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DR. JUSTIN LALOR RICE MD
NPI 1396806436
Emergency Medicine in Weymouth, MA

Active since December 13, 2006PECOS EnrolledAccepts Medicare Assignment
82.78/100
CMS Quality Rating
55 FOGG RD, WEYMOUTH, MA 02190(781) 624-6920 Get Directions Write a Review

NPPES record last updated: November 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1396806436
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JUSTIN LALOR RICECredential: MD
Location Address55 FOGG RDWeymouth, MA 02190-2455
Mailing Address55 Fogg RdWeymouth, MA 02190-2455 · (781) 624-6920
Phone(781) 624-6920
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2004
Enumeration DateDecember 13, 2006
Last NPPES UpdateNovember 16, 2023
NPPES CertifiedNovember 16, 2023
✔ NPI 1396806436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MA · 243499
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
55 FOGG RD, Weymouth, MA 02190
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID4385716109
PECOS Enrollment IDI20100929000159
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
392 services385 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
81 services80 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
48 services47 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
40 services39 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
36 services36 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
33 services33 patients

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, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220100
Location55 Fogg RoadSouth Weymouth, MA 02190 · Norfolk County
Emergency services Birthing friendly

Physician 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.

New Patient
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

82.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.33
Promoting Interoperability70
Improvement Activities40
Cost69.53

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.

LINDA CASHMAN-BELTON R.D.
Dietitian, Registered
55 FOGG RD
WEYMOUTH, MA 02190
Norfolk County (781) 340-4293
DR. ARI CHARLES SACKS M.D.
Radiology (Diagnostic Radiology)
55 FOGG RD
WEYMOUTH, MA 02190
Norfolk County (781) 624-8000
OLIVIA SERPA
Dietitian, Registered
55 FOGG RD
WEYMOUTH, MA 02190
Norfolk County (781) 624-8935
MRS. PAULA L KENNEDY RDN
Dietitian, Registered
55 FOGG RD
SOUTH WEYMOUTH, MA 02190
Norfolk County (781) 624-7267
DONNA J HUDSON-BRYANT FNP-BC, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
55 FOGG RD
WEYMOUTH, MA 02190
Norfolk County (781) 624-8000
DR. GABRIEL PARIS DO
Pediatrics
55 FOGG RD
S WEYMOUTH, MA 02190
Norfolk County (781) 624-8000
MELISSA MCPHERSON
Social Worker (Clinical)
55 FOGG RD
WEYMOUTH, MA 02190
Norfolk County (781) 624-3021
NKIRU SOFIA OGBUEFI
Student in an Organized Health Care Education/Training Program
55 FOGG RD
SOUTH WEYMOUTH, MA 02190
Norfolk County (781) 624-8000

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.

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.