JUSTIN R MIZE (PA) – Medical Physician Assistant, NPI 1104152479

JUSTIN R MIZE (PA) is a healthcare provider. based in Virginia beach, Virginia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 0110003168 (VA). The NPI Number for JUSTIN R MIZE (PA) is 1104152479

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
JUSTIN R MIZE (PA)
NPI
1104152479
Phone
(757) 457-5100
Address
225 Clearfield Ave
Enumeration Date
21 October 2009
Last Update Date
25 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7574575100
Graduation Year
2009 (17 years ago)
PAC ID
3678612728
Group Practice PAC ID
2062681679
Professional Enrollment ID
I20091202000369
Address ID
VA234353796SU7185XSXXX523
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

4,469 PHYSICIAN ASSISTANT in VA

Provider Addresses for JUSTIN R MIZE (PA)

  • 225 Clearfield Ave

    Virginia Beach, VA 234621815

    Phone: (757) 457-5100

    Fax: (757) 961-3696

    Type: Location

  • Portsmouth Post Office, Slindon Street, Somers Town, Portsmouth, England, PO1 1AB, United Kingdom

    PORTSMOUTH, VA 237070549

    Phone: (757) 686-3515

    Fax: (757) 686-0541

    Type: Mailing

  • 4092, Foxwood Drive, Virginia Beach, Virginia, 23462, United States

    SUITE 101

    VIRGINIA BEACH, VA 234625225

    Phone: (757) 467-4200

    Fax: (757) 686-0541

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 36 Open Payments records for all available years, with a total value of $353.

Total Amount is formed as General ($353) + Research ($0) + Ownership ($0) = $353.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: COLOPLAST CORP ($321).

Total Amount

$353

General + Research + Ownership

Payments

36

Total payment records

General Amount

$353

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2009-12-02

PECOS data refreshed: 2026-06-15

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
I20091202000369IPhysician AssistantVATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes387335$0
81003Automated urinalysis test335291$0
51798Ultrasound measurement of bladder capacity after voiding122111$0
84153Psa (prostate specific antigen) measurement, total118109$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes10978$0
View full utilization report →

Insurance plans in this area (ZIP 23462)

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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: 2062681679View full group profile
NameSpecialtyState
Nurse PractitionerVA
U R O L O G YVA
Diagnostic RadiologyNC
U R O L O G YVA
Nurse PractitionerVA
Nurse PractitionerVA
-VA
Physician AssistantVA
U R O L O G YVA
U R O L O G YNC

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

What is the 10-digit NPI for JUSTIN R MIZE (PA)?
JUSTIN R MIZE (PA) — NPI 1104152479 — is the standard way to identify this listing.
Can I rely on JUSTIN R MIZE (PA) being an active provider?
As of the registry snapshot, JUSTIN R MIZE (PA) is marked active.
What is JUSTIN R MIZE (PA)'s specialty?
The listing groups JUSTIN R MIZE (PA) with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect JUSTIN R MIZE (PA) on a map?
Expect Virginia Beach, Virginia as a primary anchor for JUSTIN R MIZE (PA) unless the record lists multiple sites.
Why does JUSTIN R MIZE (PA) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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