2026 NPPES data Pain Medicine (Anesthesiology) Physician NPI 1255667812 MD
Verify on CMS →

JEFFERY LEE, MD

Pain Medicine (Anesthesiology) Physician in HOUSTON, Texas. 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
5K
Medicare Part D claims · 996 beneficiaries · Pain Medicine (Anesthesiology) Physician avg: 2K
Generic prescribing
96%
generic claims · 4% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
54.1333/100
▼ 29 pts below national avg 83.1 · [object Object]
Industry payments
$354.44
17 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JEFFERY LEE, MD reported a CMS MIPS final score of 54.1333/100 — below the 83.1 national average — and filed 5,444 Medicare Part D claims in 2023.

54.1333/100
MIPS score · -29 vs avg
5K
Part D claims, 2023
96%
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.

JEFFERY 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

54 5th percentile higher than 5% 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%). This entry sits in this band. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. 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)

JEFFERY LEE, MD 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).

What does the federal data show about JEFFERY LEE, MD?

Below national average

NPI registry status

Active

Issued 11/02/2009

NPI 1255667812

Primary specialty

Pain Medicine (Anesthesiology) Physician

Niche

4,020 US NPIs in this specialty

Medicare Part D claims

5,444 229% vs specialty avg

2023 prescription claims

Specialty avg: 1,657

MIPS final score

54.1333/100 28.966699999999996% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Texas

How Pain Medicine (Anesthesiology) Physician compares to other specialties among Texas providers

Texas providers

Pain Medicine (Anesthesiology) Physician share within Texas

1. Pain Medicine (Anesthesiology) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pain Medicine (Anesthesiology) Physician share within Texas

Medicare quality performance — MIPS

JEFFERY LEE, MD's 2023 MIPS final score plotted against the Pain Medicine (Anesthesiology) Physician national average

Below national average
MIPS Final Score
54.1333/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pain Medicine (Anesthesiology) Physician) — 54.1333/100 vs national avg 83.1

0%100%National avg83%54.1%
MIPS final score (Pain Medicine (Anesthesiology) Physician) — 54.1333/100 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).

JEFFERY LEE, MD appears in the CMS NPPES registry as a Pain Medicine (Anesthesiology) Physician provider holding MD credentials at 11920 ASTORIA BLVD STE 130, HOUSTON, TX, 77089, with a listed phone of (281) 922-0400. NPI 1255667812 was issued on 11/02/2009. 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 5,444 prescription claims written by this provider, covering 996 Medicare beneficiaries and totaling roughly $265K in drug spend, split 4% brand-name and 96% generic by claim count, with an opioid prescribing rate of 61.6%. 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 54.1333/100 for the 2023 performance year (Quality 33.3333), compared with the national average of 83.1.

Pain Medicine (Anesthesiology) Physician is a narrow specialty nationwide, with 4,020 enrolled providers across 53 states and an average of 1,657 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

11920 ASTORIA BLVD STE 130
HOUSTON, TX 77089

Provider Details

NPI 1255667812
Specialty Pain Medicine (Anesthesiology) Physician
Credentials MD
Gender Male
NPI Issued 11/02/2009

CMS Quality Score (MIPS)

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

54.1333
Final Score
Avg: 83.1
33.3333
Quality
86
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where JEFFERY 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.

BASEM HAMID MD PA
HOUSTON, TX

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 JEFFERY LEE, MD. Source: openpaymentsdata.cms.gov.

Total received

$354

Largest payer

Collegium Pharmaceutical, 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 — Texas TMB 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 ~77K Texas medical licensees in 2023 — they are NOT specific to JEFFERY LEE, MD. To verify JEFFERY LEE, MD's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

JEFFERY LEE, MD — brand share 4.0%
Specialty average (est.)

4% brand-name claims vs 96% generic, on 5,444 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.

5,444
Total Claims
$265K
Total Drug Cost
996
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
6,054
Total Day Supply
164,702
Brand vs Generic
4% brand / 96% generic
Brand Drug Cost
$119K
Generic Drug Cost
$145K
Opioid Claims
3,352 (61.6% rate)
Antibiotic Claims
18

Patient Demographics

Average Patient Age
69.4 years
Avg HCC Risk Score
2.09
Gender Split
69% female / 31% male
Age Distribution
<65: 259, 65-74: 456, 75-84: 220, 85+: 61

Top Prescribed Drugs (Medicare Part D)

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

What JEFFERY 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
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
1,985
Gabapentin
369
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
350
Tizanidine Hcl
349
Pregabalin
327
Tramadol Hcl
309
Acetaminophen-Codeine
Acetaminophen With Codeine
179
Duloxetine Hcl
147
Cyclobenzaprine Hcl
135
Baclofen
113

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

Pain Medicine (Anesthesiology) Physician Overview

How JEFFERY LEE, MD fits within the Pain Medicine (Anesthesiology) Physician landscape nationally.

4,020
Pain Medicine (Anesthesiology) Physician Providers in US
53
States with Pain Medicine (Anesthesiology) Physician
1,657
Avg Claims per Provider

JEFFERY LEE, MD's 5,444 claims are above the specialty average of 1,657.

Nearby Pain Medicine (Anesthesiology) Physician Providers in Texas

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

Compare Pain Medicine (Anesthesiology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JEFFERY LEE, MD's specialty?
JEFFERY LEE, MD specializes in Pain Medicine (Anesthesiology) Physician and practices in HOUSTON, Texas. Credentials: MD.
How much does JEFFERY LEE, MD prescribe under Medicare Part D?
In 2023, JEFFERY LEE, MD wrote 5,444 Medicare Part D claims totaling $265K in drug costs for 996 beneficiaries.
What is JEFFERY LEE, MD's Medicare quality score?
JEFFERY LEE, MD has a CMS MIPS Final Score of 54.1333/100 (Quality: 33.3333). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JEFFERY LEE, MD located?
JEFFERY LEE, MD is located at 11920 ASTORIA BLVD STE 130, HOUSTON, TX, 77089. Phone: (281) 922-0400.
What is JEFFERY LEE, MD's NPI number?
JEFFERY LEE, MD's National Provider Identifier (NPI) is 1255667812, issued on 11/02/2009.
Does JEFFERY LEE, MD prescribe more brand-name or generic drugs?
JEFFERY LEE, MD's prescribing is 4% brand-name and 96% generic drugs by claim count, with $119K in brand drug costs.
Does JEFFERY LEE, MD prescribe opioids?
Yes, JEFFERY LEE, MD had 3,352 opioid claims in 2023 with an opioid prescribing rate of 61.6%.
How many Pain Medicine (Anesthesiology) Physician providers are there in the US?
There are 4,020 Pain Medicine (Anesthesiology) Physician providers across 53 states in the US. The average Pain Medicine (Anesthesiology) Physician provider writes 1,657 Medicare Part D claims per year.
What drugs does JEFFERY LEE, MD prescribe most often?
Based on 2023 Medicare Part D data, JEFFERY LEE, MD's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Gabapentin, Oxycodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JEFFERY LEE, MD accept Medicare?
JEFFERY LEE, MD appears in CMS Medicare data with 5,444 Part D claims and 996 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JEFFERY LEE, MD's credentials?
JEFFERY LEE, MD's NPI is 1255667812 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