Active NPI 1508839614 Individual Practitioner Male Practitioner

Dr. Justin Paul Mikula , MD

Internal Medicine • Warren, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Justin Mikula, MD is a certified Internal Medicine practicing in Warren, OH. With approximately 24 years of clinical experience since graduating from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 2002, Dr. Mikula delivers high-quality medical care to the local community at 1615 N RIVER RD NE.

Dr. Mikula is affiliated with Justin P. Mikula, M.D., Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, advance care planning, first, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1615 N River Rd Ne
Suite 1

Warren, OH 444832437

Telephone 3303722333

Fax 3303731111

Associated Practice Facility / Clinic

🏢 Justin P. Mikula, M.d., Inc. Facility NPI 1750487542

Medicare Profile & Education

Medical School

Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Warren, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs -4.2 yrs vs City Avg

City Avg: 28.2 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

45 Specialists

Practicing in Warren, OH (5516 Statewide)

Telehealth Adoption Rate

13.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

48.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mikula (24 Years) 24 Yrs

Warren Specialty Average (28.2 Years) 28.2 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
99213 Established patient office or other outpatient visit, typically 15 minutes	271	173	$120.00	$85.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	252	137	$165.00	$120.17
99497 Advance care planning, first 30 minutes	164	164	$100.00	$77.69
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	159	159	$150.00	$122.03
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	59	51	$50.00	$34.03
99213 Established patient office or other outpatient visit, typically 15 minutes	31	19	$224.00	$62.67
G0008 Administration of influenza virus vaccine	26	26	$35.00	$30.39
90662 Influenza vaccine split virus, preservative free	26	26	$95.00	$81.82
81003 Automated urinalysis test	16	14	$10.00	$2.20
93000 Routine ekg using at least 12 leads including interpretation and report	16	16	$28.00	$13.39
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	13	13	$30.00	$15.60
69210 Removal of impacted ear wax	12	11	$70.00	$44.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$509.00	$126.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	279	185	$119.50	$85.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	193	122	$164.59	$121.86
99497 Advance care planning, first 30 minutes	193	193	$100.00	$78.84
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	171	171	$150.00	$122.52
85610 Blood test, clotting time	75	11	$10.00	$4.20
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	69	22	$47.68	$21.62
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	61	56	$50.00	$34.62
G0008 Administration of influenza virus vaccine	28	28	$30.71	$29.36
90662 Influenza vaccine split virus, preservative free	28	28	$80.00	$71.81
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	22	22	$185.00	$157.21
81003 Automated urinalysis test	15	15	$10.00	$2.20
69210 Removal of impacted ear wax	14	14	$69.29	$45.37
93000 Routine ekg using at least 12 leads including interpretation and report	14	14	$28.00	$13.70
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	11	11	$30.00	$15.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	246	171	$110.00	$87.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	231	133	$155.00	$122.54
99497 Advance care planning, first 30 minutes	208	207	$100.00	$81.65
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	184	184	$150.00	$125.51
85610 Blood test, clotting time	76	12	$10.00	$4.22
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	69	21	$30.00	$21.83
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	56	50	$50.00	$34.78
93000 Routine ekg using at least 12 leads including interpretation and report	30	29	$28.00	$13.80
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	23	23	$30.00	$15.64
G0008 Administration of influenza virus vaccine	22	22	$30.00	$27.95
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	21	21	$185.00	$161.06
90662 Influenza vaccine split virus, preservative free	21	21	$80.00	$68.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$200.00	$163.12
81003 Automated urinalysis test	17	17	$10.00	$2.23

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	256	135	$151.72	$126.50
99213 Established patient office or other outpatient visit, typically 15 minutes	208	146	$107.55	$88.43
99497 Advance care planning, first 30 minutes	197	196	$100.00	$83.28
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	180	180	$150.00	$127.95
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	93	27	$30.00	$21.64
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	34	29	$50.00	$33.25
93000 Routine ekg using at least 12 leads including interpretation and report	34	33	$28.00	$14.34
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	18	18	$30.00	$15.92
G0008 Administration of influenza virus vaccine	17	17	$30.00	$16.19
90662 Influenza vaccine split virus, preservative free	17	17	$66.18	$65.06
81003 Automated urinalysis test	16	15	$10.00	$2.25
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	15	15	$185.00	$163.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$199.55	$164.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99497 Advance care planning, first 30 minutes	233	232	$100.00	$83.46
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	226	226	$150.00	$110.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	213	128	$135.00	$105.55
99213 Established patient office or other outpatient visit, typically 15 minutes	202	140	$95.00	$72.74
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	109	46	$30.00	$22.00
85610 Blood test, clotting time	79	14	$10.00	$4.26
90662 Influenza vaccine split virus, preservative free	32	32	$65.00	$60.79
G0008 Administration of influenza virus vaccine	32	32	$30.00	$16.06
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	28	28	$30.00	$15.82
93000 Routine ekg using at least 12 leads including interpretation and report	26	25	$28.00	$16.40
81003 Automated urinalysis test	22	21	$10.00	$2.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	502	271	$91.69	$71.87
J1100 Injection, dexamethasone sodium phosphate, 1 mg	390	35	$2.00	$0.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	351	207	$129.02	$104.15
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	250	250	$150.00	$110.84
99497 Advance care planning, first 30 minutes	151	151	$100.00	$82.30
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	150	55	$30.00	$21.64
85610 Blood test, clotting time	106	14	$10.00	$4.28
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	72	71	$29.79	$17.08
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	63	41	$30.00	$15.77
81003 Automated urinalysis test	62	40	$10.00	$2.44
93000 Routine ekg using at least 12 leads including interpretation and report	47	42	$28.00	$16.36
90662 Influenza vaccine split virus, preservative free	33	33	$65.00	$54.89
G0008 Administration of influenza virus vaccine	33	33	$30.00	$15.75
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	29	29	$185.00	$162.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	543	272	$90.00	$68.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	526	269	$125.00	$100.63
J1100 Injection, dexamethasone sodium phosphate, 1 mg	285	41	$2.28	$0.12
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	208	208	$150.00	$108.42
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	102	100	$25.74	$19.25
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	98	38	$27.24	$19.84
85610 Blood test, clotting time	97	15	$10.00	$4.75
G0008 Administration of influenza virus vaccine	79	79	$30.00	$19.30
90662 Influenza vaccine split virus, preservative free	79	79	$65.00	$52.30
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	71	57	$30.00	$18.87
81003 Automated urinalysis test	59	47	$10.00	$2.71
93000 Routine ekg using at least 12 leads including interpretation and report	39	37	$28.00	$15.69
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	33	13	$90.00	$62.19
87804 Detection test by immunoassay with direct visual observation for influenza virus	26	13	$25.00	$16.22
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	21	$180.00	$136.20
83036 Hemoglobin A1C level	25	24	$17.00	$11.75
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	24	24	$185.00	$160.17
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	14	11	$95.00	$50.00
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	13	12	$25.00	$16.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	743	329	$85.26	$67.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	518	284	$125.00	$99.12
J1100 Injection, dexamethasone sodium phosphate, 1 mg	195	35	$2.00	$0.12
85610 Blood test, clotting time	172	22	$10.00	$5.28
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	160	160	$148.69	$107.20
93000 Routine ekg using at least 12 leads including interpretation and report	105	94	$28.00	$15.61
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	102	102	$25.00	$21.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	94	28	$50.00	$40.21
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	94	94	$183.09	$156.21
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	90	56	$30.00	$22.52
81003 Automated urinalysis test	89	71	$10.00	$2.99
G0008 Administration of influenza virus vaccine	78	78	$30.00	$23.52
83036 Hemoglobin A1C level	68	64	$17.00	$12.47
87804 Detection test by immunoassay with direct visual observation for influenza virus	59	28	$25.00	$16.11
90662 Influenza vaccine split virus, preservative free	57	57	$59.47	$48.05
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	39	33	$180.00	$134.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$195.00	$153.52
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	27	16	$25.00	$18.47
90656 Vaccine for influenza for administration into muscle, 0.5 ml dosage	23	23	$35.00	$18.19
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	17	16	$25.00	$16.11

Medical Specialties & State Licenses

CMS Verified: 2020-04-01

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 35.084818

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2580434 (OH)

Hospital & Practice Group Affiliations

Justin P. Mikula, M.d., Inc.

1615 N River Rd Ne, Warren, OH 444832437

Phone: 3303722333

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Tiffany Victor , DO

Internal Medicine

NPI 1295046514

Doctor of Osteopathic Medicine (D.O.)

Lisa White , NP

Nurse Practitioner - Adult Health

NPI 1467706457

Nurse Practitioner

Vincent Mikula , NP

Nurse Practitioner - Family

NPI 1851911655

Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 04, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location February 04, 2008

Registered at 1615 N RIVER RD NE, SUITE 1, WARREN, OH 444832437 (Tel: 3303722333)

📍

Updated Business Mailing Address February 04, 2008

Registered at 1615 N RIVER RD NE, SUITE 1, WARREN, OH 444832437 (Tel: 3303722333)

👤

Provider Name / Credentials Updated February 04, 2008

Recorded as JUSTIN MIKULA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2008

Internal Medicine (License #35.084818 in OH)

🟢

Initial NPI Registration & Enumeration February 09, 2006

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: 1508839614

Entity Type:

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

Enumeration Date: February 09, 2006

Last Update: April 01, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1615 N River Rd Ne, Suite 1

Warren, OH 444832437

Phone: 3303722333

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.