uses sound waves to create real-time images of the inside of your body. This helps the surgeon navigate and perform procedures more accurately, reducing the risk of complications. It's like a GPS for your body's internal structures.

78 services69 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

63 services63 patients

Fusion of lower spine bone through abdomen with partial removal of disc 22558

This procedure involves merging the bones in your lower spine through an abdominal approach. A portion of the disc, which acts like a cushion between your vertebrae, is partially removed. The goal is to alleviate back pain by limiting movement in the problem area of your spine.

42 services42 patients

Ultrasound of hemodialysis access 93990

An ultrasound of hemodialysis access is a non-invasive procedure that uses sound waves to create images of your dialysis access site. It helps monitor the access site's health and detect any potential issues like blockages or narrowing.

39 services33 patients

Relocation of arm vein with connection to arm artery for hemodialysis 36821

This procedure involves moving a vein in your arm and connecting it to an artery. This creates a larger, stronger vein that can be used for hemodialysis, a treatment for kidney disease. It helps clean your blood when your kidneys can't.

34 services34 patients

Relocation of upper arm surface vein with connection to arm artery for hemodialysis 36819

This procedure involves moving a vein from your upper arm to a location near the surface of your skin, then connecting it to an artery. This creates a larger, stronger vein that can handle the frequent needle insertions needed for hemodialysis, a treatment for kidney disease.

33 services32 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

33 services20 patients

Fusion of spine bones through front of body with partial removal of disc, each additional disc 22585

This procedure involves merging spine bones via the front of the body. A portion of each additional disc is removed to ease pressure and discomfort. This helps to stabilize the spine and improve mobility.

26 services21 patients

Ultrasound scan of head and neck soft tissue 76536

An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.

24 services22 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

21 services20 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

14 services14 patients

Removal of gallbladder with x-ray study of bile ducts using an endoscope 47563

This procedure, known as an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible camera (endoscope) to examine your bile ducts. If gallstones are found, your gallbladder may be removed in a separate procedure. This helps prevent future complications.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension St John Medical Center

Acute Care Hospitals · Tulsa, OK

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370114

Location1923 South Utica AvenueTulsa, OK 74104 · Tulsa County

Emergency services Birthing friendly

Tulsa Spine & Specialty Hospital

Acute Care Hospitals · Tulsa, OK

OwnershipProprietary

CMS Certification Number370216

Location6901 South Olympia AvenueTulsa, OK 74132 · Tulsa County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74104 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

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.

97.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.53

Promoting Interoperability

100

Improvement Activities

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.

DR. SUSAN A ROSE MD

Surgery

1725 E 19TH ST, SUITE 800
TULSA, OK 74104

Tulsa County (918) 301-2505

SURGERY INC

Surgery

1725 E 19TH ST, SUITE 800
TULSA, OK 74104

Tulsa County (918) 301-2505

DR. LAWRENCE CLAY BROTHERTON III MD

Surgery

1725 E 19TH ST, SUITE 800
TULSA, OK 74104

Tulsa County (918) 301-2505

ALEN MUNSON FULLER M.D.

Otolaryngology

1725 E 19TH ST, SUITE 100
TULSA, OK 74104

Tulsa County (918) 742-7376

DAVID BROWNING JR MD INC

Internal Medicine

1725 E 19TH ST, #702
TULSA, OK 74104

Tulsa County (918) 748-8080

BRUCE ALLEN BARTON MD

Internal Medicine (Pulmonary Disease)

1725 E 19TH ST, STE 200
TULSA, OK 74104

Tulsa County (918) 748-8381

DR. TIMOTHY WADE HEPNER MD

Surgery

1725 E 19TH ST, SUITE 800
TULSA, OK 74104

Tulsa County (918) 301-2505

RICHARD ROBERT JESUDASS MD

Internal Medicine (Gastroenterology)

1725 E 19TH ST, STE 600
TULSA, OK 74104

Tulsa County (918) 748-1330

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 Atherton's NPI number?

The NPI number for Justin Atherton is 1912935644. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Justin Atherton located?

Justin Atherton practices at 1725 E 19th St Suite 800, Tulsa, OK 74104. The listed phone number is (918) 301-2505.

What is Justin Atherton's specialty?

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

Is Justin Atherton enrolled in Medicare?

Yes. Justin Atherton 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 Atherton accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare, Medica, Mending Health and Oscar Insurance Company list Justin Atherton 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 Atherton affiliated with any hospitals?

According to CMS data, Justin Atherton is affiliated with Ascension St John Medical Center and Tulsa Spine & Specialty Hospital.

When was this NPI record last updated?

The NPPES record for Justin Atherton was last updated on March 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.