ANDREW JUSTICE, M.D.
Pediatrics Physician in BURGAW, North Carolina. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What the federal data shows
ANDREW JUSTICE, M.D. reported a CMS MIPS final score of 98.333/100 — above the 83.1 national average — and filed 761 Medicare Part D claims in 2023.
- 98.333/100
- MIPS score · +15 vs avg
- 761
- Part D claims, 2023
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.
ANDREW JUSTICE, M.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure
98 Top 11% higher than 89% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
ANDREW JUSTICE, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about ANDREW JUSTICE, M.D.?
High performer (top quartile)Primary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in North Carolina
How Pediatrics Physician compares to other specialties among North Carolina providers
Pediatrics Physician share within North Carolina
Pediatrics Physician is one of the more visible NUCC categories in North Carolina
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Medicare quality performance — MIPS
ANDREW JUSTICE, M.D.'s 2023 MIPS final score plotted against the Pediatrics Physician national average
- MIPS Final Score
- 98.333/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Pediatrics Physician) — 98.333/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Specialty volume Pediatrics Physician US NPIs
98.333/100 MIPS final score — 15.2 pts above the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Pediatrics Physician. Quality dim: 82.9398.
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
ANDREW JUSTICE, M.D. appears in the CMS NPPES registry as a Pediatrics Physician provider holding M.D. credentials at 507 E FREMONT ST, BURGAW, NC, 28425, with a listed phone of (910) 300-4000. NPI 1902165038 was issued on 05/09/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what JUSTICE most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.
Medicare Part D records for calendar year 2023 show 761 prescription claims written by this provider, covering 177 Medicare beneficiaries and totaling roughly $49K in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 98.333/100 for the 2023 performance year (Quality 82.9398), compared with the national average of 83.1.
Pediatrics Physician is a high-volume specialty nationwide, with 80,574 enrolled providers across 56 states and an average of 762 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1902165038 |
|---|---|
| Specialty | Pediatrics Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 05/09/2012 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm ANDREW JUSTICE, M.D.'s current license status, disciplinary history, and board certifications with the North Carolina Medical Board in North Carolina before relying on this page for a clinical or care decision.
How we sourced this profile
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where ANDREW JUSTICE, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
Prescribing Breakdown
- 30-Day Fills
- 890
- Total Day Supply
- 20,848
- Generic Drug Cost
- $9K
- Antibiotic Claims
- 64
Patient Demographics
- Average Patient Age
- 74.0 years
- Avg HCC Risk Score
- 2.00
- Gender Split
- 63% female / 37% male
- Age Distribution
- <65: 28, 65-74: 57, 75-84: 64, 85+: 28
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What ANDREW JUSTICE, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
64 claims
- Furosemide
Furosemide
57 claims
- Metoprolol Succinate
Metoprolol Succinate
26 claims
- Pantoprazole Sodium
Pantoprazole Sodium
26 claims
- Prednisone 24
Prednisone
24 claims
- Levothyroxine Sodium 23
Levothyroxine Sodium
23 claims
- Amlodipine Besylate 22
Amlodipine Besylate
22 claims
- Donepezil Hcl 19
Donepezil Hcl
19 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 64 |
| Furosemide | 57 |
| Metoprolol Succinate | 26 |
| Pantoprazole Sodium | 26 |
| Prednisone | 24 |
| Levothyroxine Sodium | 23 |
| Amlodipine Besylate | 22 |
| Donepezil Hcl | 19 |
| Metoprolol Tartrate | 19 |
| Cefuroxime Cefuroxime Axetil | 18 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pediatrics Physician Overview
How ANDREW JUSTICE, M.D. fits within the Pediatrics Physician landscape nationally.
ANDREW JUSTICE, M.D.'s 761 claims are below the specialty average of 762.
Nearby Pediatrics Physician Providers in North Carolina
Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as JUSTICE.
Compare Pediatrics Physician nationally: see state-by-state distribution →
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Frequently Asked Questions
What is ANDREW JUSTICE, M.D.'s specialty? ▼
How much does ANDREW JUSTICE, M.D. prescribe under Medicare Part D? ▼
What is ANDREW JUSTICE, M.D.'s Medicare quality score? ▼
Where is ANDREW JUSTICE, M.D. located? ▼
What is ANDREW JUSTICE, M.D.'s NPI number? ▼
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What drugs does ANDREW JUSTICE, M.D. prescribe most often? ▼
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Data Sources
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology