Justin K. Briones, MD
Emergency Medicine Physician · Worcester, MA
Justin K. Briones, MD is an emergency medicine physician with a practice address in Worcester, Massachusetts, and NPI 1104024017, issued on Jul 3, 2007. Check the license (Massachusetts 238280, as entered in NPPES) on the Massachusetts Board of Registration in Medicine; the Medicare figures below come from public CMS files.
- Name
- Justin K. Briones
- Credential
- MD
- Primary taxonomy
- Emergency Medicine Physician 207P00000X
- License number
- 238280 MA
Self-reported in NPPES; status is on the state search - Practice location
- 55 Lake Ave N, Worcester, MA 01655
- Phone
- (508) 421-1400
- Enumerated
- Jul 3, 2007
- Record last updated
- Oct 26, 2010 (not updated in 16 years: call before relying on the address or phone)
- Fax
- (508) 421-1490
- Medicaid ID
- 110083931A MA
- Medicare enrollment
- Enrolled (PECOS I20100105000293); accepts Medicare assignment
- Medical or professional school
- University Of Massachusetts Medical School, 2007
- Entity
- Type 1 · individual
8 nearest emergency medicine physician records → All 1,829 in Massachusetts → Look up another NPI →
Also registered at 55 Lake Ave N
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Verify Justin K. Briones in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMassachusetts Board of Registration in Medicine
Search for license 238280Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
62% fewer Medicare Part D claims than the average emergency medicine physician in 2024
86 Medicare Part D claims for 63 beneficiaries, against an average of 226 among the 54,106 providers of this specialty who prescribed in Part D.
Most prescribed
- Cefpodoxime Proxetil13 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 82.8 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Coastal Medical AssociatesWeymouth, MA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Justin K. Briones among 1,829 emergency medicine physician records in Massachusetts
Justin K. Briones, MD is one of 1,829 emergency medicine physician records with a practice address in Massachusetts. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 41% of them.
- NPI issued2007 · 41% of these records are older, 51% newer
- In a Medicare fileYes · 82% of these records are
- In the CMS Doctors and Clinicians fileYes · 66% of these records are
- Graduated2007 · median 2011 among the 1,200 with a school on file
- Record last updated2010 · 57% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207P00000X and a Massachusetts practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
216 emergency medicine physician records list a practice address in Worcester
They are 216 of the 13,166 NPPES records with a practice address in Worcester, and 1,829 emergency medicine physician records in Massachusetts.
All 1,829 in Massachusetts → Every provider in Worcester → Emergency Medicine Physician nationwide →
The 8 emergency medicine physician records with the nearest ZIP codes
- Steven Bird, MDWorcester, MA 016551174514863
- Tara Brigham, MDWorcester, MA 016551457342172
- Michael Butler, MDWorcester, MA 016551558352922
- Chad Darling, MDWorcester, MA 016551174514798
- Eric Dickson, MDWorcester, MA 016551851385611
- Gayle Galletta, MDWorcester, MA 016551831172055
- Romolo Gaspari, MDWorcester, MA 016551023091261
- Julianne Huber, MDWorcester, MA 016551295723310
Common questions
What is Justin K. Briones, MD's NPI number?
Justin K. Briones, MD's National Provider Identifier (NPI) is 1104024017, issued on Jul 3, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Justin K. Briones, MD located?
The NPPES record lists a practice address at 55 Lake Ave N, Worcester, MA, 01655. Phone: (508) 421-1400. Providers update this record themselves, so call before visiting.
How can I verify Justin K. Briones, MD's license?
NPPES lists Massachusetts license number 238280, as entered by the provider. Search the Massachusetts Board of Registration in Medicine at https://findmydoctor.mass.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Justin K. Briones, MD prescribe under Medicare Part D?
In 2024, Justin K. Briones, MD had 86 Medicare Part D claims for 63 beneficiaries; the average among emergency medicine physician prescribers was 226. Part D covers Medicare prescriptions only.
What is Justin K. Briones, MD's MIPS final score?
The 2023 MIPS final score is 82.8 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.