NPPES file of Aug 9, 2026

Justin Joaquin Vigil, M.D.

Interventional Pain Medicine Physician · Ingram, TX

Justin Joaquin Vigil, M.D. is an interventional pain medicine physician with a practice address in Ingram, Texas, and NPI 1346223211, issued on Nov 23, 2005. Check the license (Texas L6206, as entered in NPPES) on the Texas 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
1346223211
Name
Justin Joaquin Vigil
Credential
M.D.
Primary taxonomy
Interventional Pain Medicine Physician 208VP0014X
License number
L6206 TX
Self-reported in NPPES; status is on the state search
Practice location
3350 Junction Hwy, Ingram, TX 78025
Phone
(210) 545-0087
Enumerated
Nov 23, 2005
Record last updated
Mar 27, 2026
Fax
(210) 545-3455
Medicare enrollment
Enrolled (PECOS I20051107000988); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
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.
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Verify Justin Joaquin Vigil in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersTexas Medical Board
    Search for license L6206
    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 Texas license search

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89% more Medicare Part D claims than the average interventional pain medicine physician in 2024

4,368 Medicare Part D claims for 538 beneficiaries, against an average of 2,306 among the 2,100 providers of this specialty who prescribed in Part D. Brand-name drugs were 3% of claims. 3,285 claims were for opioids.

  1. Justin Vigil4,368
  2. Specialty average2,306

Most prescribed

  1. Hydrocodone-Acetaminophen1,703 claims
  2. Oxycodone-Acetaminophen423 claims
  3. Morphine Sulfate Er308 claims
  4. Gabapentin303 claims
  5. Tramadol Hcl194 claims
  6. Fentanyl140 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): 42.4 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 score60.6
  2. Costout of 100 · 30%30.8
  3. Promoting interoperabilityout of 100 · 25%0.0
  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: $637.78

19 payments; by number, the most common kind was food and beverage; the largest payer was Abbott Laboratories. The 1,966 providers of this specialty with any payment received $3,889.53 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Justin Vigil$637.78
  2. Specialty average$3,889.53

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

Bills Medicare through 2 group practices

  1. Spine Care And Pain Management OF San Antonio LLCSan Antonio, TX
  2. Tricity Pain Associates, PAFredericksburg, TX

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

Justin Joaquin Vigil among 301 interventional pain medicine physician records in Texas

Justin Joaquin Vigil, M.D. is one of 301 interventional pain medicine physician records with a practice address in Texas. 91% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.

  • NPI issued2005 · 0% of these records are older, 86% newer
  • In a Medicare fileYes · 91% of these records are
  • In the CMS Doctors and Clinicians fileYes · 83% of these records are
  • Graduated1994 · median 2004 among the 250 with a school on file
  • Record last updated2026 · 36% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208VP0014X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

1 interventional pain medicine physician record lists a practice address in Ingram

They are 1 of the 17 NPPES records with a practice address in Ingram, and 301 interventional pain medicine physician records in Texas.

The 8 interventional pain medicine physician records with the nearest ZIP codes

  1. Rajesh Sharma, MDBoerne, TX 780061891004388
  2. Alan Swearingen, M.D.Boerne, TX 780061245588672
  3. Tristan Lai, MDSpring Branch, TX 780701699976217
  4. Jack Chapman, MDNew Braunfels, TX 781301710975701
  5. James Davis, MDNew Braunfels, TX 781301255313581
  6. Eric Miller, MDNew Braunfels, TX 781301619974789
  7. Jason Williams, M.D.New Braunfels, TX 781301144234279
  8. Wilson Almonte, M.DVictoria, TX 779041255566642

Common questions

What is Justin Joaquin Vigil, M.D.'s NPI number?

Justin Joaquin Vigil, M.D.'s National Provider Identifier (NPI) is 1346223211, issued on Nov 23, 2005. An NPI identifies a provider in billing; it is not a license.

Where is Justin Joaquin Vigil, M.D. located?

The NPPES record lists a practice address at 3350 Junction Hwy, Ingram, TX, 78025. Phone: (210) 545-0087. Providers update this record themselves, so call before visiting.

How can I verify Justin Joaquin Vigil, M.D.'s license?

NPPES lists Texas license number L6206, as entered by the provider. Search the Texas Medical Board at https://profile.tmb.state.tx.us/Search.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Justin Joaquin Vigil, M.D. prescribe under Medicare Part D?

In 2024, Justin Joaquin Vigil, M.D. had 4,368 Medicare Part D claims for 538 beneficiaries; the average among interventional pain medicine physician prescribers was 2,306. Part D covers Medicare prescriptions only.

What is Justin Joaquin Vigil, M.D.'s MIPS final score?

The 2023 MIPS final score is 42.4 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.