JUSTIN MARK ATKINS M.D.
NPI 1932363108
Family Medicine in Bloomington, IN

NPI Status: Active since July 16, 2008

Contact Information

601 W 2ND ST
BLOOMINGTON, IN
ZIP 47403
Phone: (812) 353-9515

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  • Individual
  • Male
  • Family Medicine
  • Accepts Insurance
  • PECOS Enrolled

About JUSTIN ATKINS

This page provides the complete NPI Profile along with additional information for Justin Atkins, a primary care provider established in Bloomington, Indiana with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1932363108 assigned on July 2008. The practitioner's primary taxonomy code is 207Q00000X with license number 01068452A (IN). The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1932363108
Provider Name
JUSTIN MARK ATKINS M.D.
Gender
Male
Entity Type
Individual
Location Address
601 W 2ND ST BLOOMINGTON, IN 47403
Location Phone
(812) 353-9515
Mailing Address
PO BOX 1329 BLOOMINGTON, IN 47402
Is Sole Proprietor?
Yes
Enumeration Date
07-16-2008
Last Update Date
12-18-2018
Code Navigator

A primary care provider (PCP) like Justin Atkins sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • Clark Health Clinic Bldg 5-4257
    FPO, AA 28310
    (910) 907-9557
  • 2300 Ramsey St
    Fayetteville, NC 28301
    (910) 488-2120

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
01068452A
License State
IN
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207P00000XAllopathic & Osteopathic Physicians

Emergency Medicine

2012-01547 (NC)
2207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

2012-01547 (NC)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze First 7500 $25 Generic Drugs - HMO
  • Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Gold 1500 $15 Generic Drugs - HMO
  • Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Select Drugs - HMO
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
  • Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • HSA Eligible Bronze 6000 - HMO
  • Low Premium Bronze 9200 $25 Generic Drugs - HMO
  • Low Premium Bronze 9200 $25 Generic Drugs Adult Vision & Fitness - HMO
  • Low Premium Silver 6000 $3 Generic Drugs - HMO
  • Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
  • Platinum Zero $5 Generic Drugs - HMO
  • Platinum Zero $5 Generic Drugs Adult Vision & Fitness - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Justin Atkins is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Critical care, first 30-74 minutes

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

This service was performed 18 times for 18 patients

Emergency department visit for life threatening or functioning severity

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

This service was performed 119 times for 114 patients

Emergency department visit for problem of high severity

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

This service was performed 83 times for 77 patients

Emergency department visit for problem of moderate severity

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

This service was performed 60 times for 60 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 47403 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $82.04
  • Minimum New Patient Price $53.07
  • Maximum New Patient Price $161.76
  • Average New Patient Copayment $20.51
  • Minimum New Patient Copayment $13.26
  • Maximum New Patient Copayment $40.44

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $94.22
  • Minimum Established Patient Price $16.93
  • Maximum Established Patient Price $132.22
  • Average Established Patient Copayment $23.55
  • Minimum Established Patient Copayment $4.23
  • Maximum Established Patient Copayment $33.05

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for JUSTIN MARK ATKINS M.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1932363108
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
296266610
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 6 + 2 + 6 + 6 + 6 + 1 + 0 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1932363108 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

DR. MARK E BAUMAN MD

Pathology

(Anatomic Pathology & Clinical Pathology)

601 W 2ND ST
BLOOMINGTON, IN
ZIP 47403

(812) 336-6821

DR. MARCIA JO CAMPBELL MD

Pathology

(Anatomic Pathology & Clinical Pathology)

601 W 2ND ST
BLOOMINGTON, IN
ZIP 47403

(812) 336-6821

MIROSLAWA BERKVAM LCSW

Social Worker

(Clinical)

601 W 2ND ST
BLOOMINGTON, IN
ZIP 47403

(812) 353-9568

JOSHUA A. WATKINS M.D.

Anesthesiology

601 W 2ND ST
BLOOMINGTON, IN
ZIP 47403

(812) 353-9147

DR. JOHN PAUL JESSEPH M.D.

Anesthesiology

601 W 2ND ST
BLOOMINGTON, IN
ZIP 47403

(812) 353-6821

MORGAN M FLECK MS, RD, CD

Dietitian, Registered

601 W 2ND ST
BLOOMINGTON, IN
ZIP 47403

(812) 353-9405

DR. MICHAEL TIM DUNFEE M.D.

Anesthesiology

601 W 2ND ST
BLOOMINGTON, IN
ZIP 47403

(812) 334-8958

DR. ALLEN W DUNN M.D.

Anesthesiology

601 W 2ND ST
BLOOMINGTON, IN
ZIP 47403

(866) 483-4804

DR. WILLIAM T. CAMPBELL III M.D.

Anesthesiology

601 W 2ND ST
BLOOMINGTON, IN
ZIP 47403

(812) 353-9453

DR. JANET MARIE FRITSCH M.D.

Anesthesiology

601 W 2ND ST
BLOOMINGTON, IN
ZIP 47403

(800) 483-4804

BEATRICE CLAIRE TRAVIS M.D.

Anesthesiology

601 W 2ND ST
BLOOMINGTON, IN
ZIP 47403

(812) 353-9453

INDIANA UNIVERSITY HEALTH BLOOMINGTON INC

Psychologist

601 W 2ND ST
BLOOMINGTON, IN
ZIP 47403

(812) 353-5819

DR. GEORGE PENEFF M.D.

Anesthesiology

601 W 2ND ST
BLOOMINGTON, IN
ZIP 47403

(812) 334-8958

DONNA BARD PSY. D

Psychologist

(Clinical)

601 W 2ND ST
BLOOMINGTON, IN
ZIP 47403

(812) 353-5603

INDIANA UNIVERSITY HEALTH BLOOMINGTON INC

Psychiatric Unit

601 W 2ND ST
BLOOMINGTON, IN
ZIP 47403

(812) 353-5819

MARK STAFFORD FLOYD M.D.

Anesthesiology

601 W 2ND ST
BLOOMINGTON, IN
ZIP 47403

(812) 334-8958

LAYNE STEELE TAIT MD

Anesthesiology

601 W 2ND ST
BLOOMINGTON, IN
ZIP 47403

(866) 483-4804

CHAD JOHNSON M.D.

Anesthesiology

601 W 2ND ST
BLOOMINGTON, IN
ZIP 47403

(812) 334-8958

JEFFREY L JACKSON MD

Anesthesiology

601 W 2ND ST
BLOOMINGTON, IN
ZIP 47403

(812) 334-8958

JAMES D FISH MD

Anesthesiology

601 W 2ND ST
BLOOMINGTON, IN
ZIP 47403

(812) 334-8958

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1932363108, enumerated as an "individual" on July 16, 2008.

The provider is located at 601 W 2ND ST BLOOMINGTON, IN 47403 and the phone number is (812) 353-9515.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: CareSource. Please consult your insurance carrier or call the provider to verify.