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JUSTIN KAUFMANN DO
NPI 1942706163
Surgery in Seattle, WA

Active since April 05, 2018PECOS EnrolledAccepts Medicare Assignment
86.37/100
CMS Quality Rating
DEPARTMENT OF SURGERY 1959 NE PACIFIC STREET, SEATTLE, WA 98195(740) 632-0196 Get Directions Write a Review

NPPES record last updated: July 20, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Justin Kaufmann Do NPPES

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

JUSTIN KAUFMANN DO (NPI 1942706163) is an individual surgery provider in Seattle, Washington, licensed in Texas (U3561) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Aultman Hospital, and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (2018).

NPPES Registry Identity

NPI1942706163
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJUSTIN KAUFMANNCredential: DO
Location AddressDEPARTMENT OF SURGERY 1959 NE PACIFIC STREETSeattle, WA 98195-0001
Mailing Address400 Hospital Dr Ste 208Corsicana, TX 75110-2489
Phone(740) 632-0196
Sole ProprietorNo
Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 2018
Enumeration DateApril 5, 2018
Last NPPES UpdateJuly 20, 2023
NPPES CertifiedJuly 20, 2023
✔ NPI 1942706163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in TX · U3561
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.
DEPARTMENT OF SURGERY 1959 NE PACIFIC STREET, Seattle, WA 98195
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 Kaufmann Do 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 ID6800141300
PECOS Enrollment IDI20250318001102
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.

Medicare Billing Reassignment

Medicare enrollment records show Justin Kaufmann reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ohio Specialty Physicians Corporation
2,060 mi
Surgery
2600 TUSCARAWAS ST W
Canton, OH 44708
  • Reassigned Medicare billing, Ohio enrollment
  • 66 clinicians in this Medicare group
NPI 1285745364 (330) 363-7444

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 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 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.
39 services31 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.
31 services30 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
30 services30 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
22 services19 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Aultman Hospital

Acute Care Hospitals · Canton, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360084
Location2600 Sixth Street SWCanton, OH 44710 · Stark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98195 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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.

86.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality72.75
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

DR. MICHAEL BERNARD WEYKAMP MD
Student in an Organized Health Care Education/Training Program
DEPARTMENT OF SURGERY 1959 NE PACIFIC STREET
SEATTLE, WA 98195
King County (616) 283-4030

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 Kaufmann's NPI number?

The NPI number for Justin Kaufmann is 1942706163. It was assigned to this individual provider in the NPPES registry on April 5, 2018.

Where is Justin Kaufmann located?

Justin Kaufmann practices at Department Of Surgery 1959 NE Pacific Street, Seattle, WA 98195. The listed phone number is (740) 632-0196.

What is Justin Kaufmann's specialty?

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

Is Justin Kaufmann enrolled in Medicare?

Yes. Justin Kaufmann 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 organization bills Medicare for Justin Kaufmann's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Kaufmann reassigns Medicare benefits to Ohio Specialty Physicians Corporation (Canton, OH). The 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 Kaufmann's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Kaufmann accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 1 other insurer list Justin Kaufmann 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 Kaufmann affiliated with any hospitals?

According to CMS data, Justin Kaufmann is affiliated with Aultman Hospital.

When was this NPI record last updated?

The NPPES record for Justin Kaufmann was last updated on July 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.