2026 NPPES data Orthopaedic Trauma Physician NPI 1821044595 MD
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SCOTT JUSTESEN, MD

Orthopaedic Trauma Physician in PRICE, Utah. 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
404
Medicare Part D claims · 151 beneficiaries · Orthopaedic Trauma Physician avg: 160
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]
Industry payments
$17.76
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

SCOTT JUSTESEN, MD reported a CMS MIPS final score of 75/100 — below the 83.1 national average — and filed 404 Medicare Part D claims in 2023.

75/100
MIPS score · -8 vs avg
404
Part D claims, 2023
94%
generic prescribing
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.

SCOTT JUSTESEN, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

75 15th percentile higher than 15% 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%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 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

Board certification likely (heuristic — not verified)

SCOTT JUSTESEN, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 SCOTT JUSTESEN, MD?

Below national average

NPI registry status

Active

Issued 05/25/2006

NPI 1821044595

Primary specialty

Orthopaedic Trauma Physician

Niche

715 US NPIs in this specialty

Medicare Part D claims

404 153% vs specialty avg

2023 prescription claims

Specialty avg: 160

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Utah

How Orthopaedic Trauma Physician compares to other specialties among Utah providers

Utah providers

Orthopaedic Trauma Physician share within Utah

1. Orthopaedic Trauma Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Orthopaedic Trauma Physician share within Utah

Medicare quality performance — MIPS

SCOTT JUSTESEN, MD's 2023 MIPS final score plotted against the Orthopaedic Trauma Physician national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Orthopaedic Trauma Physician) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Orthopaedic Trauma Physician) — 75/100 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).

SCOTT JUSTESEN, MD appears in the CMS NPPES registry as a Orthopaedic Trauma Physician provider holding MD credentials at 945 W HOSPITAL DR STE 7, PRICE, UT, 84501, with a listed phone of (435) 613-6600. NPI 1821044595 was issued on 05/25/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what JUSTESEN 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 404 prescription claims written by this provider, covering 151 Medicare beneficiaries and totaling roughly $12K in drug spend, split 6% brand-name and 94% generic by claim count, with an opioid prescribing rate of 53.7%. 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 75/100 for the 2023 performance year, compared with the national average of 83.1.

Orthopaedic Trauma Physician is a narrow specialty nationwide, with 715 enrolled providers across 51 states and an average of 160 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

945 W HOSPITAL DR STE 7
PRICE, UT 84501

Provider Details

NPI 1821044595
Specialty Orthopaedic Trauma Physician
Credentials MD
Gender Male
NPI Issued 05/25/2006

CMS Quality Score (MIPS)

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

75
Final Score
Avg: 83.1

Reporting: Group practice

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 SCOTT JUSTESEN, MD. Source: openpaymentsdata.cms.gov.

Total received

$18

Largest payer

Davol 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.

Brand vs generic prescribing mix · Generic-heavy

SCOTT JUSTESEN, MD — brand share 6.0%
Specialty average (est.)

6% brand-name claims vs 94% generic, on 404 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.

404
Total Claims
$12K
Total Drug Cost
151
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
422
Total Day Supply
4,978
Brand vs Generic
6% brand / 94% generic
Brand Drug Cost
$7K
Generic Drug Cost
$6K
Opioid Claims
217 (53.7% rate)
Antibiotic Claims
42

Patient Demographics

Average Patient Age
69.5 years
Avg HCC Risk Score
1.05
Gender Split
56% female / 44% male

Top Prescribed Drugs (Medicare Part D)

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

What SCOTT JUSTESEN, MD 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
Tramadol Hcl
67
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
64
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
60
Prednisone
37
Ibuprofen
23
Xarelto
Rivaroxaban
23
Oxycodone Hcl
22
Amoxicillin
14
Gabapentin
13
Meloxicam
12

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

Orthopaedic Trauma Physician Overview

How SCOTT JUSTESEN, MD fits within the Orthopaedic Trauma Physician landscape nationally.

715
Orthopaedic Trauma Physician Providers in US
51
States with Orthopaedic Trauma Physician
160
Avg Claims per Provider

SCOTT JUSTESEN, MD's 404 claims are above the specialty average of 160.

Nearby Orthopaedic Trauma Physician Providers in Utah

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

Compare Orthopaedic Trauma Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SCOTT JUSTESEN, MD's specialty?
SCOTT JUSTESEN, MD specializes in Orthopaedic Trauma Physician and practices in PRICE, Utah. Credentials: MD.
How much does SCOTT JUSTESEN, MD prescribe under Medicare Part D?
In 2023, SCOTT JUSTESEN, MD wrote 404 Medicare Part D claims totaling $12K in drug costs for 151 beneficiaries.
What is SCOTT JUSTESEN, MD's Medicare quality score?
SCOTT JUSTESEN, MD has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SCOTT JUSTESEN, MD located?
SCOTT JUSTESEN, MD is located at 945 W HOSPITAL DR STE 7, PRICE, UT, 84501. Phone: (435) 613-6600.
What is SCOTT JUSTESEN, MD's NPI number?
SCOTT JUSTESEN, MD's National Provider Identifier (NPI) is 1821044595, issued on 05/25/2006.
Does SCOTT JUSTESEN, MD prescribe more brand-name or generic drugs?
SCOTT JUSTESEN, MD's prescribing is 6% brand-name and 94% generic drugs by claim count, with $7K in brand drug costs.
Does SCOTT JUSTESEN, MD prescribe opioids?
Yes, SCOTT JUSTESEN, MD had 217 opioid claims in 2023 with an opioid prescribing rate of 53.7%.
How many Orthopaedic Trauma Physician providers are there in the US?
There are 715 Orthopaedic Trauma Physician providers across 51 states in the US. The average Orthopaedic Trauma Physician provider writes 160 Medicare Part D claims per year.
What drugs does SCOTT JUSTESEN, MD prescribe most often?
Based on 2023 Medicare Part D data, SCOTT JUSTESEN, MD's most frequently prescribed drugs include Tramadol Hcl, Oxycodone-Acetaminophen, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SCOTT JUSTESEN, MD accept Medicare?
SCOTT JUSTESEN, MD appears in CMS Medicare data with 404 Part D claims and 151 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SCOTT JUSTESEN, MD's credentials?
SCOTT JUSTESEN, MD's NPI is 1821044595 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

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