1. Home
  2. Directory
  3. Pennsylvania
  4. Hellertown
  5. Family Medicine
  6. NPI Profile

DR. JUSTIN DARROW D.O.
NPI 1942650759
Family Medicine in Hellertown, PA

Active since June 13, 2016PECOS EnrolledAccepts Medicare Assignment
708 MAIN ST STE 200, HELLERTOWN, PA 18055(610) 838-7069(610) 838-7060 Get Directions Write a Review

NPPES record last updated: July 30, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 30, 2019, Jan 29, 2019, Jun 13, 2016 (3 updates tracked since 2016).

About Dr. Justin Darrow D.o. NPPES

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

DR. JUSTIN DARROW D.O. (NPI 1942650759) is an individual family medicine provider in Hellertown, Pennsylvania, licensed in Pennsylvania (OS020076) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with St Luke's Hospital Bethlehem, and is a graduate of West Virginia School Of Osteopathic Medicine (2016).

NPPES Registry Identity

NPI1942650759
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JUSTIN DARROWCredential: D.O.
Location Address708 MAIN ST STE 200Hellertown, PA 18055-1513
Mailing AddressPo Box 783311Philadelphia, PA 19178-3311 · (484) 884-4500 · Fax (484) 884-0699
Phone(610) 838-7069
Fax(610) 838-7060
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2016
Enumeration DateJune 13, 2016
Last NPPES UpdateJuly 30, 20193 updates tracked since enumeration
✔ NPI 1942650759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · OS020076
Definition
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.
708 MAIN ST STE 200, Hellertown, PA 18055
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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 Darrow 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.

PECOS PAC ID7618268442
PECOS Enrollment IDI20190821002124
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 7

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.
112 services59 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
63 services63 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
25 services25 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
19 services19 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.
14 services12 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

Grand View Health

Acute Care Hospitals · Sellersville, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390057
Location700 Lawn AvenueSellersville, PA 18960 · Bucks County
Emergency services

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18055 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
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers14 claims14 services$40.51 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

MEGAN ANNE OXLEY PA-C
Physician Assistant (Medical)
708 MAIN ST STE 200
HELLERTOWN, PA 18055
Northampton County (610) 838-7069

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 Darrow's NPI number?

The NPI number for Justin Darrow is 1942650759. It was assigned to this individual provider in the NPPES registry on June 13, 2016.

Where is Justin Darrow located?

Justin Darrow practices at 708 Main St Ste 200, Hellertown, PA 18055. The listed phone number is (610) 838-7069.

What is Justin Darrow's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Justin Darrow enrolled in Medicare?

Yes. Justin Darrow 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 Darrow accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Justin Darrow 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 Darrow affiliated with any hospitals?

According to CMS data, Justin Darrow is affiliated with St Luke's Hospital Bethlehem, Grand View Health and Lehigh Valley Hospital.

When was this NPI record last updated?

The NPPES record for Justin Darrow was last updated on July 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.