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 6,963 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
31
Medicare Part D claims · Health Educator avg: 497
Generic prescribing
65%
generic claims · 35% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
John Lee, MD filed 31 Medicare Part D claims in 2024 as a Health Educator in Willimantic, Connecticut, prescribing 65% generic.
- 31
- Part D claims, 2024
- 65%
- generic prescribing
- ≥0th
- 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, MD
Bare NPI registry listing — limited federal enrichment beyond basic enumeration. Verify all credentials with official sources.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1942562103), first enumerated 06/13/2012.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 31 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- 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 1942562103 · Health Educator
NPI-10 · ENUM-MID · TAX-MID · RX-TRACE · BOOK-THIN · PHOTO-ENUM
- NPI-10 1942562103
- ENUM-MID 2012
- TAX-MID 7K Health Educator
- RX-TRACE 31
- BOOK-THIN 52 in Connecticut
- PHOTO-ENUM Rachael Gladhart · 2012
John Lee, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
31 ≥ 0th percentile 0% of 1,416,883 prescribers are in lower value bands
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
What does the federal data show about John Lee, MD?
Quality data not reportedPrimary specialty
Health Educator
Medicare Part D claims
31 94% 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).
Practice Address
Provider Details
| NPI | 1942562103 |
|---|---|
| Specialty | Health Educator |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 06/13/2012 |
Brand vs generic prescribing mix · Above average
John Lee, MD - brand share 35.0%
Health Educator average
35% brand-name claims vs 65% generic, on 31 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.
31
Total Claims
$868
Total Drug Cost
N/A
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 48.933
- Total Day Supply
- 1,112
- Brand vs Generic
- 35% brand / 65% generic
- Brand Drug Cost
- $440
- Generic Drug Cost
- $428
Patient Demographics
- Average Patient Age
- 88.0 years
- Avg HCC Risk Score
- 0.58
Health Educator Overview
How John Lee, MD fits within the Health Educator landscape nationally.
6,963
Health Educator Providers in US
54
States with Health Educator
497
Avg Claims per Provider
John Lee, MD's 31 claims are below the specialty average of 497.
Nationwide Health Educator peers with similar MIPS or enrollment year
Two federal-record peer sets for Lee, both outside Connecticut so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2012)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
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.
One of 52 Health Educator providers enrolled in Connecticut, 5 are shown here.
Kimberly Anderson
Brookfield, CT
Mary Attridge-Silvestri
New Haven, CT
Emily Baker
BS
New Haven, CT
Sarah Bates
Bridgeport, CT
Nicole Carlone
Farmington, CT
Compare Health Educator nationally: see state-by-state distribution →
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 2024, John Lee, MD wrote 31 Medicare Part D claims totaling $868 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 35% brand-name and 65% generic drugs by claim count, with $440 in brand drug costs.
How many Health Educator providers are there in the US? ▼
There are 6,963 Health Educator providers across 54 states in the US. The average Health Educator provider writes 497 Medicare Part D claims per year.
Does John Lee, MD accept Medicare? ▼
John Lee, MD appears in CMS Medicare data with 31 Part D claims and N/A Medicare beneficiaries in 2024. 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 (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.