NPI registry status
Active
2026 NPPES data Student in an Organized Health Care Education/Training Program NPI 1679159776 MD
Verify on CMS → Justin Lee, MD
Student in an Organized Health Care Education/Training Program in Triadelphia, West Virginia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 331,274 in Student in an Organized Health Care Education/Training Program, 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
421
Medicare Part D claims · 202 beneficiaries · Student in an Organized Health Care Education/Training Program avg: 459
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$1.1K
11 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Justin Lee, MD filed 421 Medicare Part D claims in 2023 as a Student in an Organized Health Care Education/Training Program in Triadelphia, West Virginia, prescribing 90% generic.
- 421
- Part D claims, 2023
- 90%
- generic prescribing
- $1.1K
- industry payments (Sunshine Act)
- ≥62nd
- pct by Part D claim volume (lower-bound band)
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.
CMS NPPES provider registry desk
NPI 1679159776 · Student in an Organized Health Care Education/Training Program
NPI-10 · ENUM-RECENT · TAX-MEGA · RX-LIGHT · BOOK-LIGHT · PHOTO-ENUM
- NPI-10 1679159776
- ENUM-RECENT 2021
- TAX-MEGA 331K Student in
- RX-LIGHT 421
- BOOK-LIGHT 2,184 in West Virginia
- PHOTO-ENUM Jonathan Hurst · 2021
Justin Lee, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
421 ≥ 62nd percentile 62% of 1,370,886 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. 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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2023
What does the federal data show about Justin Lee, MD?
Quality data not reportedPrimary specialty
Student in an Organized Health Care Education/Training Program
Medicare Part D claims
421 8% vs specialty avg
Specialty distribution in West Virginia
How Student in an Organized Health Care Education/Training Program compares to other specialties among West Virginia providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Student in an Organized Health Care Education/Training Program. Verify directly:
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).
Practice Address
Provider Details
| NPI | 1679159776 |
|---|---|
| Specialty | Student in an Organized Health Care Education/Training Program |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 03/20/2021 |
Hospital and facility affiliations
Facilities where Justin Lee, 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.
Mountain State Medical Specialties PLLC
Morgantown, WV
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 Lee, MD. Source: openpaymentsdata.cms.gov.
Total received
$1.1K
Largest payer
Ortho Dermatologics, a division of Bausch Health US, LLC
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 Lee, MD - brand share 10.0%
Student in an Organized Health Care Education/Training Program average
10% brand-name claims vs 90% generic, on 421 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.
421
Total Claims
$291K
Total Drug Cost
202
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 461
- Total Day Supply
- 11,143
- Brand vs Generic
- 10% brand / 90% generic
- Brand Drug Cost
- $280K
- Generic Drug Cost
- $12K
- Antibiotic Claims
- 87
Patient Demographics
- Average Patient Age
- 72.3 years
- Avg HCC Risk Score
- 1.58
- Gender Split
- 45% female / 55% male
- Age Distribution
- <65: 30, 65-74: 90, 75-84: 63, 85+: 19
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Justin Lee, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Doxycycline Hyclate
Doxycycline Hyclate
63 claims
- Triamcinolone Acet…
Triamcinolone Acetonide
54 claims
- Ketoconazole
Ketoconazole
49 claims
- Clobetasol Propion…
Clobetasol Propionate
39 claims
- Fluorouracil
Fluorouracil
30 claims
- Hydrocortisone 24
Hydrocortisone
24 claims
- Minoxidil 15
Minoxidil
15 claims
- Cephalexin 11
Cephalexin
11 claims
| Drug | Claims |
|---|---|
| Doxycycline Hyclate | 63 |
| Triamcinolone Acetonide | 54 |
| Ketoconazole | 49 |
| Clobetasol Propionate | 39 |
| Fluorouracil | 30 |
| Hydrocortisone | 24 |
| Minoxidil | 15 |
| Cephalexin | 11 |
| Desonide | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Student in an Organized Health Care Education/Training Program in WV →
All providers in West Virginia →
Compare specialties →
Student in an Organized Health Care Education/Training Program Overview
How Justin Lee, MD fits within the Student in an Organized Health Care Education/Training Program landscape nationally.
331,274
Student in an Organized Health Care Education/Training Program Providers in US
55
States with Student in an Organized Health Care Education/Training Program
459
Avg Claims per Provider
Justin Lee, MD's 421 claims are below the specialty average of 459.
Nationwide Student in an Organized Health Care Education/Training Program peers with similar MIPS or enrollment year
Two federal-record peer sets for Lee, both outside West Virginia so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2021)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Student in an Organized Health Care Education/Training Program Providers in West Virginia
Other clinicians with the same primary specialty enrolled in West Virginia, drawn from the same CMS NPPES roster as Lee.
One of 2,184 Student in an Organized Health Care Education/Training Program providers enrolled in West Virginia, 5 are shown here.
Frequently Asked Questions
What is Justin Lee, MD's specialty? ▼
Justin Lee, MD specializes in Student in an Organized Health Care Education/Training Program and practices in Triadelphia, West Virginia. Credentials: MD.
How much does Justin Lee, MD prescribe under Medicare Part D? ▼
In 2023, Justin Lee, MD wrote 421 Medicare Part D claims totaling $291K in drug costs for 202 beneficiaries.
Where is Justin Lee, MD located? ▼
Justin Lee, MD is located at 500 CABELA DR, Triadelphia, WV, 26059. Phone: (681) 618-1011.
What is Justin Lee, MD's NPI number? ▼
Justin Lee, MD's National Provider Identifier (NPI) is 1679159776, issued on 03/20/2021.
Does Justin Lee, MD prescribe more brand-name or generic drugs? ▼
Justin Lee, MD's prescribing is 10% brand-name and 90% generic drugs by claim count, with $280K in brand drug costs.
How many Student in an Organized Health Care Education/Training Program providers are there in the US? ▼
There are 331,274 Student in an Organized Health Care Education/Training Program providers across 55 states in the US. The average Student in an Organized Health Care Education/Training Program provider writes 459 Medicare Part D claims per year.
What drugs does Justin Lee, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Justin Lee, MD's most frequently prescribed drugs include Doxycycline Hyclate, Triamcinolone Acetonide, Ketoconazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Justin Lee, MD accept Medicare? ▼
Justin Lee, MD appears in CMS Medicare data with 421 Part D claims and 202 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Justin Lee, MD's credentials? ▼
Justin Lee, MD's NPI is 1679159776 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.
- 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
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.