NPPES file of Aug 9, 2026

Justin Daniel Needham, M.D.

Ophthalmology Physician · Wilmington, NC

Justin Daniel Needham, M.D. is an ophthalmology physician with a practice address in Wilmington, North Carolina, and NPI 1699923516, issued on Sep 4, 2008. Check the license (North Carolina 2023-03120, as entered in NPPES) on the North Carolina Medical Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1699923516
Name
Justin Daniel Needham
Credential
M.D.
Primary taxonomy
Ophthalmology Physician 207W00000X
License numbers
2023-03120 NC
79768 GA
24771 NE
Self-reported in NPPES; status is on the state search
Practice location
1915 S 17TH St Ste 101, Wilmington, NC 28401
Phone
(910) 769-4590
Enumerated
Sep 4, 2008
Record last updated
Jun 26, 2025
Fax
(910) 769-4653
Medicare enrollment
Enrolled (PECOS I20240729003609); accepts Medicare assignment
Medical or professional school
Uniformed Services Uhs Fe Hebert School Of Med, 2007
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
Download card Updates feed

Also registered at 1915 S 17TH St Ste 101

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Brian Groat, M.D.Ophthalmology Physician1841271228
  2. Darrell Hester, MDOphthalmology Physician1134210586

Verify Justin Daniel Needham in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNorth Carolina Medical Board
    Search for license 2023-03120
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the North Carolina license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Is this page about you? You can ask us to correct, restrict or remove it: how.

65% fewer Medicare Part D claims than the average ophthalmology physician in 2024

536 Medicare Part D claims for 235 beneficiaries, against an average of 1,518 among the 16,459 providers of this specialty who prescribed in Part D. Brand-name drugs were 41% of claims.

  1. Justin Needham536
  2. Specialty average1,518

Most prescribed

  1. Erythromycin80 claims
  2. Neomycin-Polymyxin-Dexameth72 claims
  3. Prednisolone Acetate66 claims
  4. Latanoprost49 claims
  5. Moxifloxacin27 claims
  6. Restasis21 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 77.6 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score100.0
  2. Costout of 100 · 30%29.4
  3. Promoting interoperabilityout of 100 · 25%95.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $653.99

13 payments; by number, the most common kind was food and beverage; the largest payer was Biotissue Holdings Inc. The 13,221 providers of this specialty with any payment received $4,535.02 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Justin Needham$653.99
  2. Specialty average$4,535.02

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Cape Fear Cataract And Cornea, P.A.Wilmington, NC

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Justin Daniel Needham among 688 ophthalmology physician records in North Carolina

Justin Daniel Needham, M.D. is one of 688 ophthalmology physician records with a practice address in North Carolina. 77% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 64% of them.

  • NPI issued2008 · 64% of these records are older, 32% newer
  • In a Medicare fileYes · 77% of these records are
  • In the CMS Doctors and Clinicians fileYes · 67% of these records are
  • Graduated2007 · median 2004 among the 463 with a school on file
  • Record last updated2025 · 60% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207W00000X and a North Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Ophthalmology Physician providers in North Carolina

There are 688 ophthalmology physician records in North Carolina.

The 8 ophthalmology physician records with the nearest ZIP codes

  1. Robert Brownlow, M.D.Wilmington, NC 284011568425403
  2. George Escaravage, MDWilmington, NC 284011205881612
  3. Brian Groat, M.D.Wilmington, NC 284011841271228
  4. Darrell Hester, MDWilmington, NC 284011134210586
  5. Timothy Kelly, M.D.Wilmington, NC 284011497758825
  6. James Kesler, M.D.Wilmington, NC 284011285677245
  7. Mary Price, M.D.Wilmington, NC 284011821107772
  8. Susan Andracchi, MDWilmington, NC 284031205835915

Common questions

What is Justin Daniel Needham, M.D.'s NPI number?

Justin Daniel Needham, M.D.'s National Provider Identifier (NPI) is 1699923516, issued on Sep 4, 2008. An NPI identifies a provider in billing; it is not a license.

Where is Justin Daniel Needham, M.D. located?

The NPPES record lists a practice address at 1915 S 17TH St Ste 101, Wilmington, NC, 28401. Phone: (910) 769-4590. Providers update this record themselves, so call before visiting.

How can I verify Justin Daniel Needham, M.D.'s license?

NPPES lists North Carolina license number 2023-03120, as entered by the provider. Search the North Carolina Medical Board at https://portal.ncmedboard.org/verification/search.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Justin Daniel Needham, M.D. prescribe under Medicare Part D?

In 2024, Justin Daniel Needham, M.D. had 536 Medicare Part D claims for 235 beneficiaries; the average among ophthalmology physician prescribers was 1,518. Part D covers Medicare prescriptions only.

What is Justin Daniel Needham, M.D.'s MIPS final score?

The 2023 MIPS final score is 77.6 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.