Dr. Justin Lalor Rice, MD

  • South Weymouth, MA
  • Emergency medicine physician
NPI1396806436PAC ID4385716109
Medicare services, 2024
737
Medicare patients, 2024
640
Part D claims, 2024
354
MIPS score, 2024
87
Hospital affiliations
1
Practice address
55 Fogg Road, South Weymouth, MA 02190
Practice phone
Call (781) 340-8000
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

South Shore Hospital

Hospital · South Weymouth, Massachusetts

See all 4 affiliations

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Dr. Justin Lalor Rice is an emergency medicine physician in South Weymouth, Massachusetts

Dr. Rice practices at South Shore Hospital in South Weymouth, Massachusetts, part of South Shore Health System.

Dr. Rice's NPI, 1396806436, was assigned on December 13, 2006. Dr. Rice graduated from University of Virginia School of Medicine in 2004. Dr. Rice holds Massachusetts license 243499.

NPI and contact details
Medicare PAC ID
4385716109
NPI enumeration date
December 13, 2006
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(781) 340-8000
Professional email
Get email
Personal email
Get email
Mobile number
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Sex
Male
Estimated age
48
Medical school graduation
2004

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Justin Lalor Rice practices at South Shore Hospital in South Weymouth, Massachusetts

Dr. Rice's primary practice is South Shore Hospital, at 55 Fogg Road, South Weymouth, MA 02190 in Norfolk County. The practice phone is (781) 340-8000.

  • South Shore Hospital
    55 Fogg Road, South Weymouth, MA 02190 · Norfolk CountyPhone(781) 340-8000

Source: Dmand AI Affiliation Data

Dr. Justin Lalor Rice is affiliated with 1 site of care and 3 medical groups

Dr. Rice's primary practice is South Shore Hospital in South Weymouth, Massachusetts, part of South Shore Health System. The medical group on file is Coastal Medical Associates. Dmand AI also links Dr. Rice to 2 more medical groups, each named with a free account.

See all 4 affiliations for Dr. Rice

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Justin Lalor Rice's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Rice practices. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
South Shore HospitalAvailable with a free account
+2 medical groupsAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Justin Lalor Rice is one of 1,483 emergency medicine physicians in Massachusetts

Emergency medicine is Dr. Rice's primary specialty in the NPI Registry, under taxonomy code 207P00000X. Dr. Rice is licensed in Massachusetts.

Specialties and state licenses

  • Emergency medicine, MassachusettsPrimaryLicense 243499 · taxonomy 207P00000X

Emergency medicine physicians near Dr. Rice

Counts of emergency medicine physicians with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Justin Lalor Rice billed Medicare for 737 services in 2024

CMS data shows 737 Medicare services from Dr. Rice across 11 procedure codes in 2024, for 640 Medicare patients. Medicare paid $83,586 for them.

Medicare services, 2024737
Medicare patients640
Paid by Medicare$83,586
Procedure codes11

Dr. Rice's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 5482024: 63015%
Lab and pathology
2023: 02024: 89
Imaging
2023: 02024: 18
Tests and treatments
2023: 1262024: 0100%

Where Dr. Rice's Medicare services took place, 2024

  • In an office26135%
  • In a facility47665%

Dr. Rice compared with the Massachusetts median for emergency medicine physicians, 2024

  • Dr. Rice
  • Massachusetts median
Medicare services
737vs 3412.2 times
Medicare patients
640vs 33790% above
Part D claims
264vs 367.3 times

Medians across 1,477 emergency medicine physicians in Massachusetts with Dmand AI profiles that report each measure.

Dr. Rice's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Rice

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Justin Lalor Rice treated 640 Medicare patients in 2024, average age 75

CMS counts 640 Medicare patients who saw Dr. Rice in 2024. The largest group is 75 to 84, with 232 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 27% are also on Medicaid. Their average risk score is 1.73, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Dr. Rice's median patient age at 57, with 53% women.

Medicare patients, 2024640
Average age75
Average risk score1.73
Also on Medicaid27%

Dr. Rice's Medicare patients by age, 2024

Dr. Rice's Medicare patients by sex, 2024

  • Women38961%
  • Men25139%

Chronic conditions among Dr. Rice's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol75%
  3. Arthritis56%
  4. Anxiety47%
  5. Mood disorders43%
  6. Chronic kidney disease38%
  7. Depression38%
  8. Ischemic heart disease38%

Share of Medicare patients with each condition. A patient can have several.

Dr. Rice's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 57

Patient panel by sex, all payers

  • Women53%
  • Men46%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Justin Lalor Rice wrote 354 Medicare Part D claims in 2024

In 2024, Dr. Rice wrote 354 Medicare Part D claims for 242 patients. 93% of them were for generic drugs. CMS names the drug for 264 of them, across 12 drugs with 11 or more claims each, at $3,016 in total drug cost. In 2023, CMS named 68 claims across 5 drugs.

Part D claims, 2024354
Drugs named by CMS12
Total drug cost$3,016
Part D patients242

Dr. Rice's Part D claims by kind of drug, 2024

  • Generic328 claims93%
  • Brand-name and other26 claims7%

Dr. Rice's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Rice's Part D claims, 2024

  • Opioids10%34 of 354 claims
  • Antibiotics54%192 of 354 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 682024: 264288%

Drugs named by CMS: 12 in 2024, 5 in 2023.

See all prescribing by Dr. Rice

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Justin Lalor Rice scored 87 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 87 out of 100 for Dr. Rice for performance year 2024, reported as part of a group. Dr. Rice accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Dr. Rice's MIPS scores, performance year 2024

  • 87of 100Final score
  • 88.1of 100Quality
  • 71of 100Promoting Interoperability
  • 40of 100Improvement Activities
  • 78of 100Cost

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026

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Dr. Justin Lalor Rice graduated from University of Virginia School of Medicine

Dr. Rice graduated from University of Virginia School of Medicine in 2004.

  1. Medical schoolUniversity of Virginia School of Medicine

Source: Dmand AI Professional Profile Data

Sources for Dr. Justin Lalor Rice's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Justin Lalor Rice

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Justin Lalor Rice's NPI number?

Dr. Justin Lalor Rice's NPI number is 1396806436. It was assigned on December 13, 2006, and it is active in the NPI Registry.

What kind of doctor is Dr. Justin Lalor Rice?

Dr. Justin Lalor Rice is an emergency medicine physician in South Weymouth, Massachusetts. The primary specialty in the NPI Registry is Emergency Medicine Physician (taxonomy code 207P00000X).

Where does Dr. Justin Lalor Rice practice?

Dr. Rice practices at 55 Fogg Road, South Weymouth, MA 02190. Dr. Rice's primary practice is South Shore Hospital in South Weymouth, Massachusetts, part of South Shore Health System. Dmand AI also links Dr. Rice to 2 medical groups.

What is Dr. Justin Lalor Rice's office phone number?

The practice phone on file for Dr. Rice is (781) 340-8000.

What is Dr. Justin Lalor Rice's medical license number?

Dr. Rice holds Massachusetts license 243499.

Which hospitals is Dr. Justin Lalor Rice affiliated with?

Dr. Rice practices at South Shore Hospital in South Weymouth, Massachusetts.

What medical group is Dr. Justin Lalor Rice part of?

Dr. Rice is linked to Coastal Medical Associates. Dmand AI links Dr. Rice to 2 more medical groups.

Does Dr. Justin Lalor Rice accept Medicare?

Yes. CMS data shows Dr. Rice billed Medicare for 737 services in 2024, and Dr. Rice accepts Medicare assignment.

What is Dr. Justin Lalor Rice's MIPS score?

Dr. Rice's MIPS final score for performance year 2024 is 87 out of 100, reported as part of a group.

How many Medicare patients does Dr. Justin Lalor Rice see?

CMS counts 640 Medicare patients who saw Dr. Rice in 2024, with an average age of 75.

Show 4 more questionsShow fewer questions

What services does Dr. Justin Lalor Rice bill to Medicare?

In 2024, Dr. Rice's most billed Medicare services were emergency department visit (99285), office visit, established patient (99214) and critical care (99291).

Where did Dr. Justin Lalor Rice go to medical school?

Dr. Rice graduated from University of Virginia School of Medicine in 2004.

What drugs does Dr. Justin Lalor Rice prescribe most?

In 2024 Medicare Part D data, Dr. Rice's most prescribed drugs by claims were Doxycycline Hyclate, Cefpodoxime Proxetil and Prednisone.

How long has Dr. Justin Lalor Rice been practicing?

Dr. Rice graduated from medical school in 2004, 22 years ago.

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