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JUSTIN G FERNANDEZ MD
NPI 1992066864
Internal Medicine in Andover, KS

Active since June 06, 2012PECOS EnrolledAccepts Medicare Assignment
1124 W 21ST ST, ANDOVER, KS 67002(316) 300-4000(316) 300-4040 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 17, 2023, Nov 16, 2022, Aug 18, 2020 (3 updates tracked since 2020).

About Justin G Fernandez Md NPPES

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

JUSTIN G FERNANDEZ MD (NPI 1992066864) is an individual internal medicine provider in Andover, Kansas, licensed in Kansas (04-38332) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Hutchinson Regional Medical Center Inc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1992066864
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJUSTIN G FERNANDEZCredential: MD
Location Address1124 W 21ST STAndover, KS 67002-5500
Mailing Address1124 W 21st StAndover, KS 67002-5500 · (316) 300-4000 · Fax (316) 300-4040
Phone(316) 300-4000
Fax(316) 300-4040
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 6, 2012
Last NPPES UpdateAugust 17, 20233 updates tracked since enumeration
NPPES CertifiedAugust 17, 2023
✔ NPI 1992066864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in KS · 04-38332✔ Licensed in KS · 9407852
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 04-38332 (KS)
1124 W 21ST ST, Andover, KS 67002
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1401 E Spruce StGarden City, KS 67846-5679 · Phone (620) 275-9752 · Fax (620) 275-4306
Location 21000 Hospital DrMcPherson, KS 67460-2326 · Phone (620) 241-2250 · Fax (620) 798-2630

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware 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 G Fernandez Md 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 ID1254581275
PECOS Enrollment IDI20150819009462
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 Reassignments

4

Medicare enrollment records show Justin Fernandez reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kansas Medical Center LLC
Same address
General Acute Care Hospital
1124 W 21ST
Andover, KS 67002
  • Reassigned Medicare billing, Kansas enrollment
  • 63 clinicians in this Medicare group
NPI 1255380127 (316) 300-4000
Vigilias LLC
7.8 mi
Internal Medicine
4704 E OAKLAND
Wichita, KS 67218
  • Reassigned Medicare billing, Kansas enrollment
  • 92 clinicians in this Medicare group
NPI 1407242241 (800) 924-8140
William Newton Memorial Hospital
23 mi
Multi-Specialty
101 SOUTH MAIN
Udall, KS 67146
  • Reassigned Medicare billing, Kansas enrollment
  • Also billed through NPI 1548229149 (Kansas)
  • 156 clinicians in this Medicare group
NPI 1720736663 (620) 728-4080
Hutchinson Regional Medical Center, Inc.
47 mi
Infectious Disease
1701 E 23RD AVE
Hutchinson, KS 67502
  • Reassigned Medicare billing, Kansas enrollment
  • 220 clinicians in this Medicare group
NPI 1255984456 (620) 665-2000

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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
611 services270 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
252 services231 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.
247 services227 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
121 services71 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
58 services32 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
54 services53 patients

Hospital Affiliations CMS Care Compare 5

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

Hutchinson Regional Medical Center Inc

Acute Care Hospitals · Hutchinson, KS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170020
Location1701 E 23rd AvenueHutchinson, KS 67502 · Reno County
Emergency services Birthing friendly

Southwest Medical Center

Acute Care Hospitals · Liberal, KS
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number170068
Location315 West 15th StreetLiberal, KS 67901 · Seward County
Emergency services Birthing friendly

Ascension Via Christi Hospitals Wichita, Inc.

Acute Care Hospitals · Wichita, KS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170122
Location929 North St Francis StreetWichita, KS 67214 · Sedgwick County
Emergency services Birthing friendly

Kansas Medical Center LLC

Acute Care Hospitals · Andover, KS
3/5 CMS rating
OwnershipProprietary
CMS Certification Number170197
Location1124 West 21st StreetAndover, KS 67002 · Butler County
Emergency services

Integris Health Ponca City

Acute Care Hospitals · Ponca City, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number370006
Location1900 North 14th StreetPonca City, OK 74601 · Kay County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67002 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
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers37 claims38 services$16.74 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers46 claims47 services$81.45 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 18

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

CASANDRA LEA BUTLER MD
Internal Medicine
1124 W 21ST ST
ANDOVER, KS 67002
Butler County (316) 300-4000
CODY GLICK
Physical Therapist
1124 W 21ST ST
ANDOVER, KS 67002
Butler County (316) 201-6983
JEFF ANDREW CARPENTER CRNA
Nurse Anesthetist, Certified Registered
1124 W 21ST ST
ANDOVER, KS 67002
Butler County (316) 300-4000
DR. JASON WAYNE RUNDELL-LITTLE M.D.
Emergency Medicine
1124 W 21ST ST
ANDOVER, KS 67002
Butler County (316) 300-4911
BRANDON KEITH KAUB PHARM.D
Pharmacist
1124 W 21ST ST
ANDOVER, KS 67002
Butler County (316) 300-4730
KANSAS MEDICAL CENTER, LLC
General Acute Care Hospital
1124 W 21ST ST
ANDOVER, KS 67002
Butler County (316) 300-4000
MARTIN E SELLBERG MD
Emergency Medicine
1124 W 21ST ST
ANDOVER, KS 67002
Butler County (316) 300-4000
HOSPITALIST MEDICINE PHYSICIANS OF KANSAS - TCS LLC
Emergency Medicine
1124 W 21ST ST
ANDOVER, KS 67002
Butler County (316) 300-4000

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 Fernandez's NPI number?

The NPI number for Justin Fernandez is 1992066864. It was assigned to this individual provider in the NPPES registry on June 6, 2012.

Where is Justin Fernandez located?

Justin Fernandez practices at 1124 W 21st St, Andover, KS 67002. The listed phone number is (316) 300-4000.

What is Justin Fernandez's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Justin Fernandez enrolled in Medicare?

Yes. Justin Fernandez 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 organizations bill Medicare for Justin Fernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Fernandez reassigns Medicare benefits to 4 organizations: Kansas Medical Center LLC (Andover, KS), Vigilias LLC (Wichita, KS), William Newton Memorial Hospital (Udall, KS) and Hutchinson Regional Medical Center, Inc. (Hutchinson, KS). Each 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 Fernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Fernandez accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. list Justin Fernandez 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 Fernandez affiliated with any hospitals?

According to CMS data, Justin Fernandez is affiliated with Hutchinson Regional Medical Center Inc, Southwest Medical Center, Ascension Via Christi Hospitals Wichita, Inc., Kansas Medical Center LLC and Integris Health Ponca City.

When was this NPI record last updated?

The NPPES record for Justin Fernandez was last updated on August 17, 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.