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2026 NPPES data Rheumatology Physician NPI 1437124559 M.D.
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Albert Lee, M.D.

Rheumatology Physician in Norfolk, Virginia.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 6,377 in Rheumatology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
3K
Medicare Part D claims · 566 beneficiaries · Rheumatology Physician avg: 2K
Generic prescribing
84%
generic claims · 16% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
95.1/100
▲ 12 pts above national avg 83.5 · Exceptional
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Albert Lee, M.D. reported a CMS MIPS final score of 95.1/100 - above the 83.5 national average - and filed 3,397 Medicare Part D claims in 2024.

95.1/100
MIPS score · +12 vs avg
3K
Part D claims, 2024
84%
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.

Federal trust snapshot

What official records show about Albert Lee, M.D.

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1437124559), first enumerated 02/22/2006.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 3,397 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 95.1/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Hospital affiliations

    1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1437124559 · Rheumatology Physician

NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-ELITE · RX-MID · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1437124559
  • ENUM-LEGACY 2006
  • TAX-MID 6K Rheumatology Physician
  • MIPS-ELITE 95.1/100
  • RX-MID 3,397
  • BOOK-THIN 148 in Virginia
  • PHOTO-FINISH Jacobo Futran · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Albert Lee, M.D.'s MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

95 ≥ 78th percentile 78% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). Below this entry. 90+: 189,403 measured providers (42%). This entry sits in this band. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Albert Lee, M.D. sits

This provider among rheumatology physician peers

Across the 1,970 rheumatology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Albert Lee, M.D. writes more Part D claims than 79% of them and scores higher on MIPS quality than 76% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.949.974.899.8Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 65Albert Lee, M.D., Part D claim volume, percentile in specialty: 79 · MIPS quality, percentile: 76
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one rheumatology physician peer from a representative sample of 60; the gold marker is Albert Lee, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic, not verified)

Albert Lee, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - 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 Albert Lee, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 02/22/2006

NPI 1437124559

Primary specialty

Rheumatology Physician

Mid-sized

6,377 US NPIs in this specialty

Medicare Part D claims

3,397 65% vs specialty avg

2024 prescription claims

Specialty avg: 2,058

MIPS final score

95.1/100 11.6 pts vs avg

Exceptional band

vs 83.5 national avg

Specialty distribution in Virginia

How Rheumatology Physician compares to other specialties among Virginia providers

Virginia providers
Behavior Technician5.5%Clinical Social Worker5.2%Student in an Organized Heal…4.7%Physical Therapist4.6%Pharmacist4.4%Professional Counselor4%Rheumatology Physician0.1%
Largest specialties in Virginia (% of in-state providers)

Medicare quality performance, MIPS

Albert Lee, M.D.'s 2023 MIPS final score plotted against the Rheumatology Physician national average

High performer (top quartile)
MIPS Final Score
95.1/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%95.1%
MIPS final score (Rheumatology Physician) - 95.1/100 vs national avg 83.5
How MIPS and board certification work

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).

Practice Address

844 KEMPSVILLE RD STE 103B
Norfolk, VA 23502
(757) 261-0200

Provider Details

NPI 1437124559
Specialty Rheumatology Physician
Credentials M.D.
Gender Male
NPI Issued 02/22/2006

CMS Quality Score (MIPS)

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

95.1126
Final Score
Measured-score avg: 83.5
86.3184
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where Albert Lee, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

Sentara Medical Group
Virginia Bch, VA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Typical

Albert Lee, M.D. - brand share 16.0%
Rheumatology Physician average

16% brand-name claims vs 84% generic, on 3,397 2024 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 2024.

3,397
Total Claims
$3.7M
Total Drug Cost
566
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
6,341.7
Total Day Supply
185,953
Brand vs Generic
16% brand / 84% generic
Brand Drug Cost
$3.6M
Generic Drug Cost
$87K
Opioid Claims
101 (3.0% rate)
Antibiotic Claims
16

Patient Demographics

Average Patient Age
69.9 years
Avg HCC Risk Score
1.80
Gender Split
82% female / 18% male
Age Distribution
<65: 117, 65-74: 262, 75-84: 154, 85+: 33

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Albert Lee, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Methotrexate
Methotrexate Sodium
546
Hydroxychloroquine Sulfate
 432
Prednisone
 348
Alendronate Sodium
 282
Cyclobenzaprine Hcl
 153
Humira(Cf) Pen
Adalimumab
147
Enbrel Sureclick
Etanercept
83
Gabapentin
 83
Allopurinol
 78
Celecoxib
 74

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

More Rheumatology Physician in VA → All providers in Virginia → Compare specialties →

Rheumatology Physician Overview

How Albert Lee, M.D. fits within the Rheumatology Physician landscape nationally.

6,377
Rheumatology Physician Providers in US
52
States with Rheumatology Physician
2,058
Avg Claims per Provider

Albert Lee, M.D.'s 3,397 claims are above the specialty average of 2,058.

Nationwide Rheumatology Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Lee, both outside Virginia so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (95.1 here).

Mirza Beg 95.1 WV Jacobo Futran 95.1 NY Adam Berlinberg 95.1 CO Deneen Dicarlo 95.2 CA

Same NPPES enumeration year (2006)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Christopher Manning Southington, CT Stefan Monev Indianapolis, IN Xiaoyin Tang Neptune, NJ Robert Valente Lincoln, NE

Nearby Rheumatology Physician Providers in Virginia

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

One of 148 Rheumatology Physician providers enrolled in Virginia, 5 are shown here.

Dr. Romy Abou Mrad
MD
Harrisonburg, VA
Dr. Claude Abujrab-Saba
M.D.
Reston, VA
Dr. Gold Adkins
MD
Charlottesville, VA
Dr. Navera Ahmed
M. D.
Falls Church, VA
Dr. Avnit Ahuja
MD
Richmond, VA

Compare Rheumatology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Albert Lee, M.D.'s specialty? ▼
Albert Lee, M.D. specializes in Rheumatology Physician and practices in Norfolk, Virginia. Credentials: M.D..
How much does Albert Lee, M.D. prescribe under Medicare Part D? ▼
In 2024, Albert Lee, M.D. wrote 3,397 Medicare Part D claims totaling $3.7M in drug costs for 566 beneficiaries.
What is Albert Lee, M.D.'s Medicare quality score? ▼
Albert Lee, M.D. has a CMS MIPS Final Score of 95.1/100 (Quality: 86.3). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Albert Lee, M.D. located? ▼
Albert Lee, M.D. is located at 844 KEMPSVILLE RD STE 103B, Norfolk, VA, 23502. Phone: (757) 261-0200.
What is Albert Lee, M.D.'s NPI number? ▼
Albert Lee, M.D.'s National Provider Identifier (NPI) is 1437124559, issued on 02/22/2006.
Does Albert Lee, M.D. prescribe more brand-name or generic drugs? ▼
Albert Lee, M.D.'s prescribing is 16% brand-name and 84% generic drugs by claim count, with $3.6M in brand drug costs.
Does Albert Lee, M.D. prescribe opioids? ▼
Yes, Albert Lee, M.D. had 101 opioid claims in 2024 with an opioid prescribing rate of 3.0%.
How many Rheumatology Physician providers are there in the US? ▼
There are 6,377 Rheumatology Physician providers across 52 states in the US. The average Rheumatology Physician provider writes 2,058 Medicare Part D claims per year.
What drugs does Albert Lee, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Albert Lee, M.D.'s most frequently prescribed drugs include Methotrexate, Hydroxychloroquine Sulfate, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Albert Lee, M.D. accept Medicare? ▼
Albert Lee, M.D. appears in CMS Medicare data with 3,397 Part D claims and 566 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Albert Lee, M.D.'s credentials? ▼
Albert Lee, M.D.'s NPI is 1437124559 with credentials M.D.. 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

View source datasets and methodology notes
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 (2024). 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 August 2026 (NPPES) / 2024 (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

Compiled from official public sources by the editorial process.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.