2026 NPPES data Transplant Surgery Physician NPI 1316014574 MD
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LENA SIBULESKY, MD

Transplant Surgery Physician in SEATTLE, Washington. 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
451
Medicare Part D claims · 61 beneficiaries · Transplant Surgery Physician avg: 275
MIPS score
93.0932/100
▲ 10 pts above national avg 83.1 · [object Object]

What the federal data shows

LENA SIBULESKY, MD reported a CMS MIPS final score of 93.0932/100 — above the 83.1 national average — and filed 451 Medicare Part D claims in 2023.

93.0932/100
MIPS score · +10 vs avg
451
Part D claims, 2023
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.

LENA SIBULESKY, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

93 Top 29% higher than 71% 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

Board certification likely (heuristic — not verified)

LENA SIBULESKY, MD 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 LENA SIBULESKY, MD?

High performer (top quartile)

NPI registry status

Active

Issued 11/30/2006

NPI 1316014574

Primary specialty

Transplant Surgery Physician

Niche

1,026 US NPIs in this specialty

Medicare Part D claims

451 64% vs specialty avg

2023 prescription claims

Specialty avg: 275

MIPS final score

93.0932/100 9.993200000000002% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Washington

How Transplant Surgery Physician compares to other specialties among Washington providers

Washington providers

Transplant Surgery Physician share within Washington

1. Transplant Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Transplant Surgery Physician share within Washington

Medicare quality performance — MIPS

LENA SIBULESKY, MD's 2023 MIPS final score plotted against the Transplant Surgery Physician national average

High performer (top quartile)
MIPS Final Score
93.0932/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Transplant Surgery Physician) — 93.0932/100 vs national avg 83.1

0%100%National avg83%93.1%
MIPS final score (Transplant Surgery Physician) — 93.0932/100 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).

LENA SIBULESKY, MD appears in the CMS NPPES registry as a Transplant Surgery Physician provider holding MD credentials at 1959 NE PACIFIC ST, SEATTLE, WA, 98195, with a listed phone of (206) 598-4477. NPI 1316014574 was issued on 11/30/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SIBULESKY 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 451 prescription claims written by this provider, covering 61 Medicare beneficiaries and totaling roughly $33K in drug spend, with an opioid prescribing rate of 4.0%. 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 93.0932/100 for the 2023 performance year (Quality 73.9573), compared with the national average of 83.1.

Transplant Surgery Physician is a narrow specialty nationwide, with 1,026 enrolled providers across 48 states and an average of 275 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

1959 NE PACIFIC ST
SEATTLE, WA 98195

Provider Details

NPI 1316014574
Specialty Transplant Surgery Physician
Credentials MD
Gender Female
NPI Issued 11/30/2006

CMS Quality Score (MIPS)

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

93.0932
Final Score
Avg: 83.1
73.9573
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where LENA SIBULESKY, MD 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.

THE ASSOCIATION OF UNIVERSITY PHYSICIANS
SEATTLE, WA

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 — Washington WMC 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 ~34K Washington medical licensees in 2023 — they are NOT specific to LENA SIBULESKY, MD. To verify LENA SIBULESKY, MD's current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases

WMC 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 Washington disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

451
Total Claims
$33K
Total Drug Cost
61
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
513
Total Day Supply
13,983
Generic Drug Cost
$12K
Opioid Claims
18 (4.0% rate)
Antibiotic Claims
62

Patient Demographics

Average Patient Age
60.0 years
Avg HCC Risk Score
6.28
Gender Split
46% female / 54% male
Age Distribution
<65: 29, 65-74: 29, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What LENA SIBULESKY, MD 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
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
59
Famotidine
37
Valganciclovir Hcl
28
Clotrimazole
23
Amlodipine Besylate
22
Atorvastatin Calcium
21
Ursodiol
21
Metoprolol Succinate
18
Tacrolimus
17
Fluconazole
16

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

Transplant Surgery Physician Overview

How LENA SIBULESKY, MD fits within the Transplant Surgery Physician landscape nationally.

1,026
Transplant Surgery Physician Providers in US
48
States with Transplant Surgery Physician
275
Avg Claims per Provider

LENA SIBULESKY, MD's 451 claims are above the specialty average of 275.

Nearby Transplant Surgery Physician Providers in Washington

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

Compare Transplant Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is LENA SIBULESKY, MD's specialty?
LENA SIBULESKY, MD specializes in Transplant Surgery Physician and practices in SEATTLE, Washington. Credentials: MD.
How much does LENA SIBULESKY, MD prescribe under Medicare Part D?
In 2023, LENA SIBULESKY, MD wrote 451 Medicare Part D claims totaling $33K in drug costs for 61 beneficiaries.
What is LENA SIBULESKY, MD's Medicare quality score?
LENA SIBULESKY, MD has a CMS MIPS Final Score of 93.0932/100 (Quality: 73.9573). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is LENA SIBULESKY, MD located?
LENA SIBULESKY, MD is located at 1959 NE PACIFIC ST, SEATTLE, WA, 98195. Phone: (206) 598-4477.
What is LENA SIBULESKY, MD's NPI number?
LENA SIBULESKY, MD's National Provider Identifier (NPI) is 1316014574, issued on 11/30/2006.
Does LENA SIBULESKY, MD prescribe opioids?
Yes, LENA SIBULESKY, MD had 18 opioid claims in 2023 with an opioid prescribing rate of 4.0%.
How many Transplant Surgery Physician providers are there in the US?
There are 1,026 Transplant Surgery Physician providers across 48 states in the US. The average Transplant Surgery Physician provider writes 275 Medicare Part D claims per year.
What drugs does LENA SIBULESKY, MD prescribe most often?
Based on 2023 Medicare Part D data, LENA SIBULESKY, MD's most frequently prescribed drugs include Sulfamethoxazole-Trimethoprim, Famotidine, Valganciclovir Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does LENA SIBULESKY, MD accept Medicare?
LENA SIBULESKY, MD appears in CMS Medicare data with 451 Part D claims and 61 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify LENA SIBULESKY, MD's credentials?
LENA SIBULESKY, MD's NPI is 1316014574 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

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