2026 NPPES data Surgery Physician NPI 1245463157 M.D.
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James Tseng, M.D.

Surgery Physician in Lake Havasu City, Arizona. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 36,191 in 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
183
Medicare Part D claims · 115 beneficiaries · Surgery Physician avg: 169
Generic prescribing
64%
generic claims · 36% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
98.2/100
▲ 15 pts above national avg 83.1 · Exceptional
Industry payments
$20.26
1 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

James Tseng, M.D. reported a CMS MIPS final score of 98.2/100 - above the 83.1 national average - and filed 183 Medicare Part D claims in 2023.

98.2/100
MIPS score · +15 vs avg
183
Part D claims, 2023
64%
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.

James Tseng, M.D.'s MIPS score vs every scored U.S. clinician

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

98 Top 11% higher than 89% 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+: 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

Where James Tseng, M.D. sits

This provider among surgery physician peers

Across the 7,525 surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, James Tseng, M.D. writes more Part D claims than 74% of them and scores higher on MIPS quality than 89% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100023.446.770.193.5Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 7James Tseng, M.D.-Part D claim volume, percentile in specialty: 74 · MIPS quality, percentile: 89
Part D claim volume vs MIPS quality, by specialty percentile

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

Board certification likely (heuristic, not verified)

James Tseng, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - 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 James Tseng, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 08/25/2009

NPI 1245463157

Primary specialty

Surgery Physician

Mid-sized

36,191 US NPIs in this specialty

Medicare Part D claims

183 8% vs specialty avg

2023 prescription claims

Specialty avg: 169

MIPS final score

98.2/100 15.1 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Arizona

How Surgery Physician compares to other specialties among Arizona providers

Arizona providers

Largest specialties in Arizona (% of in-state providers)

Pharmacist - 5.6%Pharmacist5.6%Behavior Technician - 5.6%Behavior Technician5.6%Family Nurse Practitioner - 4.3%Family Nurse Practitioner4.3%Physical Therapist - 4.2%Physical Therapist4.2%Speech-Language Pathologist - 3.5%Speech-Language Pathologist3.5%Student in an Organized Health Care Education/Training Program - 3.5%Student in an Organized Health Care Education/Training Program3.5%Surgery Physician - 0.7%Surgery Physician0.7%
Largest specialties in Arizona (% of in-state providers)

Medicare quality performance, MIPS

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

High performer (top quartile)
MIPS Final Score
98.2/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Surgery Physician) - 98.2/100 vs national avg 83.1

0%100%National avg83%98.2%
MIPS final score (Surgery Physician) - 98.2/100 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).

James Tseng, M.D. appears in the CMS NPPES registry as a Surgery Physician provider holding M.D. credentials at 1972 MESQUITE AVE, Lake Havasu City, AZ, 86403, with a listed phone of (288) 546-5009. NPI 1245463157 was issued on 08/25/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Tseng 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 183 prescription claims written by this provider, covering 115 Medicare beneficiaries and totaling roughly $15K in drug spend, split 36% brand-name and 64% generic by claim count, with an opioid prescribing rate of 9.8%. 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 98.2/100 for the 2023 performance year (Quality 100), 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

1972 MESQUITE AVE
Lake Havasu City, AZ 86403

Provider Details

NPI 1245463157
Specialty Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 08/25/2009

CMS Quality Score (MIPS)

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

98.2
Final Score
Avg: 83.1
100
Quality
94
Promoting Interoperability

Reporting: Individual

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 James Tseng, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$20

Largest payer

Medtronic, 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 · Above average

James Tseng, M.D. - brand share 36.0%
Surgery Physician average

36% brand-name claims vs 64% generic, on 183 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.

183
Total Claims
$15K
Total Drug Cost
115
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
220
Total Day Supply
3,615
Brand vs Generic
36% brand / 64% generic
Brand Drug Cost
$10K
Generic Drug Cost
$4K
Opioid Claims
18 (9.8% rate)
Antibiotic Claims
17

Patient Demographics

Average Patient Age
70.3 years
Avg HCC Risk Score
0.93
Gender Split
57% female / 43% male

Top Prescribed Drugs (Medicare Part D)

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

What James Tseng, M.D. 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
Sutab
Sod Sulf/Pot Chloride/Mag Sulf
59
Omeprazole
32
Pantoprazole Sodium
23
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
12

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

Surgery Physician Overview

How James Tseng, 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

James Tseng, M.D.'s 183 claims are above the specialty average of 169.

Nearby Surgery Physician Providers in Arizona

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

Compare 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 Arizona medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby 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.

Frequently Asked Questions

What is James Tseng, M.D.'s specialty?
James Tseng, M.D. specializes in Surgery Physician and practices in Lake Havasu City, Arizona. Credentials: M.D..
How much does James Tseng, M.D. prescribe under Medicare Part D?
In 2023, James Tseng, M.D. wrote 183 Medicare Part D claims totaling $15K in drug costs for 115 beneficiaries.
What is James Tseng, M.D.'s Medicare quality score?
James Tseng, M.D. has a CMS MIPS Final Score of 98.2/100 (Quality: 100). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is James Tseng, M.D. located?
James Tseng, M.D. is located at 1972 MESQUITE AVE, Lake Havasu City, AZ, 86403. Phone: (288) 546-5009.
What is James Tseng, M.D.'s NPI number?
James Tseng, M.D.'s National Provider Identifier (NPI) is 1245463157, issued on 08/25/2009.
Does James Tseng, M.D. prescribe more brand-name or generic drugs?
James Tseng, M.D.'s prescribing is 36% brand-name and 64% generic drugs by claim count, with $10K in brand drug costs.
Does James Tseng, M.D. prescribe opioids?
Yes, James Tseng, M.D. had 18 opioid claims in 2023 with an opioid prescribing rate of 9.8%.
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 James Tseng, M.D. prescribe most often?
Based on 2023 Medicare Part D data, James Tseng, M.D.'s most frequently prescribed drugs include Sutab, Omeprazole, Pantoprazole Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does James Tseng, M.D. accept Medicare?
James Tseng, M.D. appears in CMS Medicare data with 183 Part D claims and 115 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James Tseng, M.D.'s credentials?
James Tseng, M.D.'s NPI is 1245463157 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

Compiled from official public sources by the PlainDoctor editorial team.