2026 NPPES data Surgery Physician NPI 1578667804 M.D.
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HAMILTON LE, M.D.

Surgery Physician in OKLAHOMA CITY, Oklahoma. 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
296
Medicare Part D claims · 80 beneficiaries · Surgery Physician avg: 169
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
77.6983/100
▼ 5 pts below national avg 83.1 · [object Object]
Industry payments
$1.3K
8 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: HAMILTON LE, M.D. is a Surgery Physician ([object Object]) practicing in OKLAHOMA CITY, Oklahoma with a Medicare Part D prescribing footprint of 296 claims across 80 beneficiaries — 6% brand-name prescribing . Their CMS MIPS Final Score of 77.6983/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $1.3K across 8 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: HAMILTON LE, M.D. reported a CMS MIPS final score of 77.6983 out of 100, below the 83.1 national average, and filed 296 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

HAMILTON LE, 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).

HAMILTON LE, M.D. at a glance

Below national average

NPI registry status

Active

Issued 09/08/2006

NPI 1578667804

Primary specialty

Surgery Physician

Mid-sized

36,191 US NPIs in this specialty

Medicare Part D claims

296 75% vs specialty avg

2023 prescription claims

Specialty avg: 169

MIPS final score

77.6983/100 5.401699999999991% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Oklahoma

How Surgery Physician compares to other specialties among Oklahoma providers

Oklahoma providers

Surgery Physician share within Oklahoma

1. Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Surgery Physician share within Oklahoma

Medicare quality performance — MIPS

HAMILTON LE, M.D.'s 2023 MIPS final score plotted against the Surgery Physician national average

Below national average
MIPS Final Score
77.6983/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Surgery Physician) — 77.6983/100 vs national avg 83.1

0%100%National avg83%77.7%
MIPS final score (Surgery Physician) — 77.6983/100 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).

HAMILTON LE, M.D. is a Surgery Physician provider practicing in OKLAHOMA CITY, Oklahoma, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1578667804. 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.

HAMILTON LE, M.D. appears in the CMS NPPES registry as a Surgery Physician provider holding M.D. credentials at 3433 NW 56TH ST, OKLAHOMA CITY, OK, 73112, with a listed phone of (405) 951-2131. NPI 1578667804 was issued on 09/08/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what LE 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 296 prescription claims written by this provider, covering 80 Medicare beneficiaries and totaling roughly $13K in drug spend, split 6% brand-name and 94% generic by claim count, with an opioid prescribing rate of 17.2%. 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 77.6983/100 for the 2023 performance year (Quality 82.5298, Cost 43.1313), compared with the national average of 83.1.

Surgery Physician is a mid-sized specialty nationwide, with 36,191 enrolled providers across 56 states and an average of 169 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

3433 NW 56TH ST
OKLAHOMA CITY, OK 73112

Provider Details

NPI 1578667804
Specialty Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 09/08/2006

CMS Quality Score (MIPS)

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

77.6983
Final Score
Avg: 83.1
82.5298
Quality
43.1313
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where HAMILTON LE, 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.

INTEGRIS AMBULATORY CARE CORPORATION
OKLAHOMA CITY, OK

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 HAMILTON LE, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$1.3K

Largest payer

INTUITIVE SURGICAL, 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.

Brand vs generic prescribing mix · Generic-heavy

HAMILTON LE, M.D. — brand share 6.0%
Specialty average (est.)

6% brand-name claims vs 94% generic, on 296 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.

296
Total Claims
$13K
Total Drug Cost
80
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
479
Total Day Supply
11,060
Brand vs Generic
6% brand / 94% generic
Brand Drug Cost
$4K
Generic Drug Cost
$10K
Opioid Claims
51 (17.2% rate)

Patient Demographics

Average Patient Age
62.3 years
Avg HCC Risk Score
1.57
Gender Split
75% female / 25% male
Age Distribution
<65: 40, 65-74: 35, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Pantoprazole Sodium
75
Ursodiol
69
Ondansetron Odt
Ondansetron
60
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
44

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

Surgery Physician Overview

How HAMILTON LE, M.D. fits within the Surgery Physician landscape nationally.

36,191
Surgery Physician Providers in US
56
States with Surgery Physician
169
Avg Claims per Provider

HAMILTON LE, M.D.'s 296 claims are above the specialty average of 169.

Nearby Surgery Physician Providers in Oklahoma

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

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

Frequently Asked Questions

What is HAMILTON LE, M.D.'s specialty?
HAMILTON LE, M.D. specializes in Surgery Physician and practices in OKLAHOMA CITY, Oklahoma. Credentials: M.D..
How much does HAMILTON LE, M.D. prescribe under Medicare Part D?
In 2023, HAMILTON LE, M.D. wrote 296 Medicare Part D claims totaling $13K in drug costs for 80 beneficiaries.
What is HAMILTON LE, M.D.'s Medicare quality score?
HAMILTON LE, M.D. has a CMS MIPS Final Score of 77.6983/100 (Quality: 82.5298, Cost: 43.1313). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is HAMILTON LE, M.D. located?
HAMILTON LE, M.D. is located at 3433 NW 56TH ST, OKLAHOMA CITY, OK, 73112. Phone: (405) 951-2131.
What is HAMILTON LE, M.D.'s NPI number?
HAMILTON LE, M.D.'s National Provider Identifier (NPI) is 1578667804, issued on 09/08/2006.
Does HAMILTON LE, M.D. prescribe more brand-name or generic drugs?
HAMILTON LE, M.D.'s prescribing is 6% brand-name and 94% generic drugs by claim count, with $4K in brand drug costs.
Does HAMILTON LE, M.D. prescribe opioids?
Yes, HAMILTON LE, M.D. had 51 opioid claims in 2023 with an opioid prescribing rate of 17.2%.
How many Surgery Physician providers are there in the US?
There are 36,191 Surgery Physician providers across 56 states in the US. The average Surgery Physician provider writes 169 Medicare Part D claims per year.
What drugs does HAMILTON LE, M.D. prescribe most often?
Based on 2023 Medicare Part D data, HAMILTON LE, M.D.'s most frequently prescribed drugs include Pantoprazole Sodium, Ursodiol, Ondansetron Odt. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does HAMILTON LE, M.D. accept Medicare?
HAMILTON LE, M.D. appears in CMS Medicare data with 296 Part D claims and 80 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify HAMILTON LE, M.D.'s credentials?
HAMILTON LE, M.D.'s NPI is 1578667804 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.
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