2026 NPPES data Family Medicine Physician NPI 1487916367 M.D
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Khin Ma Ma Thein, M.D

Family Medicine Physician in Flushing, New York. 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
1K
Medicare Part D claims · 148 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
78%
generic claims · 16% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · Exceptional

What the federal data shows

Khin Ma Ma Thein, M.D reported a CMS MIPS final score of 100/100 — above the 83.1 national average — and filed 1,455 Medicare Part D claims in 2023.

100/100
MIPS score · +17 vs avg
1K
Part D claims, 2023
78%
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.

Khin Ma Ma Thein, 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

100 Top 9% higher than 91% 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%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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

Where Khin Ma Ma Thein, M.D sits

This provider among family medicine physician peers

Across the 22,040 family medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Khin Ma Ma Thein, M.D writes more Part D claims than 39% of them and scores higher on MIPS quality than 95% — placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume — percentile in specialtyMIPS quality — percentile
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one family medicine physician peer from a representative sample of 60; the gold marker is Khin Ma Ma Thein, M.D. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic — not verified)

Khin Ma Ma Thein, 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 Khin Ma Ma Thein, M.D?

High performer (top quartile)

NPI registry status

Active

Issued 06/15/2012

NPI 1487916367

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

1,455 57% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

100/100 16.9 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in New York

How Family Medicine Physician compares to other specialties among New York providers

New York providers

Largest specialties in New York (% of in-state providers)

Student in an Organized Health Care Education/Training Program7.8%Registered Nurse5.2%Clinical Social Worker4.9%Social Worker4.5%Speech-Language Pathologist4.5%Licensed Practical Nurse4.3%Family Medicine Physician1.1%
Largest specialties in New York (% of in-state providers)

Medicare quality performance — MIPS

Khin Ma Ma Thein, M.D's 2023 MIPS final score plotted against the Family Medicine Physician national average

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

MIPS final score (Family Medicine Physician) — 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Family Medicine Physician) — 100/100 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).

Khin Ma Ma Thein, M.D appears in the CMS NPPES registry as a Family Medicine Physician provider holding M.D credentials at 13739 45TH AVE, Flushing, NY, 11355, with a listed phone of (929) 362-3006. NPI 1487916367 was issued on 06/15/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Thein 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 1,455 prescription claims written by this provider, covering 148 Medicare beneficiaries and totaling roughly $168K in drug spend, split 16% brand-name and 78% 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 100/100 for the 2023 performance year (Quality 91.2, Cost 92.8), compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

13739 45TH AVE
Flushing, NY 11355

Provider Details

NPI 1487916367
Specialty Family Medicine Physician
Credentials M.D
Gender Female
NPI Issued 06/15/2012

CMS Quality Score (MIPS)

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

99.953
Final Score
Avg: 83.1
91.1861
Quality
92.8237
Cost
79
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Khin Ma Ma Thein, 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.

Harmony Health Care Long Island
Hempstead, NY

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — New York NYSBPMC 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 ~100K New York medical licensees in 2023 — they are NOT specific to Khin Ma Ma Thein, M.D. To verify Khin Ma Ma Thein, M.D's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

Khin Ma Ma Thein, M.D — brand share 16.0%
Family Medicine Physician average

16% brand-name claims vs 78% generic, on 1,455 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.

1,455
Total Claims
$168K
Total Drug Cost
148
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,544
Total Day Supply
74,658
Brand vs Generic
16% brand / 78% generic
Brand Drug Cost
$148K
Generic Drug Cost
$19K
Antibiotic Claims
19

Patient Demographics

Average Patient Age
69.2 years
Avg HCC Risk Score
1.57
Gender Split
51% female / 49% male

Top Prescribed Drugs (Medicare Part D)

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

What Khin Ma Ma Thein, 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
Atorvastatin Calcium
111
Amlodipine Besylate
98
Diclofenac Sodium
74
Albuterol Sulfate Hfa
Albuterol Sulfate
72
Lisinopril
62
Alendronate Sodium
58
Losartan Potassium
54
Metformin Hcl
49
Levothyroxine Sodium
42
Gabapentin
41

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

Family Medicine Physician Overview

How Khin Ma Ma Thein, M.D fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

Khin Ma Ma Thein, M.D's 1,455 claims are below the specialty average of 3,418.

Nearby Family Medicine Physician Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Thein.

Compare Family Medicine Physician 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 New York medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Family Medicine Physician 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.

Frequently Asked Questions

What is Khin Ma Ma Thein, M.D's specialty?
Khin Ma Ma Thein, M.D specializes in Family Medicine Physician and practices in Flushing, New York. Credentials: M.D.
How much does Khin Ma Ma Thein, M.D prescribe under Medicare Part D?
In 2023, Khin Ma Ma Thein, M.D wrote 1,455 Medicare Part D claims totaling $168K in drug costs for 148 beneficiaries.
What is Khin Ma Ma Thein, M.D's Medicare quality score?
Khin Ma Ma Thein, M.D has a CMS MIPS Final Score of 100/100 (Quality: 91.2, Cost: 92.8). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Khin Ma Ma Thein, M.D located?
Khin Ma Ma Thein, M.D is located at 13739 45TH AVE, Flushing, NY, 11355. Phone: (929) 362-3006.
What is Khin Ma Ma Thein, M.D's NPI number?
Khin Ma Ma Thein, M.D's National Provider Identifier (NPI) is 1487916367, issued on 06/15/2012.
Does Khin Ma Ma Thein, M.D prescribe more brand-name or generic drugs?
Khin Ma Ma Thein, M.D's prescribing is 16% brand-name and 78% generic drugs by claim count, with $148K in brand drug costs.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does Khin Ma Ma Thein, M.D prescribe most often?
Based on 2023 Medicare Part D data, Khin Ma Ma Thein, M.D's most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Diclofenac Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Khin Ma Ma Thein, M.D accept Medicare?
Khin Ma Ma Thein, M.D appears in CMS Medicare data with 1,455 Part D claims and 148 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Khin Ma Ma Thein, M.D's credentials?
Khin Ma Ma Thein, M.D's NPI is 1487916367 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