NPPES file of Aug 9, 2026

Lee Thomas Austin, M.D.

Gastroenterology Physician · Sioux Falls, SD

Lee Thomas Austin, M.D. is a gastroenterology physician with a practice address in Sioux Falls, South Dakota, and NPI 1306927074, issued on Oct 18, 2006. Check the license (South Dakota 7768, as entered in NPPES) on the South Dakota Board of Medical and Osteopathic Examiners; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1306927074
Name
Lee Thomas Austin
Credential
M.D.
Primary taxonomy
Gastroenterology Physician 207RG0100X
License numbers
7768 SD
23754 NE
Self-reported in NPPES; status is on the state search
Practice location
1205 S Grange Ave, Sioux Falls, SD 57105
Phone
(605) 328-8500
Enumerated
Oct 18, 2006
Record last updated
Mar 25, 2022
Medicare enrollment
Enrolled (PECOS I20100907001136); accepts Medicare assignment
Medical or professional school
Sanford School Of Medicine Of University Of South Dakota, 2003
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1205 S Grange Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Backer Abdu, MDGastroenterology Physician1306366760
  2. Mouhanna Abu Ghanimeh, M.D.Gastroenterology Physician1962812982
  3. Muslim Atiq, M.D.Gastroenterology Physician1548475031
  4. Barry Bauer, M.D.Pediatrics Physician1831195569
  5. Robert Behrend, MDInternal Medicine Physician1578569000
  6. Devin Bissoon, M.D.Pulmonary Disease Physician1215120506

Verify Lee Thomas Austin in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersSouth Dakota Board of Medical and Osteopathic Examiners
    Search for license 7768
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the South Dakota license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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69% more Medicare Part D claims than the average gastroenterology physician in 2024

1,367 Medicare Part D claims for 530 beneficiaries, against an average of 811 among the 16,445 providers of this specialty who prescribed in Part D. Brand-name drugs were 11% of claims.

  1. Lee Austin1,367
  2. Specialty average811

Most prescribed

  1. Ondansetron Hcl337 claims
  2. Peg 3350-Electrolyte326 claims
  3. Omeprazole245 claims
  4. Esomeprazole Magnesium71 claims
  5. Pantoprazole Sodium63 claims
  6. Sod Sulf-Potass Sulf-Mag Sulf55 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 93.7 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score88.7
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%97.8
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $1,090.48

8 payments; by number, the most common kind was food and beverage; the largest payer was Aimmune Therapeutics, Inc. The 13,350 providers of this specialty with any payment received $5,015.95 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Lee Austin$1,090.48
  2. Specialty average$5,015.95

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Sanford Medical CenterSioux Falls, SD

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Lee Thomas Austin among 49 gastroenterology physician records in South Dakota

Lee Thomas Austin, M.D. is one of 49 gastroenterology physician records with a practice address in South Dakota. 76% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 14% of them.

  • NPI issued2006 · 14% of these records are older, 51% newer
  • In a Medicare fileYes · 76% of these records are
  • In the CMS Doctors and Clinicians fileYes · 65% of these records are
  • Graduated2003 · median 2009 among the 32 with a school on file
  • Record last updated2022 · 49% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RG0100X and a South Dakota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Gastroenterology Physician providers in South Dakota

There are 49 gastroenterology physician records in South Dakota.

The 8 gastroenterology physician records with the nearest ZIP codes

  1. Muslim Atiq, M.D.Sioux Falls, SD 571051548475031
  2. Brett Baloun, MDSioux Falls, SD 571051245448869
  3. John Barker, M.D.Sioux Falls, SD 571051063486975
  4. Edward Burkhalter, M.D.Sioux Falls, SD 571051396708046
  5. Jorge Gilbert, M.D.Sioux Falls, SD 571051205831377
  6. Christopher Hurley, M.D.Sioux Falls, SD 571051619972783
  7. Heather McDougall, MDSioux Falls, SD 571051396840401
  8. Robert Meyer, M.D.Sioux Falls, SD 571051972551471

Common questions

What is Lee Thomas Austin, M.D.'s NPI number?

Lee Thomas Austin, M.D.'s National Provider Identifier (NPI) is 1306927074, issued on Oct 18, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Lee Thomas Austin, M.D. located?

The NPPES record lists a practice address at 1205 S Grange Ave, Sioux Falls, SD, 57105. Phone: (605) 328-8500. Providers update this record themselves, so call before visiting.

How can I verify Lee Thomas Austin, M.D.'s license?

NPPES lists South Dakota license number 7768, as entered by the provider. Search the South Dakota Board of Medical and Osteopathic Examiners at https://www.sdbmoe.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Lee Thomas Austin, M.D. prescribe under Medicare Part D?

In 2024, Lee Thomas Austin, M.D. had 1,367 Medicare Part D claims for 530 beneficiaries; the average among gastroenterology physician prescribers was 811. Part D covers Medicare prescriptions only.

What is Lee Thomas Austin, M.D.'s MIPS final score?

The 2023 MIPS final score is 93.7 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.