Justin Brian Maxhimer, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

DR54921 Issued in CO

Practice address

1215 Spruce St Ste 201
Boulder, CO 80302-4839

Phone

(303) 443-2277

Fax

(303) 443-7124

NPI assigned

Jan 11, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Plastic and Reconstructive Surgery

Education

Rush Medical College of Rush University, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Boulder Plastic Surgery Prof LLCGroup PAC ID 0941197248, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jmaxhimer@directaddress.net

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.

• Boulder Plastic Surgery Prof LLC

  • Specialist
  • Boulder, CO
  • NPI 1043251432
  Medicare reassignment Care Compare group NPD
• Boulder Plastic Surgery Prof LLC

  • Specialist
  • Boulder, CO
  • NPI 1497341754
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1720138639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 SPRUCE ST STE 201",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803024839",
            "telephone_number": "303-443-2277",
            "fax_number": "303-443-7124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 SPRUCE ST STE 201",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803024839",
            "telephone_number": "303-443-2277",
            "fax_number": "303-443-7124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXHIMER",
        "first_name": "JUSTIN",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CO",
            "license": "DR54921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gordon T Matsuda, MD
• Ann Louise Mattson, MD
• Erika Mattson, PA-C
• Lynette Denise Mauge Marshall, RN
• Kelsey Maxfield
• Julia Maximon, MD
• Jules Maxwell
• Darrick Gary May, MD
• Travis May, LPCC
• Mayamotion Healing PLLC

• Plastic Surgery Physician in Boulder, CO
• Providers in Boulder, CO by specialty
• Plastic Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; 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.

Verify at the official NPI Registry.