2026 NPPES data Clinical Cardiac Electrophysiology Physician NPI 1841259348 M.D.
Verify on CMS →

KEN LEE, M.D.

Clinical Cardiac Electrophysiology Physician in MELBOURNE, Florida. 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
2K
Medicare Part D claims · 386 beneficiaries · Clinical Cardiac Electrophysiology Physician avg: 2K
Generic prescribing
74%
generic claims · 26% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
85.3855/100
▲ 2 pts above national avg 83.1 · [object Object]
Industry payments
$11.1K
22 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

KEN LEE, M.D. reported a CMS MIPS final score of 85.3855/100 — above the 83.1 national average — and filed 1,501 Medicare Part D claims in 2023.

85.3855/100
MIPS score · +2 vs avg
2K
Part D claims, 2023
74%
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.

KEN 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

85 49th percentile higher than 49% 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%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 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)

KEN 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 KEN LEE, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 03/22/2006

NPI 1841259348

Primary specialty

Clinical Cardiac Electrophysiology Physician

Niche

1,570 US NPIs in this specialty

Medicare Part D claims

1,501 6% vs specialty avg

2023 prescription claims

Specialty avg: 1,596

MIPS final score

85.3855/100 2.285499999999999% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Florida

How Clinical Cardiac Electrophysiology Physician compares to other specialties among Florida providers

Florida providers

Clinical Cardiac Electrophysiology Physician share within Florida

1. Clinical Cardiac Electrophysiology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Clinical Cardiac Electrophysiology Physician share within Florida

Medicare quality performance — MIPS

KEN LEE, M.D.'s 2023 MIPS final score plotted against the Clinical Cardiac Electrophysiology Physician national average

High performer (top quartile)
MIPS Final Score
85.3855/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Clinical Cardiac Electrophysiology Physician) — 85.3855/100 vs national avg 83.1

0%100%National avg83%85.4%
MIPS final score (Clinical Cardiac Electrophysiology Physician) — 85.3855/100 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).

KEN LEE, M.D. appears in the CMS NPPES registry as a Clinical Cardiac Electrophysiology Physician provider holding M.D. credentials at 8725 N WICKHAM RD, MELBOURNE, FL, 32940, with a listed phone of (321) 434-9568. NPI 1841259348 was issued on 03/22/2006. 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 1,501 prescription claims written by this provider, covering 386 Medicare beneficiaries and totaling roughly $411K in drug spend, split 26% brand-name and 74% generic by claim count. 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 85.3855/100 for the 2023 performance year (Quality 81.653), compared with the national average of 83.1.

Clinical Cardiac Electrophysiology Physician is a narrow specialty nationwide, with 1,570 enrolled providers across 52 states and an average of 1,596 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

8725 N WICKHAM RD
MELBOURNE, FL 32940

Provider Details

NPI 1841259348
Specialty Clinical Cardiac Electrophysiology Physician
Credentials M.D.
Gender Male
NPI Issued 03/22/2006

CMS Quality Score (MIPS)

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

85.3855
Final Score
Avg: 83.1
81.653
Quality
78
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where KEN 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.

HEALTH FIRST MEDICAL GROUP, LLC
INDIALANTIC, FL

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 KEN LEE, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$11.1K

Largest payer

Abbott Laboratories

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 — Florida FLDOH 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 ~75K Florida medical licensees in 2023 — they are NOT specific to KEN LEE, M.D.. To verify KEN LEE, M.D.'s current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH 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 Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

KEN LEE, M.D. — brand share 26.0%
Specialty average (est.)

26% brand-name claims vs 74% generic, on 1,501 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.

1,501
Total Claims
$411K
Total Drug Cost
386
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,207
Total Day Supply
93,300
Brand vs Generic
26% brand / 74% generic
Brand Drug Cost
$369K
Generic Drug Cost
$41K
Antibiotic Claims
29

Patient Demographics

Average Patient Age
75.6 years
Avg HCC Risk Score
1.43
Gender Split
49% female / 51% male

Top Prescribed Drugs (Medicare Part D)

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

What KEN 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
Eliquis
Apixaban
166
Flecainide Acetate
153
Metoprolol Succinate
140
Xarelto
Rivaroxaban
117
Metoprolol Tartrate
104
Diltiazem 24hr Er (Cd)
Diltiazem Hcl
97
Multaq
Dronedarone Hcl
71
Pantoprazole Sodium
66
Amiodarone Hcl
57
Carvedilol
42

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

Clinical Cardiac Electrophysiology Physician Overview

How KEN LEE, M.D. fits within the Clinical Cardiac Electrophysiology Physician landscape nationally.

1,570
Clinical Cardiac Electrophysiology Physician Providers in US
52
States with Clinical Cardiac Electrophysiology Physician
1,596
Avg Claims per Provider

KEN LEE, M.D.'s 1,501 claims are below the specialty average of 1,596.

Nearby Clinical Cardiac Electrophysiology Physician Providers in Florida

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

Compare Clinical Cardiac Electrophysiology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is KEN LEE, M.D.'s specialty?
KEN LEE, M.D. specializes in Clinical Cardiac Electrophysiology Physician and practices in MELBOURNE, Florida. Credentials: M.D..
How much does KEN LEE, M.D. prescribe under Medicare Part D?
In 2023, KEN LEE, M.D. wrote 1,501 Medicare Part D claims totaling $411K in drug costs for 386 beneficiaries.
What is KEN LEE, M.D.'s Medicare quality score?
KEN LEE, M.D. has a CMS MIPS Final Score of 85.3855/100 (Quality: 81.653). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KEN LEE, M.D. located?
KEN LEE, M.D. is located at 8725 N WICKHAM RD, MELBOURNE, FL, 32940. Phone: (321) 434-9568.
What is KEN LEE, M.D.'s NPI number?
KEN LEE, M.D.'s National Provider Identifier (NPI) is 1841259348, issued on 03/22/2006.
Does KEN LEE, M.D. prescribe more brand-name or generic drugs?
KEN LEE, M.D.'s prescribing is 26% brand-name and 74% generic drugs by claim count, with $369K in brand drug costs.
How many Clinical Cardiac Electrophysiology Physician providers are there in the US?
There are 1,570 Clinical Cardiac Electrophysiology Physician providers across 52 states in the US. The average Clinical Cardiac Electrophysiology Physician provider writes 1,596 Medicare Part D claims per year.
What drugs does KEN LEE, M.D. prescribe most often?
Based on 2023 Medicare Part D data, KEN LEE, M.D.'s most frequently prescribed drugs include Eliquis, Flecainide Acetate, Metoprolol Succinate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KEN LEE, M.D. accept Medicare?
KEN LEE, M.D. appears in CMS Medicare data with 1,501 Part D claims and 386 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KEN LEE, M.D.'s credentials?
KEN LEE, M.D.'s NPI is 1841259348 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