JOSHUA HORENSTEIN, MD appears in the CMS NPPES registry as a Nuclear Cardiology Physician provider holding MD credentials at 780 DUNLAWTON AVE, PORT ORANGE, FL, 32127, with a listed phone of (386) 265-5926. NPI 1306074372 was issued on 06/29/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HORENSTEIN 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 4,115 prescription claims written by this provider, covering 876 Medicare beneficiaries and totaling roughly $1.1 million in drug spend, split 25% brand-name and 75% 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 75/100 for the 2023 performance year, compared with the national average of 83.1.

Nuclear Cardiology Physician is a narrow specialty nationwide, with 374 enrolled providers across 37 states and an average of 4,019 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.