DR. JUSTIN RICHARD ALLEN
NPI 1952545550
Emergency Medicine in Tifton, GA

Active since April 27, 2009PECOS EnrolledAccepts Medicare Assignment
78.41/100
CMS Quality Rating
901 18TH ST E, TIFTON, GA 31794(229) 353-6185 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 7, 2024, Apr 12, 2021 (2 updates tracked since 2021).

About Dr. Justin Richard Allen NPPES

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

DR. JUSTIN RICHARD ALLEN (NPI 1952545550) is an individual emergency medicine provider in Tifton, Georgia, licensed in Georgia (70029) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Saint Francis Hospital Muskogee, and is a graduate of University Of Oklahoma College Of Medicine (2009).

NPPES Registry Identity

NPI1952545550
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JUSTIN RICHARD ALLEN
Location Address901 18TH ST ETifton, GA 31794-3648
Mailing Address1246 19th StHermosa Beach, CA 90254-3308 · (917) 324-9942
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2009
Enumeration DateApril 27, 2009
Last NPPES UpdateMay 7, 20242 updates tracked since enumeration
NPPES CertifiedMay 7, 2024
NPI 1952545550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in GA · 70029 Licensed in NY · 60266029 Licensed in FL · TPME761 Licensed in IL · 036155966 Licensed in HI · MD-23927 Licensed in ID · MD-2526 Licensed in AL · 47781 Licensed in CA · C159741 Licensed in AZ · 63785 Licensed in AR · E-17178 Licensed in CO · CDR.0003441 Licensed in CT · 70770 Licensed in DE · CI-0026630 Licensed in DC · MD500002611
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 213862 (AK)
901 18TH ST E, Tifton, GA 31794

Accepted 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 Richard Allen 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 ID8325275878
PECOS Enrollment IDI20210414002671, I20240418001188
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 3

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.

Emergency department visit with moderate level of medical decision making 99284
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.
77 services74 patients
Emergency department visit with low level of medical decision making 99283
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.
36 services35 patients
Emergency department visit with high level of medical decision making 99285
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.
26 services26 patients

Hospital Affiliations CMS Care Compare 3

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

Saint Francis Hospital Muskogee

Acute Care Hospitals · Muskogee, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370025
Location300 Rockefeller DriveMuskogee, OK 74401 · Muskogee County
Emergency services Birthing friendly

Saint Francis Hospital, Inc

Acute Care Hospitals · Tulsa, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370091
Location6161 South YaleTulsa, OK 74136 · Tulsa County
Emergency services Birthing friendly

Saint Francis Hospital South, LLC

Acute Care Hospitals · Tulsa, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370218
Location10501 East 91st Street SouthTulsa, OK 74133 · Tulsa County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31794 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

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.

78.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.68
Promoting Interoperability100
Improvement Activities40
Cost66.15

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.

Nurse Anesthetist, Certified Registered
901 18TH ST E
TIFTON, GA 31794
Nurse Practitioner (Acute Care)
901 18TH ST E
TIFTON, GA 31794
Student in an Organized Health Care Education/Training Program
901 18TH ST E
TIFTON, GA 31794
Internal Medicine (Pulmonary Disease)
901 18TH ST E
TIFTON, GA 31794
Physical Therapist
901 18TH ST E
TIFTON, GA 31794
Internal Medicine
901 18TH ST E
TIFTON, GA 31794
Nurse Anesthetist, Certified Registered
901 18TH ST E
TIFTON, GA 31794
Nurse Practitioner (Family)
901 18TH ST E
TIFTON, GA 31794

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 Allen's NPI number?

The NPI number for Justin Allen is 1952545550. It was assigned to this individual provider in the NPPES registry on April 27, 2009.

Where is Justin Allen located?

Justin Allen practices at 901 18th St E, Tifton, GA 31794. The listed phone number is (229) 353-6185.

What is Justin Allen's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Justin Allen enrolled in Medicare?

Yes. Justin Allen 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 Allen accept?

Health plans from Alliant Health Plans, Inc., Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and CommunityCare and 4 other insurers list Justin Allen 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 Allen affiliated with any hospitals?

According to CMS data, Justin Allen is affiliated with Saint Francis Hospital Muskogee, Saint Francis Hospital, Inc and Saint Francis Hospital South, LLC.

When was this NPI record last updated?

The NPPES record for Justin Allen was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.