DR. JUSTIN MORONI DAZLEY (M.D.) – Orthopaedic Surgery Physician, NPI 1851531289
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
182 ORTHOPEDIC SURGERY in ID
Provider Addresses for DR. JUSTIN MORONI DAZLEY (M.D.)
1218 9th St Ste 10
Rupert, ID 833502207
Phone: (208) 436-8340
Type: Location
1224 8th St
Rupert, ID 833501599
Phone: (208) 436-0481
Type: Location
738, North College Road, Twin Falls, Twin Falls County, Idaho, 83301, United States
SUITE A
TWIN FALLS, ID 833013385
Phone: (208) 814-7000
Fax: (208) 734-7294
Type: Location
PO BOX 587
TWIN FALLS, ID 833030587
Phone: (208) 814-7400
Fax: (208) 814-7491
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 29 Open Payments records for all available years, with a total value of $21,988.
Total Amount is formed as General ($21,988) + Research ($0) + Ownership ($0) = $21,988.
Last reported payment date: 2024-07-12 • Largest payer in this snapshot: Clariance, Inc. ($12,973).
Total Amount
$21,988
General + Research + Ownership
Payments
29
Total payment records
General Amount
$21,988
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Clariance, Inc. | $12,973 |
| Clariance SAS | $6,714 |
| Globus Medical, Inc. | $1,195 |
| Providence Medical Technology, Inc. | $995 |
| Medtronic, Inc. | $73 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-10-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20121016000682 | I | Orthopedic Surgery | ID | TBD |
| I20231024003125 | I | Orthopedic Surgery | NV | TBD |
| I20251002002485 | I | Orthopedic Surgery | WY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 198 | 129 | $0 |
| 22614 | Fusion of additional segment of spine | 43 | 14 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 37 | 35 | $0 |
| 63048 | Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment | 29 | 17 | $0 |
| 63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | 16 | 16 | $0 |
Insurance plans in this area (ZIP 83350)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | ID | |
| Family Practice | TX | |
| Nurse Practitioner | ID | |
| General Surgery, Peripheral Vascular Disease, Thoracic Surgery, Vascular Surgery | ID | |
| - | ID | |
| Family Practice | ID | |
| Emergency Medicine | IL | |
| Certified Registered Nurse Anesthetist (Crna) | ID | |
| Orthopedic Surgery | ID | |
| Physician Assistant | ID |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.