NPI registry status
Active
2026 NPPES data Health Educator NPI 1942562103 MD
Verify on CMS → John Lee, MD
Health Educator in Willimantic, Connecticut.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 6,737 in Health Educator, 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
30
Medicare Part D claims · Health Educator avg: 306
Generic prescribing
47%
generic claims · 53% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
John Lee, MD filed 30 Medicare Part D claims in 2023 as a Health Educator in Willimantic, Connecticut, prescribing 47% generic.
- 30
- Part D claims, 2023
- 47%
- generic prescribing
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.
John Lee, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
30 0th percentile higher than 0% of 1,370,886 prescribers
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.
Source CMS Medicare Part D Prescriber Public Use File · 2023
What does the federal data show about John Lee, MD?
Quality data not reportedPrimary specialty
Health Educator
Medicare Part D claims
30 90% vs specialty avg
Specialty distribution in Connecticut
How Health Educator compares to other specialties among Connecticut 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 Health Educator. 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).
John Lee, MD appears in the CMS NPPES registry as a Health Educator provider holding MD credentials at 99 PIGEON RD, Willimantic, CT, 06226, with a listed phone of (860) 456-4347. NPI 1942562103 was issued on 06/13/2012.
Medicare Part D records for calendar year 2023 show 30 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $1K in drug spend, split 53% brand-name and 47% generic by claim count.
Health Educator is a mid-sized specialty nationwide, with 6,737 enrolled providers across 54 states and an average of 306 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
Provider Details
| NPI | 1942562103 |
|---|---|
| Specialty | Health Educator |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 06/13/2012 |
Brand vs generic prescribing mix · Brand-heavy
John Lee, MD - brand share 53.0%
Health Educator average
53% brand-name claims vs 47% generic, on 30 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.
30
Total Claims
$1K
Total Drug Cost
N/A
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 51
- Total Day Supply
- 1,223
- Brand vs Generic
- 53% brand / 47% generic
- Brand Drug Cost
- $575
- Generic Drug Cost
- $675
Patient Demographics
- Average Patient Age
- 87.0 years
- Avg HCC Risk Score
- 0.82
Health Educator Overview
How John Lee, MD fits within the Health Educator landscape nationally.
6,737
Health Educator Providers in US
54
States with Health Educator
306
Avg Claims per Provider
John Lee, MD's 30 claims are below the specialty average of 306.
Nearby Health Educator Providers in Connecticut
Other clinicians with the same primary specialty enrolled in Connecticut, drawn from the same CMS NPPES roster as Lee.
Kimberly Anderson
Brookfield, CT
Mary Attridge-Silvestri
New Haven, CT
Dr. Emily Baker
BS
New Haven, CT
Sarah Bates
Bridgeport, CT
Nicole Carlone
Farmington, CT
Compare Health Educator 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 Connecticut medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Health Educator 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.
Healthcare Guides
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Medical Specialties Explained
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Understanding Medicare Claims Data
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Frequently Asked Questions
What is John Lee, MD's specialty? ▼
John Lee, MD specializes in Health Educator and practices in Willimantic, Connecticut. Credentials: MD.
How much does John Lee, MD prescribe under Medicare Part D? ▼
In 2023, John Lee, MD wrote 30 Medicare Part D claims totaling $1K in drug costs for N/A beneficiaries.
Where is John Lee, MD located? ▼
John Lee, MD is located at 99 PIGEON RD, Willimantic, CT, 06226. Phone: (860) 456-4347.
What is John Lee, MD's NPI number? ▼
John Lee, MD's National Provider Identifier (NPI) is 1942562103, issued on 06/13/2012.
Does John Lee, MD prescribe more brand-name or generic drugs? ▼
John Lee, MD's prescribing is 53% brand-name and 47% generic drugs by claim count, with $575 in brand drug costs.
How many Health Educator providers are there in the US? ▼
There are 6,737 Health Educator providers across 54 states in the US. The average Health Educator provider writes 306 Medicare Part D claims per year.
Does John Lee, MD accept Medicare? ▼
John Lee, MD appears in CMS Medicare data with 30 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify John Lee, MD's credentials? ▼
John Lee, MD's NPI is 1942562103 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
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 (2023). 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 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.
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 May 2026.