Active NPI
Justin Dean Wilson, M.D.
- Otolaryngology Physician
- Lone Tree, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 0071454
- Practice address
- 9980 Park Meadows Dr Ste 200
Lone Tree, CO 80124-8406 - Phone
- (303) 744-1961
- Fax
- (303) 744-1154
- NPI assigned
- Feb 13, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 0071454 | CO | Primary |
Addresses
Primary practice location
9980 Park Meadows Dr Ste 200
Lone Tree, CO 80124-8406
Mailing address
850 E Harvard Ave Ste 505
Denver, CO 80210-5078
Phone (303) 744-1961
Other practice location 1
2352 Meadows Blvd Ste 300
Castle Rock, CO 80109-8419
Phone (303) 744-1961
Other practice location 2
850 E Harvard Ave Ste 505
Denver, CO 80210-5078
Phone (303) 744-1961
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of Oklahoma College of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2352 Meadows Blvd
Suite 300
Castle Rock, CO 80109-8419
Phone (303) 607-4134
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.22 of 100
- Quality
- 75.39
- Promoting interoperability
- 84
- Improvement activities
- 40
- Cost
- 75.32
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0071454 | CO | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates of Otolaryngology, P.C. | Current | Accepting new patients | |
| Associates of Otolaryngology, P.C. | Current | Accepting new patients | |
| Associates of Otolaryngology, P.C. | Current | Accepting new patients |
Locations
2352 Meadows Blvd
Ste 300
Castle Rock, CO 80109
Phone (303) 744-1961
850 E Harvard Ave
Ste 505
Denver, CO 80210
Phone (303) 744-1961
9980 Park Meadows Dr
Ste 200
Lone Tree, CO 80124
Phone (303) 607-4134
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Otolaryngology/Facial Plastic Surgery Physician
- Denver, CO
- NPI 1518184399
-
- Specialist
- Castle Rock, CO
- NPI 1144816679
-
- Specialist
- Lone Tree, CO
- NPI 1447846977
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lone Tree, CO
- NPI 1659325629
-
- General Acute Care Hospital
- Castle Rock, CO
- NPI 1912249590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712102400000",
"number": "1467791392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 E HARVARD AVE STE 505",
"city": "DENVER",
"state": "CO",
"postal_code": "802105078",
"telephone_number": "303-744-1961",
"fax_number": "303-744-1154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9980 PARK MEADOWS DR STE 200",
"city": "LONE TREE",
"state": "CO",
"postal_code": "801248406",
"telephone_number": "303-744-1961",
"fax_number": "303-744-1154"
}
],
"practiceLocations": [
{
"address_1": "2352 Meadows Blvd Ste 300",
"address_purpose": "LOCATION",
"city": "Castle Rock",
"state": "CO",
"postal_code": "801098419",
"country_code": "US",
"telephone_number": "303-744-1961",
"fax_number": "303-744-1154",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "850 E Harvard Ave Ste 505",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802105078",
"country_code": "US",
"telephone_number": "303-744-1961",
"fax_number": "303-744-1154",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILSON",
"first_name": "JUSTIN",
"middle_name": "DEAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-13",
"last_updated": "2024-04-03",
"certification_date": "2024-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CO",
"license": "0071454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lone Tree, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.