Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. JUSTIN T ZELONES M.D.
NPI 1962727859
Surgery - Plastic and Reconstructive Surgery in Westbrook, ME

Q: What is Justin Zelones's NPI number?

The NPI number for Justin Zelones is 1962727859. It was assigned to this individual provider in the NPPES registry on April 2, 2010.

Q: What is Justin Zelones's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Q: When was this NPI record last updated?

The NPPES record for Justin Zelones was last updated on July 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 02, 2010PECOS EnrolledAccepts Medicare Assignment

98.06/100

CMS Quality Rating

11 ROCK ROW STE 210, WESTBROOK, ME 04092(207) 775-3446(207) 879-1646 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 6, 2026, Jan 26, 2026, Jul 1, 2025 and 2 more (5 updates tracked since 2018).

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About Dr. Justin T Zelones M.d. NPPES

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

DR. JUSTIN T ZELONES M.D. (NPI 1962727859) is an individual plastic and reconstructive surgery provider in Westbrook, Maine, licensed in Maine (MD23080) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Pennsylvania State University College Of Medicine (2010).

NPPES Registry Identity

NPI1962727859

Entity TypeIndividualMale

Primary Taxonomy2086S0122X

Provider Legal NameDR. JUSTIN T ZELONESCredential: M.D.

Location Address11 ROCK ROW STE 210Westbrook, ME 04092-4877

Mailing Address11 Rock Row Ste 210Westbrook, ME 04092-4877 · (207) 775-3446

Phone(207) 775-3446

Fax(207) 879-1646

Sole ProprietorNo

Medical School CMSPennsylvania State University College Of MedicineGraduated 2010

Enumeration DateApril 2, 2010

Last NPPES UpdateJuly 6, 20265 updates tracked since enumeration

NPPES CertifiedJuly 6, 2026

✔ NPI 1962727859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0122X

License✔ Licensed in ME · MD23080

Definition

A surgeon who specializes in plastic and reconstructive surgery.

11 ROCK ROW STE 210, Westbrook, ME 04092

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, WellSense Health Plan.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 T Zelones M.d. 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 ID3779880919

PECOS Enrollment IDI20190812001980

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 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.

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.

63 services63 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

33 services22 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.

31 services26 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

27 services18 patients

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.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Maine Medical Center

Acute Care Hospitals · Portland, ME

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number200009

Location22 Bramhall StPortland, ME 04102 · Cumberland County

Emergency services Birthing friendly

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.

98.06/100

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

Scored through an Alternative Payment Model

Quality

86.13

Promoting Interoperability

100

Improvement Activities

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Other Providers at the Same Location NPPES 9

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

KELLI R HICKLE M.D.

Surgery (Plastic and Reconstructive Surgery)