NPI registry status
Active
2026 NPPES data Urology Physician NPI 1053794016 MD
Verify on CMS → Justin Houman, MD
Urology Physician in Los Angeles, California.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 13,367 in Urology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
1K
Medicare Part D claims · 475 beneficiaries · Urology Physician avg: 1K
Generic prescribing
78%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
0/100
▼ 83 pts below national avg 83.1 · Penalty band
Industry payments
$9.0K
60 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Justin Houman, MD reported a CMS MIPS final score of 0/100 - below the 83.1 national average - and filed 1,386 Medicare Part D claims in 2023.
- 0/100
- MIPS score · -83 vs avg
- 1K
- Part D claims, 2023
- 78%
- 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 Houman, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
0 0th percentile higher than 0% of 477,587 scored providers
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
Where Justin Houman, MD sits
This provider among urology physician peers
Across the 4,623 urology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Justin Houman, MD writes more Part D claims than 52% of them and scores higher on MIPS quality than 0% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one urology physician peer from a representative sample of 60; the gold marker is Justin Houman, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Justin Houman, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - 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 Houman, MD?
Below national averagePrimary specialty
Urology Physician
Medicare Part D claims
1,386 8% vs specialty avg
MIPS final score
0/100 83.1 pts vs avg
Specialty distribution in California
How Urology Physician compares to other specialties among California providers
Medicare quality performance, MIPS
Justin Houman, MD's 2023 MIPS final score plotted against the Urology Physician national average
- MIPS Final Score
- 0/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Urology Physician) - 0/100 vs national avg 83.1
How MIPS and board certification work
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 Houman, MD appears in the CMS NPPES registry as a Urology Physician provider holding MD credentials at 8635 W 3RD ST, Los Angeles, CA, 90048, with a listed phone of (714) 928-7950. NPI 1053794016 was issued on 07/08/2015.
Medicare Part D records for calendar year 2023 show 1,386 prescription claims written by this provider, covering 475 Medicare beneficiaries and totaling roughly $227K in drug spend, split 13% brand-name and 78% generic by claim count, with an opioid prescribing rate of 1.2%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 0/100 for the 2023 performance year (Quality 0), compared with the national average of 83.1.
Urology Physician is a mid-sized specialty nationwide, with 13,367 enrolled providers across 54 states and an average of 1,280 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
Provider Details
| NPI | 1053794016 |
|---|---|
| Specialty | Urology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 07/08/2015 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
0
Final Score
Avg: 83.1
0
Quality
Reporting: Individual
Hospital and facility affiliations
Facilities where Justin Houman, MD 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.
Tower Urology Inc
Los Angeles, CA
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 Houman, MD. Source: openpaymentsdata.cms.gov.
Total received
$9.0K
Largest payer
Boston Scientific Corporation
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.
License & disciplinary context - California MBC 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~150K California medical licensees in 2023 - they are NOT specific to Justin Houman, MD. To verify Justin Houman, MD's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases
MBC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Justin Houman, MD - brand share 13.0%
Urology Physician average
13% brand-name claims vs 78% generic, on 1,386 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.
1,386
Total Claims
$227K
Total Drug Cost
475
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,275
- Total Day Supply
- 57,561
- Brand vs Generic
- 13% brand / 78% generic
- Brand Drug Cost
- $175K
- Generic Drug Cost
- $51K
- Opioid Claims
- 17 (1.2% rate)
- Antibiotic Claims
- 265
Patient Demographics
- Average Patient Age
- 73.7 years
- Avg HCC Risk Score
- 1.46
- Gender Split
- 28% female / 72% male
- Age Distribution
- <65: 30, 65-74: 228, 75-84: 156, 85+: 61
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Justin Houman, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Tamsulosin Hcl
Tamsulosin Hcl
197 claims
- Paxlovid (Eua)
Paxlovid (Eua)
121 claims
- Testosterone Cypio…
Testosterone Cypionate
108 claims
- Finasteride
Finasteride
89 claims
- Myrbetriq 76
Myrbetriq
76 claims
- Nitrofurantoin Mon… 60
Nitrofurantoin Mono-Macro
60 claims
- Tadalafil 59
Tadalafil
59 claims
- Testosterone 53
Testosterone
53 claims
| Drug | Claims |
|---|---|
| Tamsulosin Hcl | 197 |
| Paxlovid (Eua) Nirmatrelvir/Ritonavir | 121 |
| Testosterone Cypionate | 108 |
| Finasteride | 89 |
| Myrbetriq Mirabegron | 76 |
| Nitrofurantoin Mono-Macro Nitrofurantoin Monohyd/M-Cryst | 60 |
| Tadalafil | 59 |
| Testosterone | 53 |
| Solifenacin Succinate | 49 |
| Gemtesa Vibegron | 48 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Urology Physician Overview
How Justin Houman, MD fits within the Urology Physician landscape nationally.
13,367
Urology Physician Providers in US
54
States with Urology Physician
1,280
Avg Claims per Provider
Justin Houman, MD's 1,386 claims are above the specialty average of 1,280.
Nearby Urology Physician Providers in California
Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as Houman.
Dr. David Aaronson
MD
Oakland, CA
Dr. Jason Abber
MD
Panorama City, CA
Dr. Marc Abboud
MD
Los Alamitos, CA
George Abdelsayed
Anaheim, CA
Garen Abedi
Downey, CA
Compare Urology Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the California medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Urology Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Understanding Medicare Claims Data
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Frequently Asked Questions
What is Justin Houman, MD's specialty? ▼
Justin Houman, MD specializes in Urology Physician and practices in Los Angeles, California. Credentials: MD.
How much does Justin Houman, MD prescribe under Medicare Part D? ▼
In 2023, Justin Houman, MD wrote 1,386 Medicare Part D claims totaling $227K in drug costs for 475 beneficiaries.
What is Justin Houman, MD's Medicare quality score? ▼
Justin Houman, MD has a CMS MIPS Final Score of 0/100 (Quality: 0). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Justin Houman, MD located? ▼
Justin Houman, MD is located at 8635 W 3RD ST, Los Angeles, CA, 90048. Phone: (714) 928-7950.
What is Justin Houman, MD's NPI number? ▼
Justin Houman, MD's National Provider Identifier (NPI) is 1053794016, issued on 07/08/2015.
Does Justin Houman, MD prescribe more brand-name or generic drugs? ▼
Justin Houman, MD's prescribing is 13% brand-name and 78% generic drugs by claim count, with $175K in brand drug costs.
Does Justin Houman, MD prescribe opioids? ▼
Yes, Justin Houman, MD had 17 opioid claims in 2023 with an opioid prescribing rate of 1.2%.
How many Urology Physician providers are there in the US? ▼
There are 13,367 Urology Physician providers across 54 states in the US. The average Urology Physician provider writes 1,280 Medicare Part D claims per year.
What drugs does Justin Houman, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Justin Houman, MD's most frequently prescribed drugs include Tamsulosin Hcl, Paxlovid (Eua), Testosterone Cypionate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Justin Houman, MD accept Medicare? ▼
Justin Houman, MD appears in CMS Medicare data with 1,386 Part D claims and 475 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Justin Houman, MD's credentials? ▼
Justin Houman, MD's NPI is 1053794016 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.