2026 NPPES data Otolaryngology Physician NPI 1699940692 M.D.
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EDWARD LEE, M.D.

Otolaryngology Physician in RIVERDALE, New Jersey. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
934
Medicare Part D claims · 305 beneficiaries · Otolaryngology Physician avg: 509
Generic prescribing
98%
generic claims · 2% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: EDWARD LEE, M.D. is a Otolaryngology Physician ([object Object]) practicing in RIVERDALE, New Jersey with a Medicare Part D prescribing footprint of 934 claims across 305 beneficiaries — 2% brand-name prescribing .

What stands out: EDWARD LEE, M.D. filed 934 Medicare Part D claims in 2023 across RIVERDALE, New Jersey. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

EDWARD LEE, 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).

EDWARD LEE, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 04/29/2008

NPI 1699940692

Primary specialty

Otolaryngology Physician

Mid-sized

10,895 US NPIs in this specialty

Medicare Part D claims

934 83% vs specialty avg

2023 prescription claims

Specialty avg: 509

Specialty distribution in New Jersey

How Otolaryngology Physician compares to other specialties among New Jersey providers

New Jersey providers

Otolaryngology Physician share within New Jersey

1. Otolaryngology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Otolaryngology Physician share within New Jersey

Specialty board-certification context

Estimated specialty board-certified rate — Otolaryngology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Otolaryngology Physician ABMS/AOA estimate

Est. board-certified rate (Otolaryngology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Otolaryngology Physician) — ABMS / AOA estimate

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).

EDWARD LEE, M.D. is a Otolaryngology Physician provider practicing in RIVERDALE, New Jersey, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1699940692. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

EDWARD LEE, M.D. appears in the CMS NPPES registry as a Otolaryngology Physician provider holding M.D. credentials at 51 ROUTE 23 SOUTH, RIVERDALE, NJ, 07457, with a listed phone of (973) 831-1220. NPI 1699940692 was issued on 04/29/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what LEE most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 934 prescription claims written by this provider, covering 305 Medicare beneficiaries and totaling roughly $19K in drug spend, split 2% brand-name and 98% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Otolaryngology Physician is a mid-sized specialty nationwide, with 10,895 enrolled providers across 54 states and an average of 509 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

51 ROUTE 23 SOUTH
RIVERDALE, NJ 07457

Provider Details

NPI 1699940692
Specialty Otolaryngology Physician
Credentials M.D.
Gender Male
NPI Issued 04/29/2008

Hospital and facility affiliations

Facilities where EDWARD 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.

SUMMIT MEDICAL GROUP PA
BERKELEY HEIGHTS, NJ

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 · Generic-heavy

EDWARD LEE, M.D. — brand share 2.0%
Specialty average (est.)

2% brand-name claims vs 98% generic, on 934 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.

934
Total Claims
$19K
Total Drug Cost
305
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,503
Total Day Supply
40,203
Brand vs Generic
2% brand / 98% generic
Brand Drug Cost
$2K
Generic Drug Cost
$16K
Antibiotic Claims
118

Patient Demographics

Average Patient Age
72.9 years
Avg HCC Risk Score
1.47
Gender Split
55% female / 45% male
Age Distribution
<65: 44, 65-74: 121, 75-84: 111, 85+: 29

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Fluticasone Propionate
273
Omeprazole
121
Famotidine
109
Ipratropium Bromide
54
Methylprednisolone
47
Prednisone
36
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
36
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
32
Pantoprazole Sodium
26
Ofloxacin
20

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

Otolaryngology Physician Overview

How EDWARD LEE, M.D. fits within the Otolaryngology Physician landscape nationally.

10,895
Otolaryngology Physician Providers in US
54
States with Otolaryngology Physician
509
Avg Claims per Provider

EDWARD LEE, M.D.'s 934 claims are above the specialty average of 509.

Nearby Otolaryngology Physician Providers in New Jersey

Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as LEE.

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

Frequently Asked Questions

What is EDWARD LEE, M.D.'s specialty?
EDWARD LEE, M.D. specializes in Otolaryngology Physician and practices in RIVERDALE, New Jersey. Credentials: M.D..
How much does EDWARD LEE, M.D. prescribe under Medicare Part D?
In 2023, EDWARD LEE, M.D. wrote 934 Medicare Part D claims totaling $19K in drug costs for 305 beneficiaries.
Where is EDWARD LEE, M.D. located?
EDWARD LEE, M.D. is located at 51 ROUTE 23 SOUTH, RIVERDALE, NJ, 07457. Phone: (973) 831-1220.
What is EDWARD LEE, M.D.'s NPI number?
EDWARD LEE, M.D.'s National Provider Identifier (NPI) is 1699940692, issued on 04/29/2008.
Does EDWARD LEE, M.D. prescribe more brand-name or generic drugs?
EDWARD LEE, M.D.'s prescribing is 2% brand-name and 98% generic drugs by claim count, with $2K in brand drug costs.
How many Otolaryngology Physician providers are there in the US?
There are 10,895 Otolaryngology Physician providers across 54 states in the US. The average Otolaryngology Physician provider writes 509 Medicare Part D claims per year.
What drugs does EDWARD LEE, M.D. prescribe most often?
Based on 2023 Medicare Part D data, EDWARD LEE, M.D.'s most frequently prescribed drugs include Fluticasone Propionate, Omeprazole, Famotidine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does EDWARD LEE, M.D. accept Medicare?
EDWARD LEE, M.D. appears in CMS Medicare data with 934 Part D claims and 305 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify EDWARD LEE, M.D.'s credentials?
EDWARD LEE, M.D.'s NPI is 1699940692 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

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