2026 NPPES data Nephrology Physician NPI 1851956486 MD
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JUSTIN KHINE, MD

Nephrology Physician in LONGMONT, Colorado. 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
65
Medicare Part D claims · 28 beneficiaries · Nephrology Physician avg: 1K
Generic prescribing
82%
generic claims · 18% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: JUSTIN KHINE, MD is a Nephrology Physician ([object Object]) practicing in LONGMONT, Colorado with a Medicare Part D prescribing footprint of 65 claims across 28 beneficiaries — 18% brand-name prescribing .

What stands out: JUSTIN KHINE, MD filed 65 Medicare Part D claims in 2023 across LONGMONT, Colorado. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

JUSTIN KHINE, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

JUSTIN KHINE, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 05/09/2019

NPI 1851956486

Primary specialty

Nephrology Physician

Mid-sized

10,534 US NPIs in this specialty

Medicare Part D claims

65 96% vs specialty avg

2023 prescription claims

Specialty avg: 1,454

Specialty distribution in Colorado

How Nephrology Physician compares to other specialties among Colorado providers

Colorado providers

Nephrology Physician share within Colorado

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

Specialty board-certification context

Estimated specialty board-certified rate — Nephrology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Nephrology Physician ABMS/AOA estimate

Est. board-certified rate (Nephrology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Nephrology Physician) — ABMS / AOA estimate

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 KHINE, MD is a Nephrology Physician provider practicing in LONGMONT, Colorado, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1851956486. 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 KHINE, MD appears in the CMS NPPES registry as a Nephrology Physician provider holding MD credentials at 1960 KEN PRATT BLVD, LONGMONT, CO, 80501, with a listed phone of (248) 330-5135. NPI 1851956486 was issued on 05/09/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KHINE 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 65 prescription claims written by this provider, covering 28 Medicare beneficiaries and totaling roughly $14K in drug spend, split 18% brand-name and 82% generic by claim count. 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.

Nephrology Physician is a mid-sized specialty nationwide, with 10,534 enrolled providers across 55 states and an average of 1,454 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

1960 KEN PRATT BLVD
LONGMONT, CO 80501

Provider Details

NPI 1851956486
Specialty Nephrology Physician
Credentials MD
Gender Male
NPI Issued 05/09/2019

Hospital and facility affiliations

Facilities where JUSTIN KHINE, 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.

WESTERN NEPHROLOGY AND METABOLIC BONE DISEASE, P.C.
LONGMONT, CO

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

Brand vs generic prescribing mix · Typical

JUSTIN KHINE, MD — brand share 18.0%
Specialty average (est.)

18% brand-name claims vs 82% generic, on 65 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.

65
Total Claims
$14K
Total Drug Cost
28
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
151
Total Day Supply
4,440
Brand vs Generic
18% brand / 82% generic
Brand Drug Cost
$13K
Generic Drug Cost
$994

Patient Demographics

Average Patient Age
63.9 years
Avg HCC Risk Score
4.30
Gender Split
46% female / 54% male
Age Distribution
<65: 13, 65-74: N/A, 75-84: N/A, 85+: 0

Nephrology Physician Overview

How JUSTIN KHINE, MD fits within the Nephrology Physician landscape nationally.

10,534
Nephrology Physician Providers in US
55
States with Nephrology Physician
1,454
Avg Claims per Provider

JUSTIN KHINE, MD's 65 claims are below the specialty average of 1,454.

Nearby Nephrology Physician Providers in Colorado

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

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

Frequently Asked Questions

What is JUSTIN KHINE, MD's specialty?
JUSTIN KHINE, MD specializes in Nephrology Physician and practices in LONGMONT, Colorado. Credentials: MD.
How much does JUSTIN KHINE, MD prescribe under Medicare Part D?
In 2023, JUSTIN KHINE, MD wrote 65 Medicare Part D claims totaling $14K in drug costs for 28 beneficiaries.
Where is JUSTIN KHINE, MD located?
JUSTIN KHINE, MD is located at 1960 KEN PRATT BLVD, LONGMONT, CO, 80501. Phone: (248) 330-5135.
What is JUSTIN KHINE, MD's NPI number?
JUSTIN KHINE, MD's National Provider Identifier (NPI) is 1851956486, issued on 05/09/2019.
Does JUSTIN KHINE, MD prescribe more brand-name or generic drugs?
JUSTIN KHINE, MD's prescribing is 18% brand-name and 82% generic drugs by claim count, with $13K in brand drug costs.
How many Nephrology Physician providers are there in the US?
There are 10,534 Nephrology Physician providers across 55 states in the US. The average Nephrology Physician provider writes 1,454 Medicare Part D claims per year.
Does JUSTIN KHINE, MD accept Medicare?
JUSTIN KHINE, MD appears in CMS Medicare data with 65 Part D claims and 28 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JUSTIN KHINE, MD's credentials?
JUSTIN KHINE, MD's NPI is 1851956486 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

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.
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