Justin D Atherton, DO - Medicare General Surgery in Des Moines, IA

Justin D Atherton, DO is a medicare enrolled "Surgery" physician in Des Moines, Iowa. He graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Catholic Health Initiatives Colorado, Exodus Healthcare Network Pllc and his current practice location is 1111 6th Ave, Des Moines, Iowa. You can reach out to his office (for appointments etc.) via phone at (515) 643-2261.

Justin D Atherton is licensed to practice in Iowa (license number R8842) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1386876167.

Contact Information

Justin D Atherton, DO
1111 6th Ave,
Des Moines, IA 50314-2613
(515) 643-2261
Not Available

Map and Direction




Physician's Profile

Full NameJustin D Atherton
GenderMale
SpecialityGeneral Surgery
Experience15 Years
Location1111 6th Ave, Des Moines, Iowa
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Justin D Atherton graduated from medical school in 2009
  NPI Data:
  • NPI Number: 1386876167
  • Provider Enumeration Date: 08/13/2009
  • Last Update Date: 01/25/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 5395926703
  • Enrollment ID: I20140612001996

Medical Identifiers

Medical identifiers for Justin D Atherton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386876167NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 4149 (Iowa)Secondary
208600000XSurgery R8842 (Iowa)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Salt Lake Regional Medical CenterSalt lake city, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Catholic Health Initiatives Colorado8022927342998
Exodus Healthcare Network Pllc145626505725

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Justin D Atherton allows following entities to bill medicare on his behalf.
Entity NameExodus Healthcare Network Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306952783
PECOS PAC ID: 1456265057
Enrollment ID: O20031118000408
Entity NamePhysician Group Of Utah Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477676930
PECOS PAC ID: 8022032234
Enrollment ID: O20060113000886
Entity NameCatholic Health Initiatives Colorado
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942903562
PECOS PAC ID: 8022927342
Enrollment ID: O20230615001995

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Justin D Atherton is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Justin D Atherton, DO
1111 6th Ave,
Des Moines, IA 50314-2613

Ph: (515) 643-2261
Justin D Atherton, DO
1111 6th Ave,
Des Moines, IA 50314-2613

Ph: (515) 643-2261

Reviews and Comments


Surgery Doctors in Des Moines, IA

Jan Franko, MD, PHD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 411 Laurel St, Ste 2100, Des Moines, IA 50314
Phone: 515-247-3266    Fax: 515-643-8688
Ashlea Semmens, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 1415 Woodland Ave, Ste 140, Des Moines, IA 50309
Phone: 515-241-4076    
Samuel M Maurice, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 411 Laurel St, Suite 2225, Des Moines, IA 50314
Phone: 515-643-5455    Fax: 515-643-6459
Dr. Ze-hui Han, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 450 Laurel St, Ste. A, Des Moines, IA 50314
Phone: 515-247-8400    Fax: 515-248-8888
Dr. Yuichi Ishida, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 411 Laurel St Ste A250, Des Moines, IA 50314
Phone: 515-235-5000    Fax: 515-288-6713
Dr. Richard Sidwell, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1212 Pleasant St, Suite 211, Des Moines, IA 50309
Phone: 515-875-9770    Fax: 515-875-9771
Dr. Robert Louis Clark Jr., MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 3600 30th St, Des Moines, IA 50310
Phone: 515-699-5826    Fax: 515-699-5929

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.