Justin Moroni Dazley, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

M11685 Issued in ID

Practice address

738 N College Rd
Suite a
Twin Falls, ID 83301-3385

Phone

(208) 814-7000

Fax

(208) 734-7294

NPI assigned

Feb 25, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID, NV, WY3 enrollments

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 3

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: justin.dazley.p2@direct.elkochc.nextgenshare.com

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.

• Minidoka Memorial Hospital

  • Critical Access Hospital
  • Rupert, ID
  • NPI 1679553531

  ID

  Medicare reassignment Care Compare group NPD
• Sciuridae Boyz, PLLC

  • Orthopaedic Surgery Physician
  • Twin Falls, ID
  • NPI 1780366195

  ID, Orthopaedic Surgery

  Medicare reassignment Care Compare group NPD
• Aspen Mountain Physician Practice Management LLC

  • Orthopaedic Surgery Physician
  • Rock Springs, WY
  • NPI 1932766706

  Orthopaedic Surgery, WY

  Medicare reassignment NPD
• Minidoka Memorial Hospital

  • Emergency Care Clinic/Center
  • Rupert, ID
  • NPI 1134333495

  Orthopaedic Surgery

  Care Compare group NPD
• Minidoka Memorial Hospital

  • Skilled Nursing Facility
  • Rupert, ID
  • NPI 1023052040
  Care Compare group
• Minidoka Memorial Hospital

  • Rural Health Clinic/Center
  • Rupert, ID
  • NPI 1043387426
  Care Compare group
• St Luke'S Magic Valley Regional Medical Center LTD

  • Community/Retail Pharmacy
  • Twin Falls, ID
  • NPI 1760203921
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ihc Health Services, Inc.

  • General Acute Care Hospital
  • Burley, ID
  • NPI 1497865315

  Hospital

  Care Compare affiliation
• Minidoka Memorial Hospital

  • Critical Access Hospital
  • Rupert, ID
  • NPI 1679553531

  Hospital

  Care Compare affiliation
• North Canyon Medical Center Inc.

  • Critical Access Hospital
  • Gooding, ID
  • NPI 1609046671

  Hospital

  Care Compare affiliation
• St. Luke'S Magic Valley Regional Medical Center, LTD.

  • General Acute Care Hospital
  • Twin Falls, ID
  • NPI 1932154705

  Hospital

  Care Compare affiliation

Specialty

Orthopedic Surgery

Education

Drexel University College of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Minidoka Memorial Hospital 38 clinicians

Sciuridae Boyz PLLC 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Lukes Magic Valley Medical Center Hospital, Twin Falls, ID, CCN 130002
• Minidoka Memorial Hospital Hospital, Rupert, ID, CCN 131319
• Cassia Regional Hospital Hospital, Burley, ID, CCN 131326
• North Canyon Medical Center Hospital, Gooding, ID, CCN 131302

Merit-based Incentive Payment System (MIPS)

Final score

85.09 of 100Reported as group

Quality

77.1

Promoting interoperability

100

Improvement activities

40

Cost

73.19

Merit-based Incentive Payment System (MIPS)

Final score

48.31 of 100Reported as group

Quality

45.81

Promoting interoperability

0

Improvement activities

40

Cost

65.23

Procedures performed for Medicare patients

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1851531289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 587",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833030587",
            "telephone_number": "208-814-7400",
            "fax_number": "208-814-7491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "738 N COLLEGE RD",
            "address_2": "SUITE A",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013385",
            "telephone_number": "208-814-7000",
            "fax_number": "208-734-7294"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1218 9th St Ste 10",
            "address_purpose": "LOCATION",
            "city": "Rupert",
            "state": "ID",
            "postal_code": "833502207",
            "country_code": "US",
            "telephone_number": "208-436-8340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1224 8th St",
            "address_purpose": "LOCATION",
            "city": "Rupert",
            "state": "ID",
            "postal_code": "833501599",
            "country_code": "US",
            "telephone_number": "208-436-0481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAZLEY",
        "first_name": "JUSTIN",
        "middle_name": "MORONI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-25",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "ID",
            "license": "M-11685",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "ID",
            "license": "M11685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851531289",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Johnson, M.D., P. a.
• David R. Long D.C. P.a.
• Liberty Ann Davis, RPH
• Zachary Davis, PT, DPT
• Stephen Dayton, LSW
• Amadea De Groot, LPC
• Sierra Jane De Mello, LMSW
• Robert Stanley Decamp, OTR/L
• Parker McCune Dee, PA-C
• Jennifer Dees, PHARMD

• All providers in Twin Falls, ID
• Orthopaedic Surgery Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.