NPI registry status
Active
2026 NPPES data General Practice Physician NPI 1821350604 MD
Verify on CMS → Justin Wilkes, MD
General Practice Physician in Chattanooga, Tennessee.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 16,677 in General Practice Physician, 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
109
Medicare Part D claims · 65 beneficiaries · General Practice Physician avg: 3K
MIPS score
94.7/100
▲ 12 pts above national avg 83.1 · Exceptional
Industry payments
$3.4K
18 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Justin Wilkes, MD reported a CMS MIPS final score of 94.7/100 - above the 83.1 national average - and filed 109 Medicare Part D claims in 2023.
- 94.7/100
- MIPS score · +12 vs avg
- 109
- Part D claims, 2023
- Likely
- board-certified (heuristic)
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 Wilkes, MD'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
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 Wilkes, MD sits
This provider among general practice physician peers
Across the 783 general practice physician providers who report both Medicare Part D prescribing and a MIPS quality score, Justin Wilkes, MD writes more Part D claims than 21% of them and scores higher on MIPS quality than 79% - placing this provider in the lower-volume, high-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 general practice physician peer from a representative sample of 60; the gold marker is Justin Wilkes, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Justin Wilkes, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Justin Wilkes, MD?
High performer (top quartile)Primary specialty
General Practice Physician
Medicare Part D claims
109 96% vs specialty avg
MIPS final score
94.7/100 11.6 pts vs avg
Specialty distribution in Tennessee
How General Practice Physician compares to other specialties among Tennessee providers
Medicare quality performance, MIPS
Justin Wilkes, MD's 2023 MIPS final score plotted against the General Practice Physician national average
- MIPS Final Score
- 94.7/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (General Practice Physician) - 94.7/100 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 Wilkes, MD appears in the CMS NPPES registry as a General Practice Physician provider holding MD credentials at 721 GLENWOOD DR STE 550&W553, Chattanooga, TN, 37404, with a listed phone of (423) 698-2869. NPI 1821350604 was issued on 06/08/2012.
Medicare Part D records for calendar year 2023 show 109 prescription claims written by this provider, covering 65 Medicare beneficiaries and totaling roughly $3K in drug spend, with an opioid prescribing rate of 46.8%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 94.7/100 for the 2023 performance year (Quality 89.4), compared with the national average of 83.1.
General Practice Physician is a mid-sized specialty nationwide, with 16,677 enrolled providers across 56 states and an average of 2,872 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 | 1821350604 |
|---|---|
| Specialty | General Practice Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 06/08/2012 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
94.7056
Final Score
Avg: 83.1
89.4112
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Justin Wilkes, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Memorial Health Partners Foundation, Inc
Chattanooga, TN
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Justin Wilkes, MD. Source: openpaymentsdata.cms.gov.
Total received
$3.4K
Largest payer
INTUITIVE SURGICAL, INC.
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
109
Total Claims
$3K
Total Drug Cost
65
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 118
- Total Day Supply
- 834
- Generic Drug Cost
- $425
- Opioid Claims
- 51 (46.8% rate)
- Antibiotic Claims
- 29
Patient Demographics
- Average Patient Age
- 73.0 years
- Avg HCC Risk Score
- 1.52
- Gender Split
- 49% female / 51% 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 Wilkes, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Tramadol Hcl
Tramadol Hcl
41 claims
- Metronidazole 12
Metronidazole
12 claims
- Neomycin Sulfate 11
Neomycin Sulfate
11 claims
| Drug | Claims |
|---|---|
| Tramadol Hcl | 41 |
| Metronidazole | 12 |
| Neomycin Sulfate | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
General Practice Physician Overview
How Justin Wilkes, MD fits within the General Practice Physician landscape nationally.
16,677
General Practice Physician Providers in US
56
States with General Practice Physician
2,872
Avg Claims per Provider
Justin Wilkes, MD's 109 claims are below the specialty average of 2,872.
Nearby General Practice Physician Providers in Tennessee
Other clinicians with the same primary specialty enrolled in Tennessee, drawn from the same CMS NPPES roster as Wilkes.
Dr. Austin Adams
M.D.
Smyrna, TN
Dr. Olusina Adewale
M.D.
Dayton, TN
Dr. Yoo Ahn Sung
MD
Nashville, TN
Dr. David Alfredson
M.D.
Lewisburg, TN
Dr. William Algea
MD
Millington, TN
Compare General Practice Physician 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 Tennessee medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby General Practice Physician 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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How to Find a Doctor
Step-by-step guide to choosing a provider
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Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Tennessee
Frequently Asked Questions
What is Justin Wilkes, MD's specialty? ▼
Justin Wilkes, MD specializes in General Practice Physician and practices in Chattanooga, Tennessee. Credentials: MD.
How much does Justin Wilkes, MD prescribe under Medicare Part D? ▼
In 2023, Justin Wilkes, MD wrote 109 Medicare Part D claims totaling $3K in drug costs for 65 beneficiaries.
What is Justin Wilkes, MD's Medicare quality score? ▼
Justin Wilkes, MD has a CMS MIPS Final Score of 94.7/100 (Quality: 89.4). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Justin Wilkes, MD located? ▼
Justin Wilkes, MD is located at 721 GLENWOOD DR STE 550&W553, Chattanooga, TN, 37404. Phone: (423) 698-2869.
What is Justin Wilkes, MD's NPI number? ▼
Justin Wilkes, MD's National Provider Identifier (NPI) is 1821350604, issued on 06/08/2012.
Does Justin Wilkes, MD prescribe opioids? ▼
Yes, Justin Wilkes, MD had 51 opioid claims in 2023 with an opioid prescribing rate of 46.8%.
How many General Practice Physician providers are there in the US? ▼
There are 16,677 General Practice Physician providers across 56 states in the US. The average General Practice Physician provider writes 2,872 Medicare Part D claims per year.
What drugs does Justin Wilkes, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Justin Wilkes, MD's most frequently prescribed drugs include Tramadol Hcl, Metronidazole, Neomycin Sulfate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Justin Wilkes, MD accept Medicare? ▼
Justin Wilkes, MD appears in CMS Medicare data with 109 Part D claims and 65 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Justin Wilkes, MD's credentials? ▼
Justin Wilkes, MD's NPI is 1821350604 with credentials MD. 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.