Justin Nguyen, MD
NPI 1093205478 · Urology Physician · Raleigh, NC
Enrolled with Medicare as Practitioner - Urology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Justin Nguyen, MD is a Urology Physician provider in Raleigh, NC (NPI 1093205478).
Provider details
- NPI number
- 1093205478
- Entity type
- Individual
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2023-01224 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
8 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
754 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Automated Urinalysis Test81003 | 179 | $2 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 120 | $120 |
| Ultrasound Measurement of Bladder Capacity After Voiding51798 | 90 | $10 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 69 | $155 |
| Manual Urinalysis Test With Examination Using Microscope, Automated81001 | 58 | $3 |
| Creatinine Level to Test for Kidney Function Or Muscle Injury82570 | 58 | $5 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 10 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Tamsulosin Hcl | 232 | 106 |
| Finasteride | 80 | 31 |
| Vibegronbrand: Gemtesa | 79 | 28 |
| Methenamine Hippurate | 60 | 17 |
| Ciprofloxacin Hcl | 51 | 43 |
| Oxybutynin Chloridebrand: Oxybutynin Chloride Er | 34 | 20 |
| Cephalexin | 26 | 20 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$634 across 20 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 20 York StNew Haven, CT 06510-3220Phone: (203) 688-4242
Registry dates
- Enumerated
- 2018-05-11
- Last updated
- 2023-06-21
- Certified
- 2023-06-21
Frequently asked questions
- What is Justin Nguyen's NPI number?
- Justin Nguyen's National Provider Identifier (NPI) is 1093205478, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Justin Nguyen's specialty?
- Justin Nguyen is listed in the NPPES registry with a primary specialty of Urology Physician (Allopathic & Osteopathic Physicians).
- Where is Justin Nguyen located?
- Justin Nguyen's practice location on file with NPPES is 10010 Falls of Neuse Rd, Raleigh, NC 27614-8494.
- What is Justin Nguyen's phone number?
- The practice phone number listed in the NPPES registry for Justin Nguyen is (919) 350-1570.
- Does Justin Nguyen accept Medicare?
- Justin Nguyen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Justin Nguyen's NPI active?
- Yes — Justin Nguyen's NPI (1093205478) is active in the NPPES registry as of the last update on 2023-06-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.