JUSTIN LEE LOY
Nephrology Physician in THOMASVILLE, Georgia. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What the federal data shows
JUSTIN LEE LOY filed 1,139 Medicare Part D claims in 2023 as a Nephrology Physician in THOMASVILLE, Georgia.
- 1K
- Part D claims, 2023
- 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 LEE LOY's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023 — across all CMS prescribers nationally
1,139 Top 23% higher than 77% of 1,370,886 prescribers
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.
Source CMS Medicare Part D Prescriber Public Use File · 2023
JUSTIN LEE LOY 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).
What does the federal data show about JUSTIN LEE LOY?
Quality data not reportedPrimary specialty
Medicare Part D claims
Specialty distribution in Georgia
How Nephrology Physician compares to other specialties among Georgia providers
Nephrology Physician share within Georgia
Nephrology Physician is one of the more visible NUCC categories in Georgia
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Specialty board-certification context
Estimated specialty board-certified rate — Nephrology Physician (ABMS / AOA reference)
- Est. board-certified rate
- 78%
- Nephrology Physician ABMS/AOA estimate
Est. board-certified rate (Nephrology Physician) — ABMS / AOA estimate
Verify credentials
- Verify via ABMS free public lookup
- Verify via AOA osteopathic boards
- Specialty volume Nephrology Physician US NPIs
Specialty board-certified rate — Nephrology Physician estimate
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus Maintenance of Certification cycles. CMS does not publish a per-provider board-certification field; the figure shown is the specialty-level estimated rate from ABMS / AOA reference data.
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 LEE LOY appears in the CMS NPPES registry as a Nephrology Physician provider at 334 SMITH AVE, THOMASVILLE, GA, 31792, with a listed phone of (229) 227-1595. NPI 1619317682 was issued on 07/05/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what LEE LOY 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 1,139 prescription claims written by this provider, covering 220 Medicare beneficiaries and totaling roughly $247K in drug spend. 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
Provider Details
| NPI | 1619317682 |
|---|---|
| Specialty | Nephrology Physician |
| Gender | Male |
| NPI Issued | 07/05/2013 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm JUSTIN LEE LOY's current license status, disciplinary history, and board certifications with the Georgia Composite Medical Board in Georgia before relying on this page for a clinical or care decision.
How we sourced this profile
Hospital and facility affiliations
Facilities where JUSTIN LEE LOY 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.
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.
Prescribing Breakdown
- 30-Day Fills
- 1,986
- Total Day Supply
- 57,572
- Generic Drug Cost
- $32K
- Antibiotic Claims
- 31
Patient Demographics
- Average Patient Age
- 68.2 years
- Avg HCC Risk Score
- 4.18
- Gender Split
- 51% female / 49% male
- Age Distribution
- <65: 64, 65-74: 82, 75-84: 60, 85+: 14
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 LOY prescribes most
Top Medicare Part D drugs by claim count, 2023
- Farxiga
Farxiga
125 claims
- Chlorthalidone
Chlorthalidone
83 claims
- Jardiance
Jardiance
78 claims
- Amlodipine Besylate
Amlodipine Besylate
72 claims
- Losartan Potassium
Losartan Potassium
70 claims
- Hydralazine Hcl
Hydralazine Hcl
66 claims
- Lisinopril
Lisinopril
63 claims
- Calcium Acetate 41
Calcium Acetate
41 claims
| Drug | Claims |
|---|---|
| Farxiga Dapagliflozin Propanediol | 125 |
| Chlorthalidone | 83 |
| Jardiance Empagliflozin | 78 |
| Amlodipine Besylate | 72 |
| Losartan Potassium | 70 |
| Hydralazine Hcl | 66 |
| Lisinopril | 63 |
| Calcium Acetate | 41 |
| Nifedipine Er Nifedipine | 37 |
| Furosemide | 35 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Nephrology Physician Overview
How JUSTIN LEE LOY fits within the Nephrology Physician landscape nationally.
JUSTIN LEE LOY's 1,139 claims are below the specialty average of 1,454.
Nearby Nephrology Physician Providers in Georgia
Other clinicians with the same primary specialty enrolled in Georgia, drawn from the same CMS NPPES roster as LEE LOY.
Compare Nephrology Physician nationally: see state-by-state distribution →
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Frequently Asked Questions
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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