DR. JUSTIN LALOR RICE MD
NPI 1396806436
Emergency Medicine in Weymouth, MA
About Dr. Justin Lalor Rice Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JUSTIN LALOR RICE MD (NPI 1396806436) is an individual emergency medicine provider in Weymouth, Massachusetts, licensed in Massachusetts (243499) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with South Shore Hospital, and is a graduate of University Of Virginia School Of Medicine (2004).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Justin Lalor Rice Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Justin Rice reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Weymouth, MA 02190
- Reassigned Medicare billing, Massachusetts enrollment
- 671 clinicians in this Medicare group
Weymouth, MA 02190
- Reassigned Medicare billing, Massachusetts enrollment
- 62 clinicians in this Medicare group
Ayer, MA 01432
- Reassigned Medicare billing, Massachusetts enrollment
- 290 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 11
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
South Shore Hospital
Acute Care Hospitals · South Weymouth, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02190 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WEYMOUTH, MA 02190
SOUTH WEYMOUTH, MA 02190
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Justin Rice's NPI number?
The NPI number for Justin Rice is 1396806436. It was assigned to this individual provider in the NPPES registry on December 13, 2006.
Where is Justin Rice located?
Justin Rice practices at 55 Fogg Rd, Weymouth, MA 02190. The listed phone number is (781) 624-6920.
What is Justin Rice's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Justin Rice enrolled in Medicare?
Yes. Justin Rice is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Justin Rice's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Justin Rice reassigns Medicare benefits to 3 organizations: Coastal Medical Associates (Weymouth, MA), South Shore Health Express, Inc (Weymouth, MA) and Steward Emergency Physicians, Inc (Ayer, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Justin Rice's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Justin Rice accept?
Health plans from Taro Health list Justin Rice as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Justin Rice affiliated with any hospitals?
According to CMS data, Justin Rice is affiliated with South Shore Hospital.
When was this NPI record last updated?
The NPPES record for Justin Rice was last updated on November 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Justin Lalor Rice, MD · NPI 1396806436
Emergency Medicine physician in Weymouth, Massachusetts. Individual provider, active in the CMS NPPES registry since December 13, 2006.
## Identity
- **NPI:** 1396806436 (Entity type: Individual)
- **Enumerated:** December 13, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 243499 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 55 FOGG RD, Weymouth, MA 02190-2455
- **Phone:** (781) 624-6920
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Coastal Medical Associates (NPI 1932175684, Weymouth, MA); South Shore Health Express, Inc (NPI 1477044212, Weymouth, MA); Steward Emergency Physicians, Inc (NPI 1780971275, Ayer, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Virginia School Of Medicine, class of 2004
## Record status
- **NPPES last updated:** November 16, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1396806436) · Data from the CMS NPPES public registry.