2026 NPPES data Pulmonary Disease Physician NPI 1689663387 MD
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LESLIE COUCH, MD

Pulmonary Disease Physician in TYLER, Texas. 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 · 222 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
45%
generic claims · 55% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

LESLIE COUCH, MD filed 1,586 Medicare Part D claims in 2023 as a Pulmonary Disease Physician in TYLER, Texas, prescribing 45% generic.

2K
Part D claims, 2023
45%
generic prescribing

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.

LESLIE COUCH, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

1,586 Top 19% higher than 81% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). This entry sits in this band. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

Board-eligible specialty (heuristic — not verified)

LESLIE COUCH, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about LESLIE COUCH, MD?

Quality data not reported

NPI registry status

Active

Issued 10/17/2005

NPI 1689663387

Primary specialty

Pulmonary Disease Physician

Mid-sized

9,271 US NPIs in this specialty

Medicare Part D claims

1,586 9% vs specialty avg

2023 prescription claims

Specialty avg: 1,457

Specialty distribution in Texas

How Pulmonary Disease Physician compares to other specialties among Texas providers

Texas providers

Pulmonary Disease Physician share within Texas

1. Pulmonary Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pulmonary Disease Physician share within Texas

Specialty board-certification context

Estimated specialty board-certified rate — Pulmonary Disease Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pulmonary Disease Physician ABMS/AOA estimate

Est. board-certified rate (Pulmonary Disease Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pulmonary Disease Physician) — ABMS / AOA estimate

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).

LESLIE COUCH, MD appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding MD credentials at 11937 US HIGHWAY 271, TYLER, TX, 75708, with a listed phone of (903) 877-7777. NPI 1689663387 was issued on 10/17/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what COUCH 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 1,586 prescription claims written by this provider, covering 222 Medicare beneficiaries and totaling roughly $3.0 million in drug spend, split 55% brand-name and 45% 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.

Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,271 enrolled providers across 53 states and an average of 1,457 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

11937 US HIGHWAY 271
TYLER, TX 75708

Provider Details

NPI 1689663387
Specialty Pulmonary Disease Physician
Credentials MD
Gender Female
NPI Issued 10/17/2005

License & disciplinary context — Texas TMB 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 ~77K Texas medical licensees in 2023 — they are NOT specific to LESLIE COUCH, MD. To verify LESLIE COUCH, MD's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

LESLIE COUCH, MD — brand share 55.0%
Specialty average (est.)

55% brand-name claims vs 45% generic, on 1,586 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.

1,586
Total Claims
$3.0M
Total Drug Cost
222
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,430
Total Day Supply
68,448
Brand vs Generic
55% brand / 45% generic
Brand Drug Cost
$3.0M
Antibiotic Claims
143

Patient Demographics

Average Patient Age
71.7 years
Avg HCC Risk Score
2.06
Gender Split
64% female / 36% male
Age Distribution
<65: 37, 65-74: 92, 75-84: 74, 85+: 19

Top Prescribed Drugs (Medicare Part D)

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

What LESLIE COUCH, 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
Albuterol Sulfate Hfa
Albuterol Sulfate
161
Montelukast Sodium
132
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
120
Azithromycin
102
Ventolin Hfa
Albuterol Sulfate
69
Symbicort
Budesonide/Formoterol Fumarate
67
Trikafta
Elexacaftor/Tezacaftor/Ivacaft
60
Breztri Aerosphere
Budesonide/Glycopyr/Formoterol
48
Breo Ellipta
Fluticasone/Vilanterol
47
Spiriva Respimat
Tiotropium Bromide
47

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

Pulmonary Disease Physician Overview

How LESLIE COUCH, MD fits within the Pulmonary Disease Physician landscape nationally.

9,271
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider

LESLIE COUCH, MD's 1,586 claims are above the specialty average of 1,457.

Nearby Pulmonary Disease Physician Providers in Texas

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

Compare Pulmonary Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is LESLIE COUCH, MD's specialty?
LESLIE COUCH, MD specializes in Pulmonary Disease Physician and practices in TYLER, Texas. Credentials: MD.
How much does LESLIE COUCH, MD prescribe under Medicare Part D?
In 2023, LESLIE COUCH, MD wrote 1,586 Medicare Part D claims totaling $3.0M in drug costs for 222 beneficiaries.
Where is LESLIE COUCH, MD located?
LESLIE COUCH, MD is located at 11937 US HIGHWAY 271, TYLER, TX, 75708. Phone: (903) 877-7777.
What is LESLIE COUCH, MD's NPI number?
LESLIE COUCH, MD's National Provider Identifier (NPI) is 1689663387, issued on 10/17/2005.
Does LESLIE COUCH, MD prescribe more brand-name or generic drugs?
LESLIE COUCH, MD's prescribing is 55% brand-name and 45% generic drugs by claim count, with $3.0M in brand drug costs.
How many Pulmonary Disease Physician providers are there in the US?
There are 9,271 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,457 Medicare Part D claims per year.
What drugs does LESLIE COUCH, MD prescribe most often?
Based on 2023 Medicare Part D data, LESLIE COUCH, MD's most frequently prescribed drugs include Albuterol Sulfate Hfa, Montelukast Sodium, Trelegy Ellipta. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does LESLIE COUCH, MD accept Medicare?
LESLIE COUCH, MD appears in CMS Medicare data with 1,586 Part D claims and 222 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify LESLIE COUCH, MD's credentials?
LESLIE COUCH, MD's NPI is 1689663387 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.
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