NPI registry status
Active
2026 NPPES data Dentist NPI 1952595605 DMD
Verify on CMS → Justin Sikes, DMD
Dentist in Shiprock, New Mexico.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 93,793 in Dentist, 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
170
Medicare Part D claims · 78 beneficiaries · Dentist avg: 87
MIPS score
55.7/100
▼ 27 pts below national avg 83.1 · Mid-tier
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Justin Sikes, DMD reported a CMS MIPS final score of 55.7/100 - below the 83.1 national average - and filed 170 Medicare Part D claims in 2023.
- 55.7/100
- MIPS score · -27 vs avg
- 170
- 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 Sikes, DMD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
56 5th percentile higher than 5% of 477,587 scored providers
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
Where Justin Sikes, DMD sits
This provider among dentist peers
Across the 71 dentist providers who report both Medicare Part D prescribing and a MIPS quality score, Justin Sikes, DMD writes more Part D claims than 70% of them and scores higher on MIPS quality than 1% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one dentist peer from a representative sample of 60; the gold marker is Justin Sikes, DMD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Justin Sikes, DMD?
Below national averagePrimary specialty
Dentist
Medicare Part D claims
170 95% vs specialty avg
MIPS final score
55.7/100 27.4 pts vs avg
Specialty distribution in New Mexico
How Dentist compares to other specialties among New Mexico providers
Medicare quality performance, MIPS
Justin Sikes, DMD's 2023 MIPS final score plotted against the Dentist national average
- MIPS Final Score
- 55.7/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Dentist) - 55.7/100 vs national avg 83.1
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).
Justin Sikes, DMD appears in the CMS NPPES registry as a Dentist provider holding DMD credentials at US HWY 491 NORTH, Shiprock, NM, 87420, with a listed phone of (505) 368-6393. NPI 1952595605 was issued on 09/05/2007.
Medicare Part D records for calendar year 2023 show 170 prescription claims written by this provider, covering 78 Medicare beneficiaries and totaling roughly $1K in drug spend, with an opioid prescribing rate of 24.7%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 55.7/100 for the 2023 performance year (Quality 67.5, Cost 51.3), compared with the national average of 83.1.
Dentist is a high-volume specialty nationwide, with 93,793 enrolled providers across 56 states and an average of 87 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 | 1952595605 |
|---|---|
| Specialty | Dentist |
| Credentials | DMD |
| Gender | Male |
| NPI Issued | 09/05/2007 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
55.6538
Final Score
Avg: 83.1
67.5171
Quality
51.3288
Cost
0
Promoting Interoperability
Reporting: Group practice
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
170
Total Claims
$1K
Total Drug Cost
78
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 170
- Total Day Supply
- 1,453
- Brand Drug Cost
- $0
- Generic Drug Cost
- $1K
- Opioid Claims
- 42 (24.7% rate)
- Antibiotic Claims
- 67
Patient Demographics
- Average Patient Age
- 69.2 years
- Avg HCC Risk Score
- 1.31
- Gender Split
- 53% female / 47% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Justin Sikes, DMD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Amoxicillin
Amoxicillin
49 claims
- Chlorhexidine Gluc…
Chlorhexidine Gluconate
41 claims
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
39 claims
| Drug | Claims |
|---|---|
| Amoxicillin | 49 |
| Chlorhexidine Gluconate | 41 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 39 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Dentist Overview
How Justin Sikes, DMD fits within the Dentist landscape nationally.
93,793
Dentist Providers in US
56
States with Dentist
87
Avg Claims per Provider
Justin Sikes, DMD's 170 claims are above the specialty average of 87.
Nearby Dentist Providers in New Mexico
Other clinicians with the same primary specialty enrolled in New Mexico, drawn from the same CMS NPPES roster as Sikes.
Dr. Alicia Abeyta
DDS
Albuquerque, NM
Dr. Ibraheem Ackall
DDS
Alamogordo, NM
Dr. Zachary Adkins
DDS
Albuquerque, NM
Dr. Lee Affholter
DMD
Albuquerque, NM
Danial Ahmadi
Albuquerque, NM
Compare Dentist nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the New Mexico medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Dentist peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
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Medical Specialties Explained
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Frequently Asked Questions
What is Justin Sikes, DMD's specialty? ▼
Justin Sikes, DMD specializes in Dentist and practices in Shiprock, New Mexico. Credentials: DMD.
How much does Justin Sikes, DMD prescribe under Medicare Part D? ▼
In 2023, Justin Sikes, DMD wrote 170 Medicare Part D claims totaling $1K in drug costs for 78 beneficiaries.
What is Justin Sikes, DMD's Medicare quality score? ▼
Justin Sikes, DMD has a CMS MIPS Final Score of 55.7/100 (Quality: 67.5, Cost: 51.3). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Justin Sikes, DMD located? ▼
Justin Sikes, DMD is located at US HWY 491 NORTH, Shiprock, NM, 87420. Phone: (505) 368-6393.
What is Justin Sikes, DMD's NPI number? ▼
Justin Sikes, DMD's National Provider Identifier (NPI) is 1952595605, issued on 09/05/2007.
Does Justin Sikes, DMD prescribe opioids? ▼
Yes, Justin Sikes, DMD had 42 opioid claims in 2023 with an opioid prescribing rate of 24.7%.
How many Dentist providers are there in the US? ▼
There are 93,793 Dentist providers across 56 states in the US. The average Dentist provider writes 87 Medicare Part D claims per year.
What drugs does Justin Sikes, DMD prescribe most often? ▼
Based on 2023 Medicare Part D data, Justin Sikes, DMD's most frequently prescribed drugs include Amoxicillin, Chlorhexidine Gluconate, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Justin Sikes, DMD accept Medicare? ▼
Justin Sikes, DMD appears in CMS Medicare data with 170 Part D claims and 78 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Justin Sikes, DMD's credentials? ▼
Justin Sikes, DMD's NPI is 1952595605 with credentials DMD. 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.
- 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
Compiled from official public sources by the PlainDoctor editorial team.
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.