DR. JUSTIN ROLLENCE ANDES (D.O.) – Emergency Medicine Physician, NPI 1477868776

DR. JUSTIN ROLLENCE ANDES (D.O.) is a healthcare provider. based in Massillon, Ohio. specializing in EMERGENCY MEDICINE. They hold the professional credentials D.O.. They hold a License No. 58. 003554 (OH). The NPI Number for DR. JUSTIN ROLLENCE ANDES (D.O.) is 1477868776

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. JUSTIN ROLLENCE ANDES (D.O.)
NPI
1477868776
Phone
(330) 832-8761
Address
875 8TH ST NE
Enumeration Date
11 August 2010
Last Update Date
11 August 2010

Doctor Profile

Medical School Name
OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
2166361768
Graduation Year
2010 (16 years ago)
PAC ID
5890911598
Group Practice PAC ID
1850203555
Professional Enrollment ID
I20140731002071
Address ID
OH441950001CL9500XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

2,673 EMERGENCY MEDICINE in OH

Provider Addresses for DR. JUSTIN ROLLENCE ANDES (D.O.)

  • 875 8TH ST NE

    MASSILLON, OH 446468503

    Phone: (330) 832-8761

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2014-07-31

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
I20140731002071IEmergency MedicineOHTBD

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
99285Emergency department visit with high level of medical decision making155150$0
99284Emergency department visit with moderate level of medical decision making124121$0
71045X-ray of chest, 1 view4644$0
99283Emergency department visit with low level of medical decision making3837$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only3635$0
View full utilization report →

Insurance plans in this area (ZIP 44646)

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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: 1850203555View full group profile
NameSpecialtyState
-NV
Nephrology, Internal MedicineOH
-OH
-MI
Nurse PractitionerOH
General Surgery, Anesthesiology, Critical Care (Intensivists)OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-MN
Nurse PractitionerOH

Reviews

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Frequently asked questions

What federal number belongs to DR. JUSTIN ROLLENCE ANDES (D.O.)?
The federal identifier for DR. JUSTIN ROLLENCE ANDES (D.O.) is NPI 1477868776.
Is DR. JUSTIN ROLLENCE ANDES (D.O.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. JUSTIN ROLLENCE ANDES (D.O.)'s specialty in plain language?
Clinically, the directory lists DR. JUSTIN ROLLENCE ANDES (D.O.) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DR. JUSTIN ROLLENCE ANDES (D.O.) practice in Ohio?
You will see Massillon, Ohio on file for DR. JUSTIN ROLLENCE ANDES (D.O.) alongside any extra practice locations.
What if Massillon, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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