2026 NPPES data Internal Medicine Physician NPI 1386968253 D.O.
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JUSTIN ELFREY, D.O.

Internal Medicine Physician in LUTHERVILLE, Maryland. 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
2K
Medicare Part D claims · 319 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
76.1985/100
▼ 7 pts below national avg 83.1 · [object Object]
Industry payments
$741
37 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JUSTIN ELFREY, D.O. reported a CMS MIPS final score of 76.1985/100 — below the 83.1 national average — and filed 2,005 Medicare Part D claims in 2023.

76.1985/100
MIPS score · -7 vs avg
2K
Part D claims, 2023
88%
generic prescribing
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 ELFREY, D.O.'s MIPS score vs every scored U.S. clinician

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

76 21st percentile higher than 21% 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 ELFREY, D.O. 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 ELFREY, D.O.?

Below national average

NPI registry status

Active

Issued 03/22/2010

NPI 1386968253

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

2,005 26% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

76.1985/100 6.901499999999999% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Maryland

How Internal Medicine Physician compares to other specialties among Maryland providers

Maryland providers

Internal Medicine Physician share within Maryland

1. Internal Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Internal Medicine Physician share within Maryland

Medicare quality performance — MIPS

JUSTIN ELFREY, D.O.'s 2023 MIPS final score plotted against the Internal Medicine Physician national average

Below national average
MIPS Final Score
76.1985/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) — 76.1985/100 vs national avg 83.1

0%100%National avg83%76.2%
MIPS final score (Internal Medicine Physician) — 76.1985/100 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 ELFREY, D.O. appears in the CMS NPPES registry as a Internal Medicine Physician provider holding D.O. credentials at 2328 W JOPPA RD STE 310, LUTHERVILLE, MD, 21093, with a listed phone of (410) 616-2805. NPI 1386968253 was issued on 03/22/2010. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ELFREY 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 2,005 prescription claims written by this provider, covering 319 Medicare beneficiaries and totaling roughly $240K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 1.2%. 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 76.1985/100 for the 2023 performance year (Quality 75.8723, Cost 52.832), compared with the national average of 83.1.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

2328 W JOPPA RD STE 310
LUTHERVILLE, MD 21093

Provider Details

NPI 1386968253
Specialty Internal Medicine Physician
Credentials D.O.
Gender Male
NPI Issued 03/22/2010

CMS Quality Score (MIPS)

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

76.1985
Final Score
Avg: 83.1
75.8723
Quality
52.832
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where JUSTIN ELFREY, D.O. 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.

AGAPE PHYSICAL THERAPY AND SPORTS REHABILITATION LP
FOREST HILL, MD
GREENSPRING PERSONAL MEDICINE, LLC
LUTHERVILLE, MD

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 ELFREY, D.O.. Source: openpaymentsdata.cms.gov.

Total received

$741

Largest payer

Amgen 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 · Typical

JUSTIN ELFREY, D.O. — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 2,005 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.

2,005
Total Claims
$240K
Total Drug Cost
319
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,013
Total Day Supply
146,268
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$184K
Generic Drug Cost
$56K
Opioid Claims
24 (1.2% rate)
Antibiotic Claims
56

Patient Demographics

Average Patient Age
75.3 years
Avg HCC Risk Score
1.02
Gender Split
54% female / 46% male

Top Prescribed Drugs (Medicare Part D)

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

What JUSTIN ELFREY, D.O. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Atorvastatin Calcium
190
Amlodipine Besylate
111
Rosuvastatin Calcium
99
Losartan Potassium
85
Metoprolol Succinate
63
Levothyroxine Sodium
59
Pantoprazole Sodium
50
Lisinopril
43
Hydrochlorothiazide
40
Carvedilol
36

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

Internal Medicine Physician Overview

How JUSTIN ELFREY, D.O. fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

JUSTIN ELFREY, D.O.'s 2,005 claims are below the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Maryland

Other clinicians with the same primary specialty enrolled in Maryland, drawn from the same CMS NPPES roster as ELFREY.

Compare Internal Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JUSTIN ELFREY, D.O.'s specialty?
JUSTIN ELFREY, D.O. specializes in Internal Medicine Physician and practices in LUTHERVILLE, Maryland. Credentials: D.O..
How much does JUSTIN ELFREY, D.O. prescribe under Medicare Part D?
In 2023, JUSTIN ELFREY, D.O. wrote 2,005 Medicare Part D claims totaling $240K in drug costs for 319 beneficiaries.
What is JUSTIN ELFREY, D.O.'s Medicare quality score?
JUSTIN ELFREY, D.O. has a CMS MIPS Final Score of 76.1985/100 (Quality: 75.8723, Cost: 52.832). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JUSTIN ELFREY, D.O. located?
JUSTIN ELFREY, D.O. is located at 2328 W JOPPA RD STE 310, LUTHERVILLE, MD, 21093. Phone: (410) 616-2805.
What is JUSTIN ELFREY, D.O.'s NPI number?
JUSTIN ELFREY, D.O.'s National Provider Identifier (NPI) is 1386968253, issued on 03/22/2010.
Does JUSTIN ELFREY, D.O. prescribe more brand-name or generic drugs?
JUSTIN ELFREY, D.O.'s prescribing is 12% brand-name and 88% generic drugs by claim count, with $184K in brand drug costs.
Does JUSTIN ELFREY, D.O. prescribe opioids?
Yes, JUSTIN ELFREY, D.O. had 24 opioid claims in 2023 with an opioid prescribing rate of 1.2%.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does JUSTIN ELFREY, D.O. prescribe most often?
Based on 2023 Medicare Part D data, JUSTIN ELFREY, D.O.'s most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Rosuvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JUSTIN ELFREY, D.O. accept Medicare?
JUSTIN ELFREY, D.O. appears in CMS Medicare data with 2,005 Part D claims and 319 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JUSTIN ELFREY, D.O.'s credentials?
JUSTIN ELFREY, D.O.'s NPI is 1386968253 with credentials D.O.. 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