NPI registry status
Active
2026 NPPES data Colon & Rectal Surgery Physician NPI 1457524522 M.D.
Verify on CMS → Ben Tsai, M.D.
Colon & Rectal Surgery Physician in Indianapolis, Indiana.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,608 in Colon & Rectal Surgery 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
61
Medicare Part D claims · 44 beneficiaries · Colon & Rectal Surgery Physician avg: 196
Generic prescribing
82%
generic claims · 18% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Ben Tsai, M.D. filed 61 Medicare Part D claims in 2023 as a Colon & Rectal Surgery Physician in Indianapolis, Indiana, prescribing 82% generic.
- 61
- Part D claims, 2023
- 82%
- 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.
Ben Tsai, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
61 0th percentile higher than 0% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. 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.
Source CMS Medicare Part D Prescriber Public Use File · 2023
✓
Board certification likely (heuristic, not verified)
Ben Tsai, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 Ben Tsai, M.D.?
Quality data not reportedPrimary specialty
Colon & Rectal Surgery Physician
Medicare Part D claims
61 69% vs specialty avg
Specialty distribution in Indiana
How Colon & Rectal Surgery Physician compares to other specialties among Indiana providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Colon & Rectal Surgery Physician. Verify directly:
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).
Ben Tsai, M.D. appears in the CMS NPPES registry as a Colon & Rectal Surgery Physician provider holding M.D. credentials at 5255 E STOP 11 RD STE 250, Indianapolis, IN, 46237, with a listed phone of (317) 528-2270. NPI 1457524522 was issued on 04/09/2008.
Medicare Part D records for calendar year 2023 show 61 prescription claims written by this provider, covering 44 Medicare beneficiaries and totaling roughly $3K in drug spend, split 18% brand-name and 82% generic by claim count, with an opioid prescribing rate of 36.1%.
Colon & Rectal Surgery Physician is a narrow specialty nationwide, with 1,608 enrolled providers across 50 states and an average of 196 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1457524522 |
|---|---|
| Specialty | Colon & Rectal Surgery Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 04/09/2008 |
Hospital and facility affiliations
Facilities where Ben Tsai, 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.
Franciscan Physician Network
Indianapolis, IN
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
Ben Tsai, M.D. - brand share 18.0%
Colon & Rectal Surgery Physician average
18% brand-name claims vs 82% generic, on 61 2023 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 2023.
61
Total Claims
$3K
Total Drug Cost
44
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 78
- Total Day Supply
- 1,267
- Brand vs Generic
- 18% brand / 82% generic
- Brand Drug Cost
- $2K
- Generic Drug Cost
- $1K
- Opioid Claims
- 22 (36.1% rate)
Patient Demographics
- Average Patient Age
- 71.2 years
- Avg HCC Risk Score
- 1.35
- Gender Split
- 66% female / 34% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Tramadol Hcl | 13 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Colon & Rectal Surgery Physician Overview
How Ben Tsai, M.D. fits within the Colon & Rectal Surgery Physician landscape nationally.
1,608
Colon & Rectal Surgery Physician Providers in US
50
States with Colon & Rectal Surgery Physician
196
Avg Claims per Provider
Ben Tsai, M.D.'s 61 claims are below the specialty average of 196.
Nearby Colon & Rectal Surgery Physician Providers in Indiana
Other clinicians with the same primary specialty enrolled in Indiana, drawn from the same CMS NPPES roster as Tsai.
Dr. Imran Ahmad
MD
Munster, IN
Dr. Biruk Almaz
M.D.
New Albany, IN
Dr. Santiago Arruffat
M.D.
Evansville, IN
Dr. Paul Broderick
D.O.
Mooresville, IN
Dr. Syam Chilukuri
MD
Evansville, IN
Compare Colon & Rectal Surgery Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Indiana medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Colon & Rectal Surgery Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Ben Tsai, M.D.'s specialty? ▼
Ben Tsai, M.D. specializes in Colon & Rectal Surgery Physician and practices in Indianapolis, Indiana. Credentials: M.D..
How much does Ben Tsai, M.D. prescribe under Medicare Part D? ▼
In 2023, Ben Tsai, M.D. wrote 61 Medicare Part D claims totaling $3K in drug costs for 44 beneficiaries.
Where is Ben Tsai, M.D. located? ▼
Ben Tsai, M.D. is located at 5255 E STOP 11 RD STE 250, Indianapolis, IN, 46237. Phone: (317) 528-2270.
What is Ben Tsai, M.D.'s NPI number? ▼
Ben Tsai, M.D.'s National Provider Identifier (NPI) is 1457524522, issued on 04/09/2008.
Does Ben Tsai, M.D. prescribe more brand-name or generic drugs? ▼
Ben Tsai, M.D.'s prescribing is 18% brand-name and 82% generic drugs by claim count, with $2K in brand drug costs.
Does Ben Tsai, M.D. prescribe opioids? ▼
Yes, Ben Tsai, M.D. had 22 opioid claims in 2023 with an opioid prescribing rate of 36.1%.
How many Colon & Rectal Surgery Physician providers are there in the US? ▼
There are 1,608 Colon & Rectal Surgery Physician providers across 50 states in the US. The average Colon & Rectal Surgery Physician provider writes 196 Medicare Part D claims per year.
What drugs does Ben Tsai, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Ben Tsai, M.D.'s most frequently prescribed drugs include Tramadol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Ben Tsai, M.D. accept Medicare? ▼
Ben Tsai, M.D. appears in CMS Medicare data with 61 Part D claims and 44 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Ben Tsai, M.D.'s credentials? ▼
Ben Tsai, M.D.'s NPI is 1457524522 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 (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- 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 April 2026 (NPPES) / 2023 (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 PlainDoctor editorial team.