Justin Broyles, M.D.
NPI 1295034940 · Plastic and Reconstructive Surgery Physician · Houston, TX
Enrolled with Medicare as Practitioner - Plastic and Reconstructive Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Justin Broyles, M.D. is a Plastic and Reconstructive Surgery Physician provider in Houston, TX (NPI 1295034940).
Provider details
- NPI number
- 1295034940
- Entity type
- Individual
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 279649 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
15 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
43 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 27 | $99 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 16 | $118 |
Typical Medicare-allowed amounts for these services range $99–$118 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$15,784 across 12 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (3)
- 55 Fruit StBoston, MA 02114-2696Phone: (617) 726-2000
- 75 Francis StBoston, MA 02115-6106Phone: (617) 732-5500
- The Johns Hopkins Hospital601 N. Caroline St. Jhoc 8105Baltimore, MD 21287-0006Phone: (817) 846-9223
Registry dates
- Enumerated
- 2011-03-21
- Last updated
- 2025-12-20
- Certified
- 2025-12-20
Frequently asked questions
- What is Justin Broyles's NPI number?
- Justin Broyles's National Provider Identifier (NPI) is 1295034940, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Justin Broyles's specialty?
- Justin Broyles is listed in the NPPES registry with a primary specialty of Plastic and Reconstructive Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Justin Broyles located?
- Justin Broyles's practice location on file with NPPES is 1515 Holcombe Blvd, Houston, TX 77030-4009.
- What is Justin Broyles's phone number?
- The practice phone number listed in the NPPES registry for Justin Broyles is (713) 792-6161.
- Does Justin Broyles accept Medicare?
- Justin Broyles is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Justin Broyles's NPI active?
- Yes — Justin Broyles's NPI (1295034940) is active in the NPPES registry as of the last update on 2025-12-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.