JUSTIN P HAWK (PA-C) – Physician Assistant, NPI 1154709830

JUSTIN P HAWK (PA-C) is a healthcare provider. based in Indianapolis, Indiana. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 50.008894 (OH). The NPI Number for JUSTIN P HAWK (PA-C) is 1154709830

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
JUSTIN P HAWK (PA-C)
NPI
1154709830
Phone
(317) 817-1200
Address
201 PENNSYLVANIA PKWY STE 100
Enumeration Date
13 May 2015
Last Update Date
13 November 2024

Doctor Profile

Medical School Name
UNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Secondary Phone
5132215500
Graduation Year
2014 (12 years ago)
PAC ID
8921328121
Group Practice PAC ID
8820282924
Professional Enrollment ID
I20241112003797
Address ID
OH452492309CI11140RDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

2,499 PHYSICIAN ASSISTANT in IN

Provider Addresses for JUSTIN P HAWK (PA-C)

  • 201 PENNSYLVANIA PKWY STE 100

    INDIANAPOLIS, IN 462801393

    Phone: (317) 817-1200

    Fax: (317) 817-1220

    Type: Mailing

  • 2139 AUBURN AVE STE C920A

    CINCINNATI, OH 452192906

    Phone: (513) 585-2663

    Fax: (513) 585-5157

    Type: Mailing

  • 3066 SW MARTIN DOWNS BLVD STE B

    PALM CITY, FL 349902683

    Phone: (772) 781-2735

    Fax: (772) 781-2727

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $248.

Total Amount is formed as General ($248) + Research ($0) + Ownership ($0) = $248.

Last reported payment date: 2024-08-15 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($84).

Total Amount

$248

General + Research + Ownership

Payments

12

Total payment records

General Amount

$248

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-15

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2024-11-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210826001600IPhysician AssistantFLTBD
I20241112003797IPhysician AssistantOHTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
27447Replacement of knee joint, both sides of knee114108$0
27130Replacement of thigh bone and hip joint with prosthesis1817$0
View full utilization report →

Insurance plans in this area (ZIP 46280)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820282924View full group profile
NameSpecialtyState
Orthopedic SurgeryTX
Orthopedic SurgeryOH
Orthopedic SurgeryOH
-OH
Physician AssistantOH
Orthopedic SurgeryOH
P O D I A T R YOH
-OH
Physician AssistantOH
Physician AssistantOH

Reviews

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Frequently asked questions

Is there an official ID for JUSTIN P HAWK (PA-C) in U.S. healthcare records?
The official identifier for JUSTIN P HAWK (PA-C) is NPI 1154709830.
Active or inactive — what applies to JUSTIN P HAWK (PA-C)?
You should see JUSTIN P HAWK (PA-C) as active in CMS-hosted NPPES data.
What clinical focus is listed for JUSTIN P HAWK (PA-C)?
At a glance, JUSTIN P HAWK (PA-C) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
Is JUSTIN P HAWK (PA-C) located near Indianapolis?
JUSTIN P HAWK (PA-C) currently maps to Indianapolis, Indiana in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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