2026 NPPES data Hospitalist Physician NPI 1487885745 M.D., PH.D.
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JUSTIN KANE, M.D., PH.D.

Hospitalist Physician in WORTHINGTON, Minnesota. 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
143
Medicare Part D claims · 89 beneficiaries · Hospitalist Physician avg: 888
MIPS score
77.0219/100
▼ 6 pts below national avg 83.1 · [object Object]
What the federal data reveals: JUSTIN KANE, M.D., PH.D. is a Hospitalist Physician ([object Object]) practicing in WORTHINGTON, Minnesota with a Medicare Part D prescribing footprint of 143 claims across 89 beneficiaries . Their CMS MIPS Final Score of 77.0219/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: JUSTIN KANE, M.D., PH.D. reported a CMS MIPS final score of 77.0219 out of 100, below the 83.1 national average, and filed 143 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

JUSTIN KANE, M.D., PH.D. 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).

JUSTIN KANE, M.D., PH.D. at a glance

Below national average

NPI registry status

Active

Issued 08/05/2009

NPI 1487885745

Primary specialty

Hospitalist Physician

Mid-sized

16,825 US NPIs in this specialty

Medicare Part D claims

143 84% vs specialty avg

2023 prescription claims

Specialty avg: 888

MIPS final score

77.0219/100 6.078099999999992% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Minnesota

How Hospitalist Physician compares to other specialties among Minnesota providers

Minnesota providers

Hospitalist Physician share within Minnesota

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

Medicare quality performance — MIPS

JUSTIN KANE, M.D., PH.D.'s 2023 MIPS final score plotted against the Hospitalist Physician national average

Below national average
MIPS Final Score
77.0219/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Hospitalist Physician) — 77.0219/100 vs national avg 83.1

0%100%National avg83%77%
MIPS final score (Hospitalist Physician) — 77.0219/100 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 KANE, M.D., PH.D. is a Hospitalist Physician provider practicing in WORTHINGTON, Minnesota, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D., PH.D.. NPI: 1487885745. 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 KANE, M.D., PH.D. appears in the CMS NPPES registry as a Hospitalist Physician provider holding M.D., PH.D. credentials at 1018 6TH AVE, WORTHINGTON, MN, 56187, with a listed phone of (507) 372-2941. NPI 1487885745 was issued on 08/05/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KANE 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 143 prescription claims written by this provider, covering 89 Medicare beneficiaries and totaling roughly $2K in drug spend, with an opioid prescribing rate of 18.2%. 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 77.0219/100 for the 2023 performance year (Quality 96.9059, Cost 22.351), compared with the national average of 83.1.

Hospitalist Physician is a mid-sized specialty nationwide, with 16,825 enrolled providers across 54 states and an average of 888 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

1018 6TH AVE
WORTHINGTON, MN 56187

Provider Details

NPI 1487885745
Specialty Hospitalist Physician
Credentials M.D., PH.D.
Gender Male
NPI Issued 08/05/2009

CMS Quality Score (MIPS)

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

77.0219
Final Score
Avg: 83.1
96.9059
Quality
22.351
Cost
98
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where JUSTIN KANE, M.D., PH.D. 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.

SANFORD HEALTH NETWORK
WORTHINGTON, MN

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

Medicare Part D Prescribing Data

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

143
Total Claims
$2K
Total Drug Cost
89
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
145
Total Day Supply
1,175
Generic Drug Cost
$1K
Opioid Claims
26 (18.2% rate)
Antibiotic Claims
50

Patient Demographics

Average Patient Age
74.1 years
Avg HCC Risk Score
1.78
Gender Split
60% female / 40% male
Age Distribution
<65: 16, 65-74: 27, 75-84: 27, 85+: 19

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Prednisone
17
Ciprofloxacin Hcl
16
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
16

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

Hospitalist Physician Overview

How JUSTIN KANE, M.D., PH.D. fits within the Hospitalist Physician landscape nationally.

16,825
Hospitalist Physician Providers in US
54
States with Hospitalist Physician
888
Avg Claims per Provider

JUSTIN KANE, M.D., PH.D.'s 143 claims are below the specialty average of 888.

Nearby Hospitalist Physician Providers in Minnesota

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

Compare Hospitalist Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JUSTIN KANE, M.D., PH.D.'s specialty?
JUSTIN KANE, M.D., PH.D. specializes in Hospitalist Physician and practices in WORTHINGTON, Minnesota. Credentials: M.D., PH.D..
How much does JUSTIN KANE, M.D., PH.D. prescribe under Medicare Part D?
In 2023, JUSTIN KANE, M.D., PH.D. wrote 143 Medicare Part D claims totaling $2K in drug costs for 89 beneficiaries.
What is JUSTIN KANE, M.D., PH.D.'s Medicare quality score?
JUSTIN KANE, M.D., PH.D. has a CMS MIPS Final Score of 77.0219/100 (Quality: 96.9059, Cost: 22.351). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JUSTIN KANE, M.D., PH.D. located?
JUSTIN KANE, M.D., PH.D. is located at 1018 6TH AVE, WORTHINGTON, MN, 56187. Phone: (507) 372-2941.
What is JUSTIN KANE, M.D., PH.D.'s NPI number?
JUSTIN KANE, M.D., PH.D.'s National Provider Identifier (NPI) is 1487885745, issued on 08/05/2009.
Does JUSTIN KANE, M.D., PH.D. prescribe opioids?
Yes, JUSTIN KANE, M.D., PH.D. had 26 opioid claims in 2023 with an opioid prescribing rate of 18.2%.
How many Hospitalist Physician providers are there in the US?
There are 16,825 Hospitalist Physician providers across 54 states in the US. The average Hospitalist Physician provider writes 888 Medicare Part D claims per year.
What drugs does JUSTIN KANE, M.D., PH.D. prescribe most often?
Based on 2023 Medicare Part D data, JUSTIN KANE, M.D., PH.D.'s most frequently prescribed drugs include Prednisone, Ciprofloxacin Hcl, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JUSTIN KANE, M.D., PH.D. accept Medicare?
JUSTIN KANE, M.D., PH.D. appears in CMS Medicare data with 143 Part D claims and 89 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JUSTIN KANE, M.D., PH.D.'s credentials?
JUSTIN KANE, M.D., PH.D.'s NPI is 1487885745 with credentials M.D., PH.D.. 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