Active NPI 1386876167 Individual Practitioner Male Practitioner

Dr. Justin D Atherton , DO

Surgery • Draper, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Justin Atherton, DO is a certified Surgery practicing in Draper, UT. With approximately 17 years of clinical experience since completing medical education in 2009, Dr. Atherton delivers high-quality medical care to the local community at 96 E KIMBALLS LN STE 306.

Dr. Atherton is affiliated with Mountainstar Specialty Services Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

96 E Kimballs Ln Ste 306

Draper, UT 840205021

Telephone 8019992432

Medicare Profile & Education

Medical School

Other

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Draper, UT

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs -9.5 yrs vs City Avg

City Avg: 26.5 Yrs

State Avg: 21.4 Yrs

Regional Practice Density

3 Specialists

Practicing in Draper, UT (278 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Atherton (17 Years) 17 Yrs

Draper Specialty Average (26.5 Years) 26.5 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	15	13	$221.10	$85.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$285.50	$106.54
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$190.73	$84.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$235.26	$97.34
99213 Established patient office or other outpatient visit, typically 15 minutes	18	16	$185.59	$80.97
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$408.00	$129.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	21	18	$189.93	$88.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$255.60	$98.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	19	14	$186.21	$73.23
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	15	$408.00	$136.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$428.83	$127.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$226.08	$105.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	20	14	$166.42	$72.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	13	$275.54	$106.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$374.44	$153.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$245.69	$106.31

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	22	22	$344.57	$161.10
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	12	$115.52	$38.92

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	24	24	$272.14	$150.81
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	13	$86.00	$38.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$206.99	$103.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$173.88	$101.20

Medical Specialties & State Licenses

CMS Verified: 2025-04-16

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License UT 8986480-1204

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.

Hospital & Practice Group Affiliations

Mountainstar Specialty Services Llc

8846 S Redwood Rd, West Jordan, UT 840889366

Phone: 8015691999

Mountainstar Specialty Services Llc

96 E Kimballs Ln, Draper, UT 840205021

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location April 16, 2025

Registered at 96 E KIMBALLS LN STE 306, DRAPER, UT 840205021 (Tel: 8019992432)

📍

Updated Business Mailing Address April 16, 2025

Registered at PO BOX 100253, ATLANTA, GA 303840253

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 16, 2025

Surgery (License #8986480-1204 in UT)

✅

NPI Profile Active January 25, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location January 25, 2011

Registered at 1111 6TH AVE, DES MOINES, IA 503142613 (Tel: 5156432261)

📍

Updated Business Mailing Address January 25, 2011

Registered at 1111 6TH AVE, DES MOINES, IA 503142613 (Tel: 5156432261)

👤

Provider Name / Credentials Updated January 25, 2011

Recorded as JUSTIN ATHERTON, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2011

Surgery (License #R8842 in IA)

🟢

Initial NPI Registration & Enumeration August 13, 2009

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: 1386876167

Entity Type:

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

Enumeration Date: August 13, 2009

Last Update: April 16, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 100253

Atlanta, GA 303840253

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.