2026 NPPES data Pain Medicine (Physical Medicine & Rehabilitation) Physician NPI 1518227131 DO
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JUSTIN AVERNA, DO

Pain Medicine (Physical Medicine & Rehabilitation) Physician in ALBUQUERQUE, New Mexico. 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
1K
Medicare Part D claims · 334 beneficiaries · Pain Medicine (Physical Medicine & Rehabilitation) Physician avg: 1K
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]
Industry payments
$6.84
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JUSTIN AVERNA, DO reported a CMS MIPS final score of 75/100 — below the 83.1 national average — and filed 1,004 Medicare Part D claims in 2023.

75/100
MIPS score · -8 vs avg
1K
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.

JUSTIN AVERNA, DO's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

75 15th percentile higher than 15% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

Board certification likely (heuristic — not verified)

JUSTIN AVERNA, DO 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 JUSTIN AVERNA, DO?

Below national average

NPI registry status

Active

Issued 05/17/2012

NPI 1518227131

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) Physician

Niche

1,626 US NPIs in this specialty

Medicare Part D claims

1,004 28% vs specialty avg

2023 prescription claims

Specialty avg: 1,401

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in New Mexico

How Pain Medicine (Physical Medicine & Rehabilitation) Physician compares to other specialties among New Mexico providers

New Mexico providers

Pain Medicine (Physical Medicine & Rehabilitation) Physician share within New Mexico

1. Pain Medicine (Physical Medicine & Rehabilitation) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pain Medicine (Physical Medicine & Rehabilitation) Physician share within New Mexico

Medicare quality performance — MIPS

JUSTIN AVERNA, DO's 2023 MIPS final score plotted against the Pain Medicine (Physical Medicine & Rehabilitation) Physician national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pain Medicine (Physical Medicine & Rehabilitation) Physician) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Pain Medicine (Physical Medicine & Rehabilitation) Physician) — 75/100 vs national avg 83.1

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).

JUSTIN AVERNA, DO is a Pain Medicine (Physical Medicine & Rehabilitation) Physician provider practicing in ALBUQUERQUE, New Mexico, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: DO. NPI: 1518227131. 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.

JUSTIN AVERNA, DO appears in the CMS NPPES registry as a Pain Medicine (Physical Medicine & Rehabilitation) Physician provider holding DO credentials at 8300 CONSTITUTION AVE NE, ALBUQUERQUE, NM, 87110, with a listed phone of (505) 260-4369. NPI 1518227131 was issued on 05/17/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what AVERNA 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 1,004 prescription claims written by this provider, covering 334 Medicare beneficiaries and totaling roughly $15K in drug spend, with an opioid prescribing rate of 3.1%. 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.

Pain Medicine (Physical Medicine & Rehabilitation) Physician is a narrow specialty nationwide, with 1,626 enrolled providers across 50 states and an average of 1,401 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

8300 CONSTITUTION AVE NE
ALBUQUERQUE, NM 87110

Provider Details

NPI 1518227131
Specialty Pain Medicine (Physical Medicine & Rehabilitation) Physician
Credentials DO
Gender Male
NPI Issued 05/17/2012

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

75
Final Score
Avg: 83.1

Reporting: Individual

Hospital and facility affiliations

Facilities where JUSTIN AVERNA, DO 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.

NEW MEXICO ORTHOPAEDIC ASSOCIATES PC
ALBUQUERQUE, NM
SEVA PAIN AND WELLNESS
CORRALES, NM

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

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 JUSTIN AVERNA, DO. Source: openpaymentsdata.cms.gov.

Total received

$7

Largest payer

Electronic Waveform Lab, 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.

Medicare Part D Prescribing Data

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

1,004
Total Claims
$15K
Total Drug Cost
334
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,009
Total Day Supply
58,639
Generic Drug Cost
$14K
Opioid Claims
31 (3.1% rate)

Patient Demographics

Average Patient Age
72.4 years
Avg HCC Risk Score
0.98
Gender Split
60% female / 40% male
Age Distribution
<65: 38, 65-74: 160, 75-84: 114, 85+: 22

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Baclofen
652
Gabapentin
133
Tizanidine Hcl
53
Pregabalin
20
Buprenorphine Hcl
19
Methylprednisolone
18
Alprazolam
14
Atorvastatin Calcium
14
Tramadol Hcl
13
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
11

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

Pain Medicine (Physical Medicine & Rehabilitation) Physician Overview

How JUSTIN AVERNA, DO fits within the Pain Medicine (Physical Medicine & Rehabilitation) Physician landscape nationally.

1,626
Pain Medicine (Physical Medicine & Rehabilitation) Physician Providers in US
50
States with Pain Medicine (Physical Medicine & Rehabilitation) Physician
1,401
Avg Claims per Provider

JUSTIN AVERNA, DO's 1,004 claims are below the specialty average of 1,401.

Nearby Pain Medicine (Physical Medicine & Rehabilitation) Physician Providers in New Mexico

Other clinicians with the same primary specialty enrolled in New Mexico, drawn from the same CMS NPPES roster as AVERNA.

Compare Pain Medicine (Physical Medicine & Rehabilitation) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JUSTIN AVERNA, DO's specialty?
JUSTIN AVERNA, DO specializes in Pain Medicine (Physical Medicine & Rehabilitation) Physician and practices in ALBUQUERQUE, New Mexico. Credentials: DO.
How much does JUSTIN AVERNA, DO prescribe under Medicare Part D?
In 2023, JUSTIN AVERNA, DO wrote 1,004 Medicare Part D claims totaling $15K in drug costs for 334 beneficiaries.
What is JUSTIN AVERNA, DO's Medicare quality score?
JUSTIN AVERNA, DO has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JUSTIN AVERNA, DO located?
JUSTIN AVERNA, DO is located at 8300 CONSTITUTION AVE NE, ALBUQUERQUE, NM, 87110. Phone: (505) 260-4369.
What is JUSTIN AVERNA, DO's NPI number?
JUSTIN AVERNA, DO's National Provider Identifier (NPI) is 1518227131, issued on 05/17/2012.
Does JUSTIN AVERNA, DO prescribe opioids?
Yes, JUSTIN AVERNA, DO had 31 opioid claims in 2023 with an opioid prescribing rate of 3.1%.
How many Pain Medicine (Physical Medicine & Rehabilitation) Physician providers are there in the US?
There are 1,626 Pain Medicine (Physical Medicine & Rehabilitation) Physician providers across 50 states in the US. The average Pain Medicine (Physical Medicine & Rehabilitation) Physician provider writes 1,401 Medicare Part D claims per year.
What drugs does JUSTIN AVERNA, DO prescribe most often?
Based on 2023 Medicare Part D data, JUSTIN AVERNA, DO's most frequently prescribed drugs include Baclofen, Gabapentin, Tizanidine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JUSTIN AVERNA, DO accept Medicare?
JUSTIN AVERNA, DO appears in CMS Medicare data with 1,004 Part D claims and 334 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JUSTIN AVERNA, DO's credentials?
JUSTIN AVERNA, DO's NPI is 1518227131 with credentials DO. 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.
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