2026 NPPES data Interventional Cardiology Physician NPI 1154502045 M.D.
Verify on CMS →

John Lee, M.D.

Interventional Cardiology Physician in Oakland, New Jersey.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 3,565 in Interventional Cardiology 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
5K
Medicare Part D claims · 683 beneficiaries · Interventional Cardiology Physician avg: 3K
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$2.9K
51 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

John Lee, M.D. filed 5,425 Medicare Part D claims in 2024 as an Interventional Cardiology Physician in Oakland, New Jersey, prescribing 86% generic.

5K
Part D claims, 2024
86%
generic prescribing
Likely
board-certified (heuristic)
≥94th
pct by Part D claim volume (lower-bound band)

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.

Federal trust snapshot

What official records show about John Lee, M.D.

Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1154502045), first enumerated 11/19/2007.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 5,425 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Hospital affiliations

    3 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Reported

    Industry payment transparency

    $2.9K in reported industry payments (51 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1154502045 · Interventional Cardiology Physician

NPI-10 · ENUM-MID · TAX-NARROW · RX-MID · BOOK-THIN · PHOTO-ENUM

  • NPI-10 1154502045
  • ENUM-MID 2007
  • TAX-NARROW 3,565
  • RX-MID 5,425
  • BOOK-THIN 114 in New Jersey
  • PHOTO-ENUM Hashim Khan, M.D · 2007

John Lee, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2024, across all CMS prescribers nationally

5,425 ≥ 94th percentile 94% of 1,416,883 prescribers are in lower value bands

0–200: 679,947 prescribers (48%). Below this entry. 200–400: 188,835 prescribers (13%). Below this entry. 400–600: 95,866 prescribers (7%). Below this entry. 600–800: 60,107 prescribers (4%). Below this entry. 800–1,000: 43,043 prescribers (3%). Below this entry. 1,000–1,200: 33,612 prescribers (2%). Below this entry. 1,200–1,400: 27,889 prescribers (2%). Below this entry. 1,400–1,600: 23,183 prescribers (2%). Below this entry. 1,600–1,800: 19,917 prescribers (1%). Below this entry. 1,800–2,000: 17,585 prescribers (1%). Below this entry. 2K+: 226,899 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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

The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.

Source CMS Medicare Part D Prescriber Public Use File · 2024

Board certification likely (heuristic, not verified)

John Lee, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 3 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 John Lee, M.D.?

Quality data not reported

NPI registry status

Active

Issued 11/19/2007

NPI 1154502045

Primary specialty

Interventional Cardiology Physician

Niche

3,565 US NPIs in this specialty

Medicare Part D claims

5,425 72% vs specialty avg

2024 prescription claims

Specialty avg: 3,147

Specialty distribution in New Jersey

How Interventional Cardiology Physician compares to other specialties among New Jersey providers

New Jersey providers
Mental Health Counselor6.2%Physical Therapist5.8%Student in an Organized Heal…5.6%Clinical Social Worker5.5%Pharmacist5%Internal Medicine Physician3.1%Interventional Cardiology Ph…0.1%
Largest specialties in New Jersey (% of in-state providers)

Board certification

Not published by CMS

CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Interventional Cardiology Physician. Verify directly:

How MIPS and board certification work

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).

Practice Address

43 YAWPO AVE
Oakland, NJ 07436

Provider Details

NPI 1154502045
Specialty Interventional Cardiology Physician
Credentials M.D.
Gender Male
NPI Issued 11/19/2007

Hospital and facility affiliations

Facilities where John 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.

According to CMS billing records, John Lee, M.D. is affiliated with 3 Medicare-billing facilities across 2 states.

Bay Ridge Medical Group, PLLC
Brooklyn, NY
Valley Interventional Associates
Oakland, NJ
William K Lee MD PA
Oakland, 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).

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 John Lee, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$2.9K

Largest payer

CashFlow Solutions, LLC

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 · Typical

John Lee, M.D. - brand share 14.0%
Interventional Cardiology Physician average

14% brand-name claims vs 86% generic, on 5,425 2024 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 2024.

5,425
Total Claims
$888K
Total Drug Cost
683
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
14,194.367
Total Day Supply
423,790
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$791K
Generic Drug Cost
$97K
Opioid Claims
14 (0.3% rate)
Antibiotic Claims
23

Patient Demographics

Average Patient Age
77.2 years
Avg HCC Risk Score
1.39
Gender Split
49% female / 51% male
Age Distribution
<65: 11, 65-74: 255, 75-84: 299, 85+: 118

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What John Lee, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Atorvastatin Calcium
586
Metoprolol Succinate
351
Eliquis
Apixaban
332
Amlodipine Besylate
300
Losartan Potassium
278
Clopidogrel
Clopidogrel Bisulfate
249
Carvedilol
205
Rosuvastatin Calcium
191
Metoprolol Tartrate
180
Valsartan
165

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

Interventional Cardiology Physician Overview

How John Lee, M.D. fits within the Interventional Cardiology Physician landscape nationally.

3,565
Interventional Cardiology Physician Providers in US
53
States with Interventional Cardiology Physician
3,147
Avg Claims per Provider

John Lee, M.D.'s 5,425 claims are above the specialty average of 3,147.

Nationwide Interventional Cardiology Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Lee, both outside New Jersey so the neighborhoods are not geographic containment.

Same NPPES enumeration year (2007)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Nearby Interventional Cardiology 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.

One of 114 Interventional Cardiology Physician providers enrolled in New Jersey, 5 are shown here.

Compare Interventional Cardiology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is John Lee, M.D.'s specialty?
John Lee, M.D. specializes in Interventional Cardiology Physician and practices in Oakland, New Jersey. Credentials: M.D..
How much does John Lee, M.D. prescribe under Medicare Part D?
In 2024, John Lee, M.D. wrote 5,425 Medicare Part D claims totaling $888K in drug costs for 683 beneficiaries.
Where is John Lee, M.D. located?
John Lee, M.D. is located at 43 YAWPO AVE, Oakland, NJ, 07436. Phone: (201) 337-0066.
What is John Lee, M.D.'s NPI number?
John Lee, M.D.'s National Provider Identifier (NPI) is 1154502045, issued on 11/19/2007.
Does John Lee, M.D. prescribe more brand-name or generic drugs?
John Lee, M.D.'s prescribing is 14% brand-name and 86% generic drugs by claim count, with $791K in brand drug costs.
Does John Lee, M.D. prescribe opioids?
Yes, John Lee, M.D. had 14 opioid claims in 2024 with an opioid prescribing rate of 0.3%.
How many Interventional Cardiology Physician providers are there in the US?
There are 3,565 Interventional Cardiology Physician providers across 53 states in the US. The average Interventional Cardiology Physician provider writes 3,147 Medicare Part D claims per year.
What drugs does John Lee, M.D. prescribe most often?
Based on 2024 Medicare Part D data, John Lee, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Metoprolol Succinate, Eliquis. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does John Lee, M.D. accept Medicare?
John Lee, M.D. appears in CMS Medicare data with 5,425 Part D claims and 683 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify John Lee, M.D.'s credentials?
John Lee, M.D.'s NPI is 1154502045 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

View source datasets and methodology notes
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 (2024). 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 August 2026 (NPPES) / 2024 (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

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.