2026 NPPES data Dentist NPI 1952595605 DMD
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JUSTIN SIKES, DMD

Dentist in SHIPROCK, New Mexico. 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
170
Medicare Part D claims · 78 beneficiaries · Dentist avg: 87
MIPS score
55.6538/100
▼ 27 pts below national avg 83.1 · [object Object]

What the federal data shows

JUSTIN SIKES, DMD reported a CMS MIPS final score of 55.6538/100 — below the 83.1 national average — and filed 170 Medicare Part D claims in 2023.

55.6538/100
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

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%). This entry sits in this band. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. 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 SIKES, DMD?

Below national average

NPI registry status

Active

Issued 09/05/2007

NPI 1952595605

Primary specialty

Dentist

High-volume

93,789 US NPIs in this specialty

Medicare Part D claims

170 95% vs specialty avg

2023 prescription claims

Specialty avg: 87

MIPS final score

55.6538/100 27.446199999999997% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in New Mexico

How Dentist compares to other specialties among New Mexico providers

New Mexico providers

Dentist share within New Mexico

1. Dentist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Dentist share within New Mexico

Medicare quality performance — MIPS

JUSTIN SIKES, DMD's 2023 MIPS final score plotted against the Dentist national average

Below national average
MIPS Final Score
55.6538/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Dentist) — 55.6538/100 vs national avg 83.1

0%100%National avg83%55.7%
MIPS final score (Dentist) — 55.6538/100 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 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. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SIKES 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 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%. 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 55.6538/100 for the 2023 performance year (Quality 67.5171, Cost 51.3288), compared with the national average of 83.1.

Dentist is a high-volume specialty nationwide, with 93,789 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

US HWY 491 NORTH
SHIPROCK, NM 87420

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

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
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.

93,789
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.

Compare Dentist nationally: see state-by-state distribution →

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 55.6538/100 (Quality: 67.5171, Cost: 51.3288). 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 93,789 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

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