JUSTIN WAYNE HART (D.O.) – Plastic and Reconstructive Surgery Physician, NPI 1942697313

JUSTIN WAYNE HART (D.O.) is a healthcare provider. based in Royal oak, Michigan. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials D.O.. They hold a License No. 5101021522 (MI). The NPI Number for JUSTIN WAYNE HART (D.O.) is 1942697313

Main info

Male
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
JUSTIN WAYNE HART (D.O.)
NPI
1942697313
Phone
(248) 551-1550
Address
3555 W 13 Mile Rd # 120
Enumeration Date
22 April 2015
Last Update Date
8 September 2022

Doctor Profile

Medical School Name
LINCOLN MEM UNIV, DEBUSK COL OF OSTEOPATHIC MED
Secondary Phone
3173384303
Graduation Year
2015 (11 years ago)
PAC ID
0547554529
Group Practice PAC ID
7012047640
Professional Enrollment ID
I20220713000656
Address ID
IN460321484CA13450STXX401

Contacts

Secure Messaging
jhart98392@direct.beaumont.edu
Secure Messaging
justin.hart.1@7598.direct.athenahealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:11State licenses:2Other namesUpdated within 12 months

247 PLASTIC AND RECONSTRUCTIVE SURGERY in MI

Provider Addresses for JUSTIN WAYNE HART (D.O.)

  • 3555 W 13 Mile Rd # 120

    Royal Oak, MI 480736710

    Phone: (248) 551-1550

    Type: Location

  • 5392 W TOPEKA DR

    GLENDALE, AZ 853084958

    Phone: (623) 203-6218

    Type: Mailing

  • 28050 GRAND RIVER AVE

    FARMINGTON HILLS, MI 483365919

    Phone: (248) 888-2516

    Type: Location

  • 13450 N MERIDIAN ST STE 145

    CARMEL, IN 460321484

    Phone: (317) 338-8788

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $260.

Total Amount is formed as General ($260) + Research ($0) + Ownership ($0) = $260.

Last reported payment date: 2023-10-12 • Largest payer in this snapshot: ABBVIE INC. ($260).

Total Amount

$260

General + Research + Ownership

Payments

2

Total payment records

General Amount

$260

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$260
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: 2022-07-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20220713000656IPlastic And Reconstructive SurgeryINTBD

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
99204New patient office or other outpatient visit, 45-59 minutes2120$0
99212Established patient office or other outpatient visit, 10-19 minutes1813$0
99203New patient office or other outpatient visit, 30-44 minutes1414$0
14301Repair of wound by transferring skin, 30.1-60.0 sq cm1312$0
99205New patient office or other outpatient visit, 60-74 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 48073)

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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: 7012047640View full group profile
NameSpecialtyState
Nurse PractitionerIN
-IN
Pulmonary Disease, Critical Care (Intensivists)IN
General Surgery, Thoracic SurgeryIN
-IN
-NY
Interventional RadiologyIN
-IN
G A S T R O E N T E R O L O G YTX
Nurse PractitionerIN

Reviews

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Frequently asked questions

What is the registry number for JUSTIN WAYNE HART (D.O.)?
The registry entry for JUSTIN WAYNE HART (D.O.) shows NPI 1942697313.
Is JUSTIN WAYNE HART (D.O.)'s NPI status active today?
Active status means JUSTIN WAYNE HART (D.O.)'s NPI record is not deactivated in the public file.
What type of care does JUSTIN WAYNE HART (D.O.) provide?
JUSTIN WAYNE HART (D.O.)'s profile centers on Plastic and Reconstructive Surgery Physician. Clinical services aligned with this taxonomy classification.
Can patients visit JUSTIN WAYNE HART (D.O.) in Royal Oak, Michigan?
For routing, start with Royal Oak, Michigan for JUSTIN WAYNE HART (D.O.), then verify phone and hours locally.
Why is information missing for JUSTIN WAYNE HART (D.O.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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