Active NPI 1912935644 Individual Practitioner Male Practitioner

Dr. Justin Thomas Atherton , MD

Surgery • Tulsa, OK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Justin Atherton, MD is a certified Surgery practicing in Tulsa, OK. With approximately 31 years of clinical experience since graduating from University Of Oklahoma College Of Medicine in 1995, Dr. Atherton delivers high-quality medical care to the local community at 1725 E 19TH ST.

Dr. Atherton maintains professional affiliations with St. John Physicians, Inc., Ahs Oklahoma Physician Group Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, ultrasonic guidance during surgery. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1725 E 19th St
Suite 800

Tulsa, OK 741045472

Telephone 9183012505

Fax 9187443633

Associated Practice Facility / Clinic

🏢 David Browning Jr Md Inc Facility NPI 1164448346

Medicare Profile & Education

Medical School

University Of Oklahoma College Of Medicine

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Tulsa, OK

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +8.7 yrs vs City Avg

City Avg: 22.3 Yrs

State Avg: 28.1 Yrs

Regional Practice Density

77 Specialists

Practicing in Tulsa, OK (386 Statewide)

Telehealth Adoption Rate

2.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Atherton (31 Years) 31 Yrs

Tulsa Specialty Average (22.3 Years) 22.3 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	149	149	$342.00	$159.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	116	102	$222.00	$117.47
76998 Ultrasonic guidance during surgery	78	69	$134.00	$41.40
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	63	63	$231.00	$109.27
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	42	42	$3255.67	$879.61
93990 Ultrasound of dialysis access	39	33	$407.00	$109.98
36821 Relocation of arm vein with connection to arm artery, open procedure	34	34	$1495.00	$572.76
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	33	20	$150.00	$76.31
36819 Relocation of arm vein with connection to arm artery, open procedure	33	32	$2241.00	$648.39
22585 Fusion of spine bones through front of body with partial removal of disc, each additional disc	26	21	$771.85	$189.94
76536 Ultrasound of head and neck	24	22	$247.00	$94.97
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	20	$422.52	$160.23
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$287.00	$117.39
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	12	12	$1491.00	$634.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	225	225	$342.00	$154.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	141	121	$222.00	$117.31
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	104	96	$231.00	$106.13
76998 Ultrasonic guidance during surgery	75	69	$134.00	$57.73
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	62	36	$150.00	$72.52
36821 Relocation of arm vein with connection to arm artery, open procedure	60	59	$1495.00	$613.79
93990 Ultrasound of dialysis access	51	46	$407.00	$115.18
36819 Relocation of arm vein with connection to arm artery, open procedure	41	41	$2241.00	$642.34
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	39	39	$3268.18	$856.08
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	25	$422.00	$167.16
76536 Ultrasound of head and neck	26	26	$247.00	$99.73
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	19	13	$556.06	$134.18
36832 Revision of dialysis graft, open procedure	17	16	$1870.00	$708.54
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$287.00	$125.27
49505 Repair of groin hernia (5 years or older)	13	13	$1173.00	$535.98
22585 Fusion of spine bones through front of body with partial removal of disc, each additional disc	13	12	$751.77	$176.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	227	227	$342.00	$156.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	131	114	$222.00	$117.82
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	129	125	$231.00	$108.63
36821 Relocation of arm vein with connection to arm artery, open procedure	76	76	$1495.00	$603.68
93990 Ultrasound of dialysis access	54	49	$407.00	$119.35
36819 Relocation of arm vein with connection to arm artery, open procedure	40	40	$2241.00	$665.82
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	37	37	$3262.51	$895.84
22585 Fusion of spine bones through front of body with partial removal of disc, each additional disc	27	22	$760.44	$192.47
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	13	$150.00	$68.29
99213 Established patient office or other outpatient visit, typically 15 minutes	21	18	$151.00	$82.45
36832 Revision of dialysis graft, open procedure	18	18	$1870.00	$726.41
76536 Ultrasound of head and neck	17	17	$247.00	$105.45
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$422.00	$190.60
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$287.00	$129.47
49324 Insertion of abdominal cavity catheter using an endoscope	12	12	$853.00	$327.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	231	231	$342.00	$155.09
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	121	116	$231.00	$111.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	110	96	$222.00	$121.02
99213 Established patient office or other outpatient visit, typically 15 minutes	74	62	$151.00	$81.34
36821 Relocation of arm vein with connection to arm artery, open procedure	68	68	$1495.00	$598.30
93990 Ultrasound of dialysis access	53	46	$407.00	$112.68
99231 Follow-up hospital inpatient care per day, typically 15 minutes	45	20	$82.00	$36.80
36819 Relocation of arm vein with connection to arm artery, open procedure	34	34	$2241.00	$642.08
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	30	30	$3227.40	$884.39
49324 Insertion of abdominal cavity catheter using an endoscope	28	28	$853.00	$322.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$223.00	$99.95
22585 Fusion of spine bones through front of body with partial removal of disc, each additional disc	23	21	$743.91	$195.34
36832 Revision of dialysis graft, open procedure	19	19	$1870.00	$685.28
76536 Ultrasound of head and neck	19	19	$247.00	$107.29
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$422.00	$191.51
37607 Tying or banding of a passage between an artery and vein	15	15	$813.00	$270.31
36830 Connection of tube graft to vein and artery for dialysis	14	14	$1458.00	$592.66
49422 Removal of abdominal cavity catheter	14	14	$800.00	$153.00
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$287.00	$119.17
49505 Repair of groin hernia (5 years or older)	12	12	$1173.00	$502.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	196	196	$297.69	$154.04
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	113	101	$244.99	$108.46
99213 Established patient office or other outpatient visit, typically 15 minutes	103	82	$138.73	$70.95
99231 Follow-up hospital inpatient care per day, typically 15 minutes	85	39	$74.59	$38.23
36821 Relocation of arm vein with connection to arm artery, open procedure	67	64	$1501.95	$652.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	45	$208.90	$101.67
93990 Ultrasound of dialysis access	36	33	$291.61	$117.28
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	30	30	$4062.00	$877.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$195.54	$102.22
36819 Relocation of arm vein with connection to arm artery, open procedure	26	25	$2129.77	$729.90
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	24	$318.33	$133.85
22585 Fusion of spine bones through front of body with partial removal of disc, each additional disc	20	18	$1009.50	$202.88
76536 Ultrasound of head and neck	16	16	$254.72	$106.60
36832 Revision of dialysis graft, open procedure	13	13	$1538.55	$740.37
49324 Insertion of abdominal cavity catheter using an endoscope	13	13	$856.98	$355.48
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$442.50	$197.96
36830 Connection of tube graft to vein and artery for dialysis	11	11	$1481.43	$668.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	206	206	$258.50	$154.55
G0365 Vessel mapping of vessels for hemodialysis access (services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow)	140	130	$222.55	$110.82
99213 Established patient office or other outpatient visit, typically 15 minutes	140	121	$135.31	$69.30
99231 Follow-up hospital inpatient care per day, typically 15 minutes	128	53	$72.00	$38.17
36821 Relocation of arm vein with connection to arm artery, open procedure	74	74	$1509.56	$660.99
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	47	27	$596.29	$41.28
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	36	36	$4919.00	$931.60
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	31	$334.00	$132.62
76536 Ultrasound of head and neck	28	25	$257.30	$105.04
36819 Relocation of arm vein with connection to arm artery, open procedure	23	23	$2000.00	$703.29
22585 Fusion of spine bones through front of body with partial removal of disc, each additional disc	23	20	$1294.00	$204.20
36832 Revision of dialysis graft, open procedure	22	22	$1331.40	$746.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	22	$146.70	$103.05
37607 Tying or banding of a passage between an artery and vein	20	19	$825.00	$323.96
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$143.00	$98.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$178.38	$102.40
36830 Connection of tube graft to vein and artery for dialysis	13	13	$1586.86	$656.13
49324 Insertion of abdominal cavity catheter using an endoscope	12	12	$860.40	$349.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	253	253	$258.50	$150.59
G0365 Vessel mapping of vessels for hemodialysis access (services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow)	164	155	$222.55	$110.77
99213 Established patient office or other outpatient visit, typically 15 minutes	142	114	$135.00	$65.33
99231 Follow-up hospital inpatient care per day, typically 15 minutes	131	66	$72.00	$36.52
36821 Relocation of arm vein with connection to arm artery, open procedure	90	89	$1509.56	$619.36
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	71	45	$390.57	$38.61
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	55	55	$4919.00	$889.05
36819 Relocation of arm vein with connection to arm artery, open procedure	38	38	$2000.00	$692.88
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	37	37	$483.50	$186.84
22585 Fusion of spine bones through front of body with partial removal of disc, each additional disc	36	30	$1294.00	$192.39
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	31	$334.00	$128.71
36832 Revision of dialysis graft, open procedure	28	27	$1331.40	$704.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	26	$146.70	$96.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$178.38	$99.15
22845 Placement of stabilizing device to front, 2-3 spine bone segments	20	19	$2500.00	$113.03
76536 Ultrasound of head and neck	19	19	$257.30	$98.54
36830 Connection of tube graft to vein and artery for dialysis	14	14	$1586.86	$644.94
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$143.00	$95.47
37607 Tying or banding of a passage between an artery and vein	11	11	$825.00	$300.64
49324 Insertion of abdominal cavity catheter using an endoscope	11	11	$860.40	$320.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	228	228	$258.50	$140.53
99231 Follow-up hospital inpatient care per day, typically 15 minutes	178	63	$72.00	$34.91
99213 Established patient office or other outpatient visit, typically 15 minutes	121	98	$135.00	$63.98
G0365 Vessel mapping of vessels for hemodialysis access (services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow)	76	75	$222.55	$108.05
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	75	70	$257.34	$95.85
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	73	51	$325.88	$38.40
36821 Relocation of arm vein with connection to arm artery, open procedure	71	71	$1509.56	$607.06
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	59	59	$4919.00	$838.80
22585 Fusion of spine bones through front of body with partial removal of disc, each additional disc	34	29	$1294.00	$184.95
36832 Revision of dialysis graft, open procedure	34	34	$1341.19	$675.32
99221 Initial hospital inpatient care per day, typically 30 minutes	28	28	$143.00	$91.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$178.38	$94.90
76536 Ultrasound of head and neck	25	20	$257.30	$99.03
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	25	$483.50	$182.17
36819 Relocation of arm vein with connection to arm artery, open procedure	23	23	$2000.00	$678.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	23	$146.70	$94.65
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$334.00	$118.50
22845 Placement of stabilizing device to front, 2-3 spine bone segments	14	14	$2500.00	$148.43
36830 Connection of tube graft to vein and artery for dialysis	12	12	$1586.86	$618.46

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OK 19797

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery - Trauma Surgery

NUCC Taxonomy Code: 2086S0127X

State License OK 19797

Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.

Surgery - Vascular Surgery

NUCC Taxonomy Code: 2086S0129X

State License OK 19797

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

100131760A (OK)

Commercial Insurance / Payer ID Railroad Medicare

020045078 (OK)

Hospital & Practice Group Affiliations

Ahs Oklahoma Physician Group Llc

20 E 34th St, Sand Springs, OK 740634001

Phone: 9182459675

St. John Physicians, Inc.

1923 S Utica Ave, Tulsa, OK 741046520

Phone: 9187442071

Ahs Oklahoma Physician Group Llc

6901 S Olympia Ave, Tulsa, OK 741321843

Phone: 9183885701

St. John Physicians, Inc.

1919 S Wheeling Ave, Tulsa, OK 741045634

St. John Physicians, Inc.

1705 E 19th St, Tulsa, OK 741045410

Practice Associates & Co-Workers

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

12 Associated Practitioners

Dr. Susan Rose , MD

Surgery

NPI 1073544250

Doctor of Medicine (M.D.)

Dr. Lawrence Brotherton , MD

Surgery

NPI 1144218322

Doctor of Medicine (M.D.)

Dr. Timothy Hepner , MD

Surgery

NPI 1215966601

Doctor of Medicine (M.D.)

Dr. Ty Kirkpatrick , DO

Surgery

NPI 1235420043

Doctor of Osteopathic Medicine (D.O.)

Dr. Stephen Bruns , MD

Surgery

NPI 1275564452

Doctor of Medicine (M.D.)

Austin Brown , PA-C

Physician Assistant

NPI 1306500186

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 09, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location March 09, 2010

Registered at 1725 E 19TH ST, SUITE 800, TULSA, OK 741045472 (Tel: 9183012505)

📍

Updated Business Mailing Address March 09, 2010

Registered at 1725 E 19TH ST, SUITE 800, TULSA, OK 741045472 (Tel: 9183012505)

👤

Provider Name / Credentials Updated March 09, 2010

Recorded as JUSTIN ATHERTON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 09, 2010

Surgery (License #19797 in OK)

🟢

Initial NPI Registration & Enumeration June 29, 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: 1912935644

Entity Type:

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

Enumeration Date: June 29, 2006

Last Update: March 09, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1725 E 19th St, Suite 800

Tulsa, OK 741045472

Phone: 9183012505

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.