2026 NPPES data Obstetrics & Gynecology Physician NPI 1295796266 MD
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ELAINE CHEON-LEE, MD

Obstetrics & Gynecology Physician in SCHENECTADY, New York. 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
286
Medicare Part D claims · 110 beneficiaries · Obstetrics & Gynecology Physician avg: 179
Generic prescribing
84%
generic claims · 16% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
91.7929/100
▲ 9 pts above national avg 83.1 · [object Object]
Industry payments
$105.06
6 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ELAINE CHEON-LEE, MD reported a CMS MIPS final score of 91.7929/100 — above the 83.1 national average — and filed 286 Medicare Part D claims in 2023.

91.7929/100
MIPS score · +9 vs avg
286
Part D claims, 2023
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.

ELAINE CHEON-LEE, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

92 Top 37% higher than 63% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

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

Board certification likely (heuristic — not verified)

ELAINE CHEON-LEE, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — 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 ELAINE CHEON-LEE, MD?

High performer (top quartile)

NPI registry status

Active

Issued 03/30/2006

NPI 1295796266

Primary specialty

Obstetrics & Gynecology Physician

Mid-sized

44,313 US NPIs in this specialty

Medicare Part D claims

286 60% vs specialty avg

2023 prescription claims

Specialty avg: 179

MIPS final score

91.7929/100 8.692900000000009% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New York

How Obstetrics & Gynecology Physician compares to other specialties among New York providers

New York providers

Obstetrics & Gynecology Physician share within New York

1. Obstetrics & Gynecology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Obstetrics & Gynecology Physician share within New York

Medicare quality performance — MIPS

ELAINE CHEON-LEE, MD's 2023 MIPS final score plotted against the Obstetrics & Gynecology Physician national average

High performer (top quartile)
MIPS Final Score
91.7929/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Obstetrics & Gynecology Physician) — 91.7929/100 vs national avg 83.1

0%100%National avg83%91.8%
MIPS final score (Obstetrics & Gynecology Physician) — 91.7929/100 vs national avg 83.1

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).

ELAINE CHEON-LEE, MD appears in the CMS NPPES registry as a Obstetrics & Gynecology Physician provider holding MD credentials at CARENET MEDICAL GROUP, SCHENECTADY, NY, 12309, with a listed phone of (518) 381-1121. NPI 1295796266 was issued on 03/30/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CHEON-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 286 prescription claims written by this provider, covering 110 Medicare beneficiaries and totaling roughly $34K in drug spend, split 16% brand-name and 84% 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 91.7929/100 for the 2023 performance year (Quality 98.7182, Cost 74.352), compared with the national average of 83.1.

Obstetrics & Gynecology Physician is a mid-sized specialty nationwide, with 44,313 enrolled providers across 56 states and an average of 179 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

CARENET MEDICAL GROUP
SCHENECTADY, NY 12309

Provider Details

NPI 1295796266
Specialty Obstetrics & Gynecology Physician
Credentials MD
Gender Female
NPI Issued 03/30/2006

CMS Quality Score (MIPS)

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

91.7929
Final Score
Avg: 83.1
98.7182
Quality
74.352
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where ELAINE CHEON-LEE, MD 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.

CARENET MEDICAL GROUP, PC
SCHENECTADY, NY
COMMUNITY CARE PHYSICIANS PLLC
LATHAM, NY

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

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for ELAINE CHEON-LEE, MD. Source: openpaymentsdata.cms.gov.

Total received

$105

Largest payer

Astellas Pharma US Inc

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — New York NYSBPMC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~100K New York medical licensees in 2023 — they are NOT specific to ELAINE CHEON-LEE, MD. To verify ELAINE CHEON-LEE, MD's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

ELAINE CHEON-LEE, MD — brand share 16.0%
Specialty average (est.)

16% brand-name claims vs 84% generic, on 286 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.

286
Total Claims
$34K
Total Drug Cost
110
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
599
Total Day Supply
16,590
Brand vs Generic
16% brand / 84% generic
Brand Drug Cost
$21K
Generic Drug Cost
$13K

Patient Demographics

Average Patient Age
71.4 years
Avg HCC Risk Score
0.69
Gender Split
100% female / 0% male

Top Prescribed Drugs (Medicare Part D)

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

What ELAINE CHEON-LEE, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Estradiol
53
Alendronate Sodium
24
Fluconazole
20
Valacyclovir
Valacyclovir Hcl
17
Nystatin
16
Nystatin-Triamcinolone
Nystatin/Triamcinolone Acet
11
Yuvafem
Estradiol
11
Premarin
"Estrogens
N/A

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

Obstetrics & Gynecology Physician Overview

How ELAINE CHEON-LEE, MD fits within the Obstetrics & Gynecology Physician landscape nationally.

44,313
Obstetrics & Gynecology Physician Providers in US
56
States with Obstetrics & Gynecology Physician
179
Avg Claims per Provider

ELAINE CHEON-LEE, MD's 286 claims are above the specialty average of 179.

Nearby Obstetrics & Gynecology Physician Providers in New York

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

Compare Obstetrics & Gynecology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ELAINE CHEON-LEE, MD's specialty?
ELAINE CHEON-LEE, MD specializes in Obstetrics & Gynecology Physician and practices in SCHENECTADY, New York. Credentials: MD.
How much does ELAINE CHEON-LEE, MD prescribe under Medicare Part D?
In 2023, ELAINE CHEON-LEE, MD wrote 286 Medicare Part D claims totaling $34K in drug costs for 110 beneficiaries.
What is ELAINE CHEON-LEE, MD's Medicare quality score?
ELAINE CHEON-LEE, MD has a CMS MIPS Final Score of 91.7929/100 (Quality: 98.7182, Cost: 74.352). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ELAINE CHEON-LEE, MD located?
ELAINE CHEON-LEE, MD is located at CARENET MEDICAL GROUP, SCHENECTADY, NY, 12309. Phone: (518) 381-1121.
What is ELAINE CHEON-LEE, MD's NPI number?
ELAINE CHEON-LEE, MD's National Provider Identifier (NPI) is 1295796266, issued on 03/30/2006.
Does ELAINE CHEON-LEE, MD prescribe more brand-name or generic drugs?
ELAINE CHEON-LEE, MD's prescribing is 16% brand-name and 84% generic drugs by claim count, with $21K in brand drug costs.
How many Obstetrics & Gynecology Physician providers are there in the US?
There are 44,313 Obstetrics & Gynecology Physician providers across 56 states in the US. The average Obstetrics & Gynecology Physician provider writes 179 Medicare Part D claims per year.
What drugs does ELAINE CHEON-LEE, MD prescribe most often?
Based on 2023 Medicare Part D data, ELAINE CHEON-LEE, MD's most frequently prescribed drugs include Estradiol, Alendronate Sodium, Fluconazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ELAINE CHEON-LEE, MD accept Medicare?
ELAINE CHEON-LEE, MD appears in CMS Medicare data with 286 Part D claims and 110 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ELAINE CHEON-LEE, MD's credentials?
ELAINE CHEON-LEE, MD's NPI is 1295796266 with credentials MD. 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.
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 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