2026 NPPES data Ophthalmology Physician NPI 1093802829 MD
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JANICE JUSTINIANO, MD

Ophthalmology Physician in MAYAGUEZ, Puerto Rico. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
4K
Medicare Part D claims · 848 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
63%
generic claims · 37% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$296.93
3 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JANICE JUSTINIANO, MD is a Ophthalmology Physician ([object Object]) practicing in MAYAGUEZ, Puerto Rico with a Medicare Part D prescribing footprint of 4K claims across 848 beneficiaries — 37% brand-name prescribing . Industry payments of $296.93 across 3 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JANICE JUSTINIANO, MD filed 3,833 Medicare Part D claims in 2023 across MAYAGUEZ, Puerto Rico. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

JANICE JUSTINIANO, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

JANICE JUSTINIANO, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 10/05/2006

NPI 1093802829

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

3,833 170% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

Specialty distribution in Puerto Rico

How Ophthalmology Physician compares to other specialties among Puerto Rico providers

Puerto Rico providers

Ophthalmology Physician share within Puerto Rico

1. Ophthalmology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Ophthalmology Physician share within Puerto Rico

Specialty board-certification context

Estimated specialty board-certified rate — Ophthalmology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Ophthalmology Physician ABMS/AOA estimate

Est. board-certified rate (Ophthalmology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Ophthalmology Physician) — ABMS / AOA estimate

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).

JANICE JUSTINIANO, MD is a Ophthalmology Physician provider practicing in MAYAGUEZ, Puerto Rico, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1093802829. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

JANICE JUSTINIANO, MD appears in the CMS NPPES registry as a Ophthalmology Physician provider holding MD credentials at 109 MENDEZ VIGO E, MAYAGUEZ, PR, 00680, with a listed phone of (787) 265-6567. NPI 1093802829 was issued on 10/05/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what JUSTINIANO 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 3,833 prescription claims written by this provider, covering 848 Medicare beneficiaries and totaling roughly $232K in drug spend, split 37% brand-name and 63% generic by claim count. 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.

Ophthalmology Physician is a mid-sized specialty nationwide, with 22,090 enrolled providers across 56 states and an average of 1,420 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

109 MENDEZ VIGO E
MAYAGUEZ, PR 00680

Provider Details

NPI 1093802829
Specialty Ophthalmology Physician
Credentials MD
Gender Female
NPI Issued 10/05/2006

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for JANICE JUSTINIANO, MD. Source: openpaymentsdata.cms.gov.

Total received

$297

Largest payer

Mallinckrodt Hospital Products Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Above average

JANICE JUSTINIANO, MD — brand share 37.0%
Specialty average (est.)

37% brand-name claims vs 63% generic, on 3,833 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

3,833
Total Claims
$232K
Total Drug Cost
848
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,294
Total Day Supply
111,346
Brand vs Generic
37% brand / 63% generic
Brand Drug Cost
$189K
Generic Drug Cost
$43K
Antibiotic Claims
18

Patient Demographics

Average Patient Age
74.7 years
Avg HCC Risk Score
1.91
Gender Split
58% female / 42% male
Age Distribution
<65: 64, 65-74: 345, 75-84: 354, 85+: 85

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Latanoprost
1,122
Prednisolone Acetate
527
Lumigan
Bimatoprost
418
Timolol Maleate
353
Ofloxacin
320
Olopatadine Hcl
250
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
203
Dorzolamide Hcl
116
Brimonidine Tartrate
96
Ketorolac Tromethamine
79

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Ophthalmology Physician Overview

How JANICE JUSTINIANO, MD fits within the Ophthalmology Physician landscape nationally.

22,090
Ophthalmology Physician Providers in US
56
States with Ophthalmology Physician
1,420
Avg Claims per Provider

JANICE JUSTINIANO, MD's 3,833 claims are above the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Puerto Rico

Other clinicians with the same primary specialty enrolled in Puerto Rico, drawn from the same CMS NPPES roster as JUSTINIANO.

Compare Ophthalmology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JANICE JUSTINIANO, MD's specialty?
JANICE JUSTINIANO, MD specializes in Ophthalmology Physician and practices in MAYAGUEZ, Puerto Rico. Credentials: MD.
How much does JANICE JUSTINIANO, MD prescribe under Medicare Part D?
In 2023, JANICE JUSTINIANO, MD wrote 3,833 Medicare Part D claims totaling $232K in drug costs for 848 beneficiaries.
Where is JANICE JUSTINIANO, MD located?
JANICE JUSTINIANO, MD is located at 109 MENDEZ VIGO E, MAYAGUEZ, PR, 00680. Phone: (787) 265-6567.
What is JANICE JUSTINIANO, MD's NPI number?
JANICE JUSTINIANO, MD's National Provider Identifier (NPI) is 1093802829, issued on 10/05/2006.
Does JANICE JUSTINIANO, MD prescribe more brand-name or generic drugs?
JANICE JUSTINIANO, MD's prescribing is 37% brand-name and 63% generic drugs by claim count, with $189K in brand drug costs.
How many Ophthalmology Physician providers are there in the US?
There are 22,090 Ophthalmology Physician providers across 56 states in the US. The average Ophthalmology Physician provider writes 1,420 Medicare Part D claims per year.
What drugs does JANICE JUSTINIANO, MD prescribe most often?
Based on 2023 Medicare Part D data, JANICE JUSTINIANO, MD's most frequently prescribed drugs include Latanoprost, Prednisolone Acetate, Lumigan. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JANICE JUSTINIANO, MD accept Medicare?
JANICE JUSTINIANO, MD appears in CMS Medicare data with 3,833 Part D claims and 848 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JANICE JUSTINIANO, MD's credentials?
JANICE JUSTINIANO, MD's NPI is 1093802829 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

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.
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