2026 NPPES data Pain Medicine (Physical Medicine & Rehabilitation) Physician NPI 1417969395 M.D.
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MICHAEL LEE, M.D.

Pain Medicine (Physical Medicine & Rehabilitation) Physician in MALVERN, Pennsylvania. 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
346
Medicare Part D claims · 153 beneficiaries · Pain Medicine (Physical Medicine & Rehabilitation) Physician avg: 1K
MIPS score
59.3957/100
▼ 24 pts below national avg 83.1 · [object Object]
Industry payments
$29.74
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: MICHAEL LEE, M.D. is a Pain Medicine (Physical Medicine & Rehabilitation) Physician ([object Object]) practicing in MALVERN, Pennsylvania with a Medicare Part D prescribing footprint of 346 claims across 153 beneficiaries . Their CMS MIPS Final Score of 59.3957/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $29.74 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: MICHAEL LEE, M.D. reported a CMS MIPS final score of 59.3957 out of 100, below the 83.1 national average, and filed 346 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

MICHAEL LEE, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

MICHAEL LEE, M.D. at a glance

Below national average

NPI registry status

Active

Issued 08/12/2006

NPI 1417969395

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) Physician

Niche

1,626 US NPIs in this specialty

Medicare Part D claims

346 75% vs specialty avg

2023 prescription claims

Specialty avg: 1,401

MIPS final score

59.3957/100 23.704299999999996% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Pain Medicine (Physical Medicine & Rehabilitation) Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Pain Medicine (Physical Medicine & Rehabilitation) Physician share within Pennsylvania

1. Pain Medicine (Physical Medicine & Rehabilitation) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pain Medicine (Physical Medicine & Rehabilitation) Physician share within Pennsylvania

Medicare quality performance — MIPS

MICHAEL LEE, M.D.'s 2023 MIPS final score plotted against the Pain Medicine (Physical Medicine & Rehabilitation) Physician national average

Below national average
MIPS Final Score
59.3957/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pain Medicine (Physical Medicine & Rehabilitation) Physician) — 59.3957/100 vs national avg 83.1

0%100%National avg83%59.4%
MIPS final score (Pain Medicine (Physical Medicine & Rehabilitation) Physician) — 59.3957/100 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).

MICHAEL LEE, M.D. is a Pain Medicine (Physical Medicine & Rehabilitation) Physician provider practicing in MALVERN, Pennsylvania, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1417969395. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

MICHAEL LEE, M.D. appears in the CMS NPPES registry as a Pain Medicine (Physical Medicine & Rehabilitation) Physician provider holding M.D. credentials at 266 LANCASTER AVE, MALVERN, PA, 19355, with a listed phone of (610) 644-6900. NPI 1417969395 was issued on 08/12/2006. 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 346 prescription claims written by this provider, covering 153 Medicare beneficiaries and totaling roughly $3K in drug spend, with an opioid prescribing rate of 13.9%. 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 59.3957/100 for the 2023 performance year (Quality 52.2302), compared with the national average of 83.1.

Pain Medicine (Physical Medicine & Rehabilitation) Physician is a narrow specialty nationwide, with 1,626 enrolled providers across 50 states and an average of 1,401 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

266 LANCASTER AVE
MALVERN, PA 19355

Provider Details

NPI 1417969395
Specialty Pain Medicine (Physical Medicine & Rehabilitation) Physician
Credentials M.D.
Gender Male
NPI Issued 08/12/2006

CMS Quality Score (MIPS)

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

59.3957
Final Score
Avg: 83.1
52.2302
Quality

Reporting: Individual

Hospital and facility affiliations

Facilities where MICHAEL 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.

PHOENIX REHABILITATION AND HEALTH SERVICES INC
CRANBERRY TOWNSHIP, PA
PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD
WEST CHESTER, PA

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

Total received

$30

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 — Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to MICHAEL LEE, M.D.. To verify MICHAEL LEE, M.D.'s current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM 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 Pennsylvania 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.

346
Total Claims
$3K
Total Drug Cost
153
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
357
Total Day Supply
7,279
Brand Drug Cost
$0
Generic Drug Cost
$3K
Opioid Claims
48 (13.9% rate)

Patient Demographics

Average Patient Age
75.8 years
Avg HCC Risk Score
1.04
Gender Split
61% female / 39% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Gabapentin
96
Celecoxib
57
Methylprednisolone
50
Meloxicam
40
Tramadol Hcl
32
Cyclobenzaprine Hcl
14
Diclofenac Sodium
12

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

Pain Medicine (Physical Medicine & Rehabilitation) Physician Overview

How MICHAEL LEE, M.D. fits within the Pain Medicine (Physical Medicine & Rehabilitation) Physician landscape nationally.

1,626
Pain Medicine (Physical Medicine & Rehabilitation) Physician Providers in US
50
States with Pain Medicine (Physical Medicine & Rehabilitation) Physician
1,401
Avg Claims per Provider

MICHAEL LEE, M.D.'s 346 claims are below the specialty average of 1,401.

Nearby Pain Medicine (Physical Medicine & Rehabilitation) Physician Providers in Pennsylvania

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

Compare Pain Medicine (Physical Medicine & Rehabilitation) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MICHAEL LEE, M.D.'s specialty?
MICHAEL LEE, M.D. specializes in Pain Medicine (Physical Medicine & Rehabilitation) Physician and practices in MALVERN, Pennsylvania. Credentials: M.D..
How much does MICHAEL LEE, M.D. prescribe under Medicare Part D?
In 2023, MICHAEL LEE, M.D. wrote 346 Medicare Part D claims totaling $3K in drug costs for 153 beneficiaries.
What is MICHAEL LEE, M.D.'s Medicare quality score?
MICHAEL LEE, M.D. has a CMS MIPS Final Score of 59.3957/100 (Quality: 52.2302). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MICHAEL LEE, M.D. located?
MICHAEL LEE, M.D. is located at 266 LANCASTER AVE, MALVERN, PA, 19355. Phone: (610) 644-6900.
What is MICHAEL LEE, M.D.'s NPI number?
MICHAEL LEE, M.D.'s National Provider Identifier (NPI) is 1417969395, issued on 08/12/2006.
Does MICHAEL LEE, M.D. prescribe opioids?
Yes, MICHAEL LEE, M.D. had 48 opioid claims in 2023 with an opioid prescribing rate of 13.9%.
How many Pain Medicine (Physical Medicine & Rehabilitation) Physician providers are there in the US?
There are 1,626 Pain Medicine (Physical Medicine & Rehabilitation) Physician providers across 50 states in the US. The average Pain Medicine (Physical Medicine & Rehabilitation) Physician provider writes 1,401 Medicare Part D claims per year.
What drugs does MICHAEL LEE, M.D. prescribe most often?
Based on 2023 Medicare Part D data, MICHAEL LEE, M.D.'s most frequently prescribed drugs include Gabapentin, Celecoxib, Methylprednisolone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MICHAEL LEE, M.D. accept Medicare?
MICHAEL LEE, M.D. appears in CMS Medicare data with 346 Part D claims and 153 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MICHAEL LEE, M.D.'s credentials?
MICHAEL LEE, M.D.'s NPI is 1417969395 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