2026 NPPES data Medical Physician Assistant NPI 1356673883 PA-C
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JUSTIN MARTINSON, PA-C

Medical Physician Assistant in WATERTOWN, South Dakota. 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
61
Medicare Part D claims · 45 beneficiaries · Medical Physician Assistant avg: 1K
MIPS score
94.9205/100
▲ 12 pts above national avg 83.1 · [object Object]

What the federal data shows

JUSTIN MARTINSON, PA-C reported a CMS MIPS final score of 94.9205/100 — above the 83.1 national average — and filed 61 Medicare Part D claims in 2023.

94.9205/100
MIPS score · +12 vs avg
61
Part D claims, 2023

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 MARTINSON, PA-C's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

95 Top 25% higher than 75% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

What does the federal data show about JUSTIN MARTINSON, PA-C?

High performer (top quartile)

NPI registry status

Active

Issued 02/09/2010

NPI 1356673883

Primary specialty

Medical Physician Assistant

Mid-sized

40,527 US NPIs in this specialty

Medicare Part D claims

61 94% vs specialty avg

2023 prescription claims

Specialty avg: 1,077

MIPS final score

94.9205/100 11.82050000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in South Dakota

How Medical Physician Assistant compares to other specialties among South Dakota providers

South Dakota providers

Medical Physician Assistant share within South Dakota

1. Medical Physician Assistant42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Medical Physician Assistant share within South Dakota

Medicare quality performance — MIPS

JUSTIN MARTINSON, PA-C's 2023 MIPS final score plotted against the Medical Physician Assistant national average

High performer (top quartile)
MIPS Final Score
94.9205/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Medical Physician Assistant) — 94.9205/100 vs national avg 83.1

0%100%National avg83%94.9%
MIPS final score (Medical Physician Assistant) — 94.9205/100 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 MARTINSON, PA-C appears in the CMS NPPES registry as a Medical Physician Assistant provider holding PA-C credentials at 401 9TH AVE NW, WATERTOWN, SD, 57201, with a listed phone of (605) 882-7000. NPI 1356673883 was issued on 02/09/2010. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MARTINSON 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 61 prescription claims written by this provider, covering 45 Medicare beneficiaries and totaling roughly $901 in drug spend, with an opioid prescribing rate of 31.1%. 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 94.9205/100 for the 2023 performance year (Quality 88.3608), compared with the national average of 83.1.

Medical Physician Assistant is a mid-sized specialty nationwide, with 40,527 enrolled providers across 55 states and an average of 1,077 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

401 9TH AVE NW
WATERTOWN, SD 57201

Provider Details

NPI 1356673883
Specialty Medical Physician Assistant
Credentials PA-C
Gender Male
NPI Issued 02/09/2010

CMS Quality Score (MIPS)

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

94.9205
Final Score
Avg: 83.1
88.3608
Quality
100
Promoting Interoperability

Reporting: Group practice

Medicare Part D Prescribing Data

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

61
Total Claims
$901
Total Drug Cost
45
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
61
Total Day Supply
337
Generic Drug Cost
$356
Opioid Claims
19 (31.1% rate)
Antibiotic Claims
21

Patient Demographics

Average Patient Age
72.2 years
Avg HCC Risk Score
1.85
Gender Split
56% female / 44% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
14

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

Medical Physician Assistant Overview

How JUSTIN MARTINSON, PA-C fits within the Medical Physician Assistant landscape nationally.

40,527
Medical Physician Assistant Providers in US
55
States with Medical Physician Assistant
1,077
Avg Claims per Provider

JUSTIN MARTINSON, PA-C's 61 claims are below the specialty average of 1,077.

Nearby Medical Physician Assistant Providers in South Dakota

Other clinicians with the same primary specialty enrolled in South Dakota, drawn from the same CMS NPPES roster as MARTINSON.

Compare Medical Physician Assistant nationally: see state-by-state distribution →

Frequently Asked Questions

What is JUSTIN MARTINSON, PA-C's specialty?
JUSTIN MARTINSON, PA-C specializes in Medical Physician Assistant and practices in WATERTOWN, South Dakota. Credentials: PA-C.
How much does JUSTIN MARTINSON, PA-C prescribe under Medicare Part D?
In 2023, JUSTIN MARTINSON, PA-C wrote 61 Medicare Part D claims totaling $901 in drug costs for 45 beneficiaries.
What is JUSTIN MARTINSON, PA-C's Medicare quality score?
JUSTIN MARTINSON, PA-C has a CMS MIPS Final Score of 94.9205/100 (Quality: 88.3608). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JUSTIN MARTINSON, PA-C located?
JUSTIN MARTINSON, PA-C is located at 401 9TH AVE NW, WATERTOWN, SD, 57201. Phone: (605) 882-7000.
What is JUSTIN MARTINSON, PA-C's NPI number?
JUSTIN MARTINSON, PA-C's National Provider Identifier (NPI) is 1356673883, issued on 02/09/2010.
Does JUSTIN MARTINSON, PA-C prescribe opioids?
Yes, JUSTIN MARTINSON, PA-C had 19 opioid claims in 2023 with an opioid prescribing rate of 31.1%.
How many Medical Physician Assistant providers are there in the US?
There are 40,527 Medical Physician Assistant providers across 55 states in the US. The average Medical Physician Assistant provider writes 1,077 Medicare Part D claims per year.
What drugs does JUSTIN MARTINSON, PA-C prescribe most often?
Based on 2023 Medicare Part D data, JUSTIN MARTINSON, PA-C's most frequently prescribed drugs include Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JUSTIN MARTINSON, PA-C accept Medicare?
JUSTIN MARTINSON, PA-C appears in CMS Medicare data with 61 Part D claims and 45 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JUSTIN MARTINSON, PA-C's credentials?
JUSTIN MARTINSON, PA-C's NPI is 1356673883 with credentials PA-C. 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