2026 NPPES data Otolaryngology Physician NPI 1285622167 M.D.
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JOHN LEE, M.D.

Otolaryngology Physician in COLUMBUS, Georgia. 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
993
Medicare Part D claims · 330 beneficiaries · Otolaryngology Physician avg: 509
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
0/100
▼ 83 pts below national avg 83.1 · [object Object]
Industry payments
$220.85
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JOHN LEE, M.D. reported a CMS MIPS final score of 0/100 — below the 83.1 national average — and filed 993 Medicare Part D claims in 2023.

0/100
MIPS score · -83 vs avg
993
Part D claims, 2023
95%
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.

JOHN LEE, 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

0 0th percentile higher than 0% of 477,587 scored providers

0–10: 8,684 scored providers (2%). This entry sits in this band. 10–20: 3,008 scored providers (1%). Above this entry. 20–30: 3,069 scored providers (1%). Above this entry. 30–40: 2,746 scored providers (1%). Above this entry. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 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)

JOHN LEE, M.D. 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 JOHN LEE, M.D.?

Below national average

NPI registry status

Active

Issued 10/13/2005

NPI 1285622167

Primary specialty

Otolaryngology Physician

Mid-sized

10,895 US NPIs in this specialty

Medicare Part D claims

993 95% vs specialty avg

2023 prescription claims

Specialty avg: 509

MIPS final score

0/100 83.1% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in Georgia

How Otolaryngology Physician compares to other specialties among Georgia providers

Georgia providers

Otolaryngology Physician share within Georgia

1. Otolaryngology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Otolaryngology Physician share within Georgia

Medicare quality performance — MIPS

JOHN LEE, M.D.'s 2023 MIPS final score plotted against the Otolaryngology Physician national average

Below national average
MIPS Final Score
0/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Otolaryngology Physician) — 0/100 vs national avg 83.1

0%100%National avg83%0%
MIPS final score (Otolaryngology Physician) — 0/100 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).

JOHN LEE, M.D. appears in the CMS NPPES registry as a Otolaryngology Physician provider holding M.D. credentials at 2000 10TH AVE STE 410, COLUMBUS, GA, 31901, with a listed phone of (706) 660-2562. NPI 1285622167 was issued on 10/13/2005. 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 993 prescription claims written by this provider, covering 330 Medicare beneficiaries and totaling roughly $25K in drug spend, split 5% brand-name and 95% generic by claim count, with an opioid prescribing rate of 1.7%. 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 0/100 for the 2023 performance year (Quality 0), compared with the national average of 83.1.

Otolaryngology Physician is a mid-sized specialty nationwide, with 10,895 enrolled providers across 54 states and an average of 509 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

2000 10TH AVE STE 410
COLUMBUS, GA 31901

Provider Details

NPI 1285622167
Specialty Otolaryngology Physician
Credentials M.D.
Gender Male
NPI Issued 10/13/2005

CMS Quality Score (MIPS)

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

0
Final Score
Avg: 83.1
0
Quality

Reporting: Individual

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.

COLUMBUS AMBULATORY HEALTHCARE SERVICES, INC.
COLUMBUS, GA

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

$221

Largest payer

Biosense Webster, 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 · Generic-heavy

JOHN LEE, M.D. — brand share 5.0%
Specialty average (est.)

5% brand-name claims vs 95% generic, on 993 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.

993
Total Claims
$25K
Total Drug Cost
330
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,203
Total Day Supply
22,381
Brand vs Generic
5% brand / 95% generic
Brand Drug Cost
$2K
Generic Drug Cost
$23K
Opioid Claims
17 (1.7% rate)
Antibiotic Claims
249

Patient Demographics

Average Patient Age
74.6 years
Avg HCC Risk Score
1.17
Gender Split
56% female / 44% male
Age Distribution
<65: 14, 65-74: 162, 75-84: 117, 85+: 37

Top Prescribed Drugs (Medicare Part D)

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

What JOHN LEE, 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
Ipratropium Bromide
171
Methylprednisolone
123
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
110
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
52
Omeprazole
51
Prednisone
37
Methscopolamine Bromide
35
Ofloxacin
31
Mupirocin
30
Ciprofloxacin Hcl
27

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

Otolaryngology Physician Overview

How JOHN LEE, M.D. fits within the Otolaryngology Physician landscape nationally.

10,895
Otolaryngology Physician Providers in US
54
States with Otolaryngology Physician
509
Avg Claims per Provider

JOHN LEE, M.D.'s 993 claims are above the specialty average of 509.

Nearby Otolaryngology Physician Providers in Georgia

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

Compare Otolaryngology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOHN LEE, M.D.'s specialty?
JOHN LEE, M.D. specializes in Otolaryngology Physician and practices in COLUMBUS, Georgia. Credentials: M.D..
How much does JOHN LEE, M.D. prescribe under Medicare Part D?
In 2023, JOHN LEE, M.D. wrote 993 Medicare Part D claims totaling $25K in drug costs for 330 beneficiaries.
What is JOHN LEE, M.D.'s Medicare quality score?
JOHN LEE, M.D. has a CMS MIPS Final Score of 0/100 (Quality: 0). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOHN LEE, M.D. located?
JOHN LEE, M.D. is located at 2000 10TH AVE STE 410, COLUMBUS, GA, 31901. Phone: (706) 660-2562.
What is JOHN LEE, M.D.'s NPI number?
JOHN LEE, M.D.'s National Provider Identifier (NPI) is 1285622167, issued on 10/13/2005.
Does JOHN LEE, M.D. prescribe more brand-name or generic drugs?
JOHN LEE, M.D.'s prescribing is 5% brand-name and 95% generic drugs by claim count, with $2K in brand drug costs.
Does JOHN LEE, M.D. prescribe opioids?
Yes, JOHN LEE, M.D. had 17 opioid claims in 2023 with an opioid prescribing rate of 1.7%.
How many Otolaryngology Physician providers are there in the US?
There are 10,895 Otolaryngology Physician providers across 54 states in the US. The average Otolaryngology Physician provider writes 509 Medicare Part D claims per year.
What drugs does JOHN LEE, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JOHN LEE, M.D.'s most frequently prescribed drugs include Ipratropium Bromide, Methylprednisolone, Amoxicillin-Clavulanate Potass. 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 993 Part D claims and 330 Medicare beneficiaries in 2023. 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 1285622167 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