Active NPI 1609044015 Individual Practitioner Male Practitioner

Dr. Justin William Case , MD

Internal Medicine • Florence, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Justin Case, MD is a certified Internal Medicine practicing in Florence, KY. With approximately 21 years of clinical experience since graduating from University Of Cincinnati College Of Medicine in 2005, Dr. Case delivers high-quality medical care to the local community at 4900 HOUSTON RD.

Dr. Case is affiliated with Kentucky Mso Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope, removal of polyps or growths of large bowel using an endoscope with mechanical snare, diagnostic exam of large bowel using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4900 Houston Rd

Florence, KY 410424824

Telephone 8592125200

Fax 8593445553

Associated Practice Facility / Clinic

🏢 St Elizabeth Medical Center, Inc Facility NPI 1154365062

Medicare Profile & Education

Medical School

University Of Cincinnati College Of Medicine

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Florence, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs -4.4 yrs vs City Avg

City Avg: 25.4 Yrs

State Avg: 26.6 Yrs

Regional Practice Density

11 Specialists

Practicing in Florence, KY (1608 Statewide)

Telehealth Adoption Rate

18.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

78.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Case (21 Years) 21 Yrs

Florence Specialty Average (25.4 Years) 25.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	107	105	$732.00	$54.32
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	79	78	$1136.00	$227.12
45378 Diagnostic exam of large bowel using a flexible endoscope	40	38	$840.00	$145.42
43249 Balloon dilation of esophagus using an endoscope	36	33	$395.00	$111.02
43259 Ultrasound examination of esophagus, stomach and/or upper small bowel using an endoscope	34	33	$690.00	$170.94
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	32	31	$831.00	$161.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	26	$227.00	$114.95
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	28	$301.00	$118.93
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	24	24	$831.00	$165.38
99213 Established patient office or other outpatient visit, typically 15 minutes	21	18	$151.00	$80.60
45380 Biopsy of large bowel using an endoscope	21	21	$1005.00	$103.41
36415 Insertion of needle into vein for collection of blood sample	20	18	$21.00	$8.25
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	16	$163.00	$70.68
43264 Removal of stone from bile or pancreatic duct using an endoscope	20	14	$1168.00	$82.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$348.00	$148.35
43242 Ultrasound guided needle aspiration or biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	13	$961.00	$224.46
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	13	$629.00	$88.33
43274 Insertion of stent into pancreatic or bile duct using a flexible endoscope	12	11	$997.00	$424.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	104	100	$732.00	$54.24
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	69	69	$1136.00	$223.75
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	36	36	$831.00	$171.13
45378 Diagnostic exam of large bowel using a flexible endoscope	32	31	$840.00	$158.38
43249 Balloon dilation of esophagus using an endoscope	30	26	$395.00	$122.20
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	28	$301.00	$123.20
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	29	29	$831.00	$170.84
43259 Ultrasound examination of esophagus, stomach and/or upper small bowel using an endoscope	25	24	$690.00	$168.46
99213 Established patient office or other outpatient visit, typically 15 minutes	23	20	$151.00	$83.81
45380 Biopsy of large bowel using an endoscope	22	22	$1005.00	$127.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	14	$227.00	$118.67
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	12	11	$690.78	$154.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	104	102	$732.00	$67.47
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	49	49	$1136.00	$234.17
45378 Diagnostic exam of large bowel using a flexible endoscope	41	40	$840.00	$167.53
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	40	40	$831.00	$174.18
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	39	34	$301.00	$127.99
99213 Established patient office or other outpatient visit, typically 15 minutes	39	31	$151.00	$84.91
43249 Balloon dilation of esophagus using an endoscope	27	25	$395.00	$129.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	20	$227.00	$120.46
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	22	22	$831.00	$174.26
45380 Biopsy of large bowel using an endoscope	17	17	$1005.00	$127.75
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	17	15	$690.78	$128.98
43259 Ultrasound examination of esophagus, stomach and/or upper small bowel using an endoscope	14	12	$690.00	$159.88
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$629.00	$107.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	101	100	$732.00	$55.80
99213 Established patient office or other outpatient visit, typically 15 minutes	61	46	$151.00	$86.15
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	60	60	$1136.00	$222.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	46	$227.00	$120.83
45378 Diagnostic exam of large bowel using a flexible endoscope	39	38	$840.00	$171.84
43249 Balloon dilation of esophagus using an endoscope	38	34	$395.00	$125.61
45380 Biopsy of large bowel using an endoscope	29	29	$1005.00	$121.14
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	26	$301.00	$129.88
43259 Ultrasound examination of esophagus, stomach and/or upper small bowel using an endoscope	23	23	$690.00	$188.74
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	21	21	$831.00	$167.70
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	15	$163.00	$68.67
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	15	15	$831.00	$178.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$227.00	$95.90
43242 Ultrasound guided needle aspiration or biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$961.00	$178.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	99	71	$151.00	$67.46
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	90	86	$732.00	$61.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	57	$227.00	$98.16
45378 Diagnostic exam of large bowel using a flexible endoscope	41	38	$840.00	$173.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	40	38	$301.00	$133.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	36	$89.00	$42.50
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	29	28	$1136.00	$221.01
43249 Balloon dilation of esophagus using an endoscope	27	24	$395.00	$113.56
43259 Ultrasound examination of esophagus, stomach and/or upper small bowel using an endoscope	20	20	$690.00	$194.71
45380 Biopsy of large bowel using an endoscope	20	20	$1005.00	$170.82
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	19	19	$831.00	$182.30
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	19	18	$629.00	$92.06
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	19	19	$831.00	$173.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$348.00	$156.49
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	11	$163.00	$70.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$225.00	$101.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	105	105	$732.00	$66.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	70	$227.00	$101.18
99213 Established patient office or other outpatient visit, typically 15 minutes	59	49	$151.00	$68.82
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	55	52	$301.00	$131.34
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	48	24	$163.00	$69.77
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	43	43	$1136.00	$233.09
45378 Diagnostic exam of large bowel using a flexible endoscope	37	37	$840.00	$170.27
43249 Balloon dilation of esophagus using an endoscope	33	31	$533.98	$121.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$348.00	$150.47
45380 Biopsy of large bowel using an endoscope	23	23	$1005.00	$150.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	20	$88.96	$41.65
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	20	20	$831.00	$171.96
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	18	18	$831.00	$181.29
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	13	12	$549.82	$135.57
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$629.00	$100.15
99231 Follow-up hospital inpatient care per day, typically 15 minutes	12	11	$92.00	$37.85
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	11	11	$830.20	$285.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	117	84	$227.00	$100.45
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	114	108	$732.00	$70.61
99213 Established patient office or other outpatient visit, typically 15 minutes	58	47	$151.00	$67.63
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	53	49	$301.00	$131.35
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	52	52	$1136.00	$247.92
45378 Diagnostic exam of large bowel using a flexible endoscope	51	50	$840.00	$177.27
43249 Balloon dilation of esophagus using an endoscope	32	24	$395.00	$122.10
45380 Biopsy of large bowel using an endoscope	29	29	$1005.00	$132.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$348.00	$155.20
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	24	24	$831.00	$177.52
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	18	$163.00	$69.91
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	21	21	$831.00	$176.99
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	18	17	$629.00	$94.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$89.00	$40.61
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	16	14	$429.00	$148.60
43259 Ultrasound examination of esophagus, stomach and/or upper small bowel using an endoscope	16	16	$690.00	$188.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	181	120	$227.00	$98.88
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	141	139	$732.00	$78.07
99213 Established patient office or other outpatient visit, typically 15 minutes	71	56	$151.00	$67.89
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	68	42	$163.00	$68.98
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	53	51	$301.00	$130.84
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	50	50	$1136.00	$232.74
45378 Diagnostic exam of large bowel using a flexible endoscope	42	41	$830.00	$176.25
45380 Biopsy of large bowel using an endoscope	36	36	$1005.00	$123.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$348.00	$149.09
43249 Balloon dilation of esophagus using an endoscope	31	26	$395.00	$124.98
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	22	19	$614.70	$112.44
43259 Ultrasound examination of esophagus, stomach and/or upper small bowel using an endoscope	21	21	$690.00	$206.40
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	20	20	$831.00	$176.18
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	20	20	$831.00	$175.62
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$444.00	$193.45
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	17	13	$232.00	$99.68
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	14	12	$429.00	$138.65

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License KY 40845

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine - Gastroenterology

NUCC Taxonomy Code: 207RG0100X

State License OH 093161

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

3126843 (OH)

Medicaid State Provider ID

7100047300 (KY)

Hospital & Practice Group Affiliations

Kentucky Mso Llc

1138 Lexington Rd, Georgetown, KY 403249672

Phone: 5025703721

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners

Dr. David Banks , MD

Hospitalist

NPI 1114980521

Doctor of Medicine (M.D.)

Dr. K. Martin , MD

Specialist

NPI 1245223924

Doctor of Medicine (M.D.)

Dr. Rhonda Pfaff , MD

Hospitalist

NPI 1376533372

Doctor of Medicine (M.D.)

Dr. Robert Weber , MD

Internal Medicine

NPI 1619976081

Doctor of Medicine (M.D.)

Dr. Kenneth Heberling , MD

Internal Medicine

NPI 1669465423

Doctor of Medicine (M.D.)

Christopher Treon , CRNA

Nurse Anesthetist, Certified Registered

NPI 1730170762

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active December 18, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location December 18, 2012

Registered at 4900 HOUSTON RD, FLORENCE, KY 410424824 (Tel: 8592125200)

📍

Updated Business Mailing Address December 18, 2012

Registered at PO BOX 635283, ST. ELIZABETH PHYSICIANS, CINCINNATI, OH 452635283 (Tel: 8593445555)

👤

Provider Name / Credentials Updated December 18, 2012

Recorded as JUSTIN CASE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2012

Internal Medicine (License #40845 in KY)

🟢

Initial NPI Registration & Enumeration February 19, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609044015

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 19, 2008

Last Update: December 18, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 635283, St. Elizabeth Physicians

Cincinnati, OH 452635283

Phone: 8593445555

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.