DR. JUSTIN THOMAS MHOON M.D.
NPI 1972727659
Psychiatry & Neurology - Neurology in Durham, NC

Active since April 12, 2007PECOS EnrolledAccepts Medicare Assignment
3116 N DUKE ST, DURHAM, NC 27704(919) 684-8111 Get Directions Write a Review

NPPES record last updated: May 3, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Justin Thomas Mhoon M.d. NPPES

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

DR. JUSTIN THOMAS MHOON M.D. (NPI 1972727659) is an individual neurology provider in Durham, North Carolina, licensed in North Carolina (2010-01535) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of University Of South Florida College Of Medicine (2006).

NPPES Registry Identity

NPI1972727659
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. JUSTIN THOMAS MHOONCredential: M.D.
Location Address3116 N DUKE STDurham, NC 27704-2102
Mailing Address5213 S Alston AveDurham, NC 27713-4430 · (919) 620-4700
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2006
Enumeration DateApril 12, 2007
Last NPPES UpdateMay 3, 2012
NPI 1972727659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in NC · 2010-01535
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedInternal MedicineTaxonomy 207R00000X · License 001891 (GA)
3116 N DUKE ST, Durham, NC 27704

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 Thomas Mhoon 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 ID749459022
PECOS Enrollment IDI20110802000536
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 15

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
5,310 services11 patients
Needle measurement of electrical activity in arm or leg muscles, limited study 95885
This procedure, known as an electromyography (EMG), involves placing tiny needles into your arm or leg muscles to measure their electrical activity. It's a limited study, meaning only specific muscles are tested. This helps identify any muscle or nerve dysfunction.
150 services83 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
91 services89 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
89 services89 patients
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.
70 services46 patients
Limited ultrasound scan of joint or other extremity structure except blood vessels 76882
A limited ultrasound scan of a joint or other extremity structure lacking blood vessels is a non-invasive procedure that uses sound waves to create images of the inside of your body. This helps in diagnosing and monitoring conditions related to your joints or other similar structures.
61 services43 patients

Hospital Affiliations CMS Care Compare 2

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Duke Regional Hospital

Acute Care Hospitals · Durham, NC
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340155
Location3643 N Roxboro StreetDurham, NC 27704 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27704 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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.

Otolaryngology
3116 N DUKE ST, DUKE OTOLARYNGOLOGY OF DURHAM, FIRST FLOOR
DURHAM, NC 27704
Otolaryngology
3116 N DUKE ST, SUITE 25A
DURHAM, NC 27704
Nurse Practitioner (Family)
3116 N DUKE ST
DURHAM, NC 27704
Physical Therapist
3116 N DUKE ST
DURHAM, NC 27704
Pediatrics
3116 N DUKE ST
DURHAM, NC 27704
Nurse Practitioner (Pediatrics)
3116 N DUKE ST
DURHAM, NC 27704
Pediatrics
3116 N DUKE ST
DURHAM, NC 27704
Pediatrics
3116 N DUKE ST
DURHAM, NC 27704

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 Mhoon's NPI number?

The NPI number for Justin Mhoon is 1972727659. It was assigned to this individual provider in the NPPES registry on April 12, 2007.

Where is Justin Mhoon located?

Justin Mhoon practices at 3116 N Duke St, Durham, NC 27704. The listed phone number is (919) 684-8111.

What is Justin Mhoon's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Justin Mhoon enrolled in Medicare?

Yes. Justin Mhoon 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 Mhoon accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Justin Mhoon 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 Mhoon affiliated with any hospitals?

According to CMS data, Justin Mhoon is affiliated with Duke University Hospital and Duke Regional Hospital.

When was this NPI record last updated?

The NPPES record for Justin Mhoon was last updated on May 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.