2026 NPPES data Interventional Cardiology Physician NPI 1790721819 M.D.
Verify on CMS →

LARRY JUSTICE, M.D.

Interventional Cardiology Physician in OAK RIDGE, Tennessee. 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
11K
Medicare Part D claims · 1K beneficiaries · Interventional Cardiology Physician avg: 3K
Generic prescribing
84%
generic claims · 16% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97.9143/100
▲ 15 pts above national avg 83.1 · [object Object]
What the federal data reveals: LARRY JUSTICE, M.D. is a Interventional Cardiology Physician ([object Object]) practicing in OAK RIDGE, Tennessee with a Medicare Part D prescribing footprint of 11K claims across 1K beneficiaries — 16% brand-name prescribing . Their CMS MIPS Final Score of 97.9143/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: LARRY JUSTICE, M.D. reported a CMS MIPS final score of 97.9143 out of 100, above the 83.1 national average, and filed 10,756 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

LARRY JUSTICE, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 3 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

LARRY JUSTICE, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 06/20/2006

NPI 1790721819

Primary specialty

Interventional Cardiology Physician

Niche

3,382 US NPIs in this specialty

Medicare Part D claims

10,756 260% vs specialty avg

2023 prescription claims

Specialty avg: 2,984

MIPS final score

97.9143/100 14.814300000000003% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Tennessee

How Interventional Cardiology Physician compares to other specialties among Tennessee providers

Tennessee providers

Interventional Cardiology Physician share within Tennessee

1. Interventional Cardiology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Interventional Cardiology Physician share within Tennessee

Medicare quality performance — MIPS

LARRY JUSTICE, M.D.'s 2023 MIPS final score plotted against the Interventional Cardiology Physician national average

High performer (top quartile)
MIPS Final Score
97.9143/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Interventional Cardiology Physician) — 97.9143/100 vs national avg 83.1

0%100%National avg83%97.9%
MIPS final score (Interventional Cardiology Physician) — 97.9143/100 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).

LARRY JUSTICE, M.D. is a Interventional Cardiology Physician provider practicing in OAK RIDGE, Tennessee, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1790721819. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

LARRY JUSTICE, M.D. appears in the CMS NPPES registry as a Interventional Cardiology Physician provider holding M.D. credentials at 80 VERMONT AVE, OAK RIDGE, TN, 37830, with a listed phone of (865) 482-4078. NPI 1790721819 was issued on 06/20/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what JUSTICE 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 10,756 prescription claims written by this provider, covering 1,200 Medicare beneficiaries and totaling roughly $1.8 million in drug spend, split 16% brand-name and 84% generic by claim count, with an opioid prescribing rate of 0.3%. 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 97.9143/100 for the 2023 performance year (Quality 87.9051, Cost 100), compared with the national average of 83.1.

Interventional Cardiology Physician is a narrow specialty nationwide, with 3,382 enrolled providers across 53 states and an average of 2,984 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

80 VERMONT AVE
OAK RIDGE, TN 37830

Provider Details

NPI 1790721819
Specialty Interventional Cardiology Physician
Credentials M.D.
Gender Male
NPI Issued 06/20/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

97.9143
Final Score
Avg: 83.1
87.9051
Quality
100
Cost
100
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where LARRY JUSTICE, M.D. 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.

COVENANT MEDICAL GROUP INC
OAK RIDGE, TN
METHODIST MEDICAL CENTER
OAK RIDGE, TN
ROANE COUNTY MEDICAL CENTER
HARRIMAN, 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).

Brand vs generic prescribing mix · Typical

LARRY JUSTICE, M.D. — brand share 16.0%
Specialty average (est.)

16% brand-name claims vs 84% generic, on 10,756 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

10,756
Total Claims
$1.8M
Total Drug Cost
1,200
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
26,097
Total Day Supply
778,171
Brand vs Generic
16% brand / 84% generic
Brand Drug Cost
$1.6M
Generic Drug Cost
$219K
Opioid Claims
36 (0.3% rate)

Patient Demographics

Average Patient Age
75.8 years
Avg HCC Risk Score
1.62
Gender Split
47% female / 53% male
Age Distribution
<65: 89, 65-74: 432, 75-84: 485, 85+: 194

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Eliquis
Apixaban
936
Atorvastatin Calcium
820
Metoprolol Succinate
820
Carvedilol
597
Spironolactone
594
Metoprolol Tartrate
530
Bumetanide
413
Clopidogrel
Clopidogrel Bisulfate
391
Isosorbide Mononitrate Er
Isosorbide Mononitrate
347
Rosuvastatin Calcium
337

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Interventional Cardiology Physician Overview

How LARRY JUSTICE, M.D. fits within the Interventional Cardiology Physician landscape nationally.

3,382
Interventional Cardiology Physician Providers in US
53
States with Interventional Cardiology Physician
2,984
Avg Claims per Provider

LARRY JUSTICE, M.D.'s 10,756 claims are above the specialty average of 2,984.

Nearby Interventional Cardiology Physician Providers in Tennessee

Other clinicians with the same primary specialty enrolled in Tennessee, drawn from the same CMS NPPES roster as JUSTICE.

Compare Interventional Cardiology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is LARRY JUSTICE, M.D.'s specialty?
LARRY JUSTICE, M.D. specializes in Interventional Cardiology Physician and practices in OAK RIDGE, Tennessee. Credentials: M.D..
How much does LARRY JUSTICE, M.D. prescribe under Medicare Part D?
In 2023, LARRY JUSTICE, M.D. wrote 10,756 Medicare Part D claims totaling $1.8M in drug costs for 1,200 beneficiaries.
What is LARRY JUSTICE, M.D.'s Medicare quality score?
LARRY JUSTICE, M.D. has a CMS MIPS Final Score of 97.9143/100 (Quality: 87.9051, Cost: 100). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is LARRY JUSTICE, M.D. located?
LARRY JUSTICE, M.D. is located at 80 VERMONT AVE, OAK RIDGE, TN, 37830. Phone: (865) 482-4078.
What is LARRY JUSTICE, M.D.'s NPI number?
LARRY JUSTICE, M.D.'s National Provider Identifier (NPI) is 1790721819, issued on 06/20/2006.
Does LARRY JUSTICE, M.D. prescribe more brand-name or generic drugs?
LARRY JUSTICE, M.D.'s prescribing is 16% brand-name and 84% generic drugs by claim count, with $1.6M in brand drug costs.
Does LARRY JUSTICE, M.D. prescribe opioids?
Yes, LARRY JUSTICE, M.D. had 36 opioid claims in 2023 with an opioid prescribing rate of 0.3%.
How many Interventional Cardiology Physician providers are there in the US?
There are 3,382 Interventional Cardiology Physician providers across 53 states in the US. The average Interventional Cardiology Physician provider writes 2,984 Medicare Part D claims per year.
What drugs does LARRY JUSTICE, M.D. prescribe most often?
Based on 2023 Medicare Part D data, LARRY JUSTICE, M.D.'s most frequently prescribed drugs include Eliquis, Atorvastatin Calcium, Metoprolol Succinate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does LARRY JUSTICE, M.D. accept Medicare?
LARRY JUSTICE, M.D. appears in CMS Medicare data with 10,756 Part D claims and 1,200 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify LARRY JUSTICE, M.D.'s credentials?
LARRY JUSTICE, M.D.'s NPI is 1790721819 with credentials M.D.. 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