2026 NPPES data Addiction Medicine (Family Medicine) Physician NPI 1790246833 MD
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NICOLE LEE, MD

Addiction Medicine (Family Medicine) Physician in COLUMBUS, Ohio. 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
179
Medicare Part D claims · 45 beneficiaries · Addiction Medicine (Family Medicine) Physician avg: 1K
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
81.3083/100
▼ 2 pts below national avg 83.1 · [object Object]
Industry payments
$72.86
4 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: NICOLE LEE, MD is a Addiction Medicine (Family Medicine) Physician ([object Object]) practicing in COLUMBUS, Ohio with a Medicare Part D prescribing footprint of 179 claims across 45 beneficiaries — 9% brand-name prescribing . Their CMS MIPS Final Score of 81.3083/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $72.86 across 4 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: NICOLE LEE, MD reported a CMS MIPS final score of 81.3083 out of 100, below the 83.1 national average, and filed 179 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)

NICOLE LEE, 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).

NICOLE LEE, MD at a glance

Near national average

NPI registry status

Active

Issued 03/29/2019

NPI 1790246833

Primary specialty

Addiction Medicine (Family Medicine) Physician

Niche

763 US NPIs in this specialty

Medicare Part D claims

179 84% vs specialty avg

2023 prescription claims

Specialty avg: 1,134

MIPS final score

81.3083/100 1.7916999999999916% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Ohio

How Addiction Medicine (Family Medicine) Physician compares to other specialties among Ohio providers

Ohio providers

Addiction Medicine (Family Medicine) Physician share within Ohio

1. Addiction Medicine (Family Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Addiction Medicine (Family Medicine) Physician share within Ohio

Medicare quality performance — MIPS

NICOLE LEE, MD's 2023 MIPS final score plotted against the Addiction Medicine (Family Medicine) Physician national average

Near national average
MIPS Final Score
81.3083/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Addiction Medicine (Family Medicine) Physician) — 81.3083/100 vs national avg 83.1

0%100%National avg83%81.3%
MIPS final score (Addiction Medicine (Family Medicine) Physician) — 81.3083/100 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).

NICOLE LEE, MD is a Addiction Medicine (Family Medicine) Physician provider practicing in COLUMBUS, Ohio, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1790246833. 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.

NICOLE LEE, MD appears in the CMS NPPES registry as a Addiction Medicine (Family Medicine) Physician provider holding MD credentials at 500 E MAIN ST STE 100, COLUMBUS, OH, 43215, with a listed phone of (614) 566-9933. NPI 1790246833 was issued on 03/29/2019. 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 179 prescription claims written by this provider, covering 45 Medicare beneficiaries and totaling roughly $17K in drug spend, split 9% brand-name and 91% 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 81.3083/100 for the 2023 performance year (Quality 73.5834, Cost 65.7777), compared with the national average of 83.1.

Addiction Medicine (Family Medicine) Physician is a narrow specialty nationwide, with 763 enrolled providers across 48 states and an average of 1,134 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

500 E MAIN ST STE 100
COLUMBUS, OH 43215

Provider Details

NPI 1790246833
Specialty Addiction Medicine (Family Medicine) Physician
Credentials MD
Gender Female
NPI Issued 03/29/2019

CMS Quality Score (MIPS)

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

81.3083
Final Score
Avg: 83.1
73.5834
Quality
65.7777
Cost
98
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where NICOLE LEE, 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.

OHIOHEALTH CORPORATION
COLUMBUS, OH

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 NICOLE LEE, MD. Source: openpaymentsdata.cms.gov.

Total received

$73

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 — Ohio OMB 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 ~48K Ohio medical licensees in 2023 — they are NOT specific to NICOLE LEE, MD. To verify NICOLE LEE, MD's current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases

OMB 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 Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

NICOLE LEE, MD — brand share 9.0%
Specialty average (est.)

9% brand-name claims vs 91% generic, on 179 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.

179
Total Claims
$17K
Total Drug Cost
45
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
283
Total Day Supply
7,418
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$9K
Generic Drug Cost
$8K

Patient Demographics

Average Patient Age
60.4 years
Avg HCC Risk Score
2.26
Gender Split
49% female / 51% male
Age Distribution
<65: 25, 65-74: 17, 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.

Drug Claims
Buprenorphine-Naloxone
Buprenorphine Hcl/Naloxone Hcl
31
Lisinopril
13
Albuterol Sulfate Hfa
Albuterol Sulfate
11
Atorvastatin Calcium
11

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

Addiction Medicine (Family Medicine) Physician Overview

How NICOLE LEE, MD fits within the Addiction Medicine (Family Medicine) Physician landscape nationally.

763
Addiction Medicine (Family Medicine) Physician Providers in US
48
States with Addiction Medicine (Family Medicine) Physician
1,134
Avg Claims per Provider

NICOLE LEE, MD's 179 claims are below the specialty average of 1,134.

Nearby Addiction Medicine (Family Medicine) Physician Providers in Ohio

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

Compare Addiction Medicine (Family Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is NICOLE LEE, MD's specialty?
NICOLE LEE, MD specializes in Addiction Medicine (Family Medicine) Physician and practices in COLUMBUS, Ohio. Credentials: MD.
How much does NICOLE LEE, MD prescribe under Medicare Part D?
In 2023, NICOLE LEE, MD wrote 179 Medicare Part D claims totaling $17K in drug costs for 45 beneficiaries.
What is NICOLE LEE, MD's Medicare quality score?
NICOLE LEE, MD has a CMS MIPS Final Score of 81.3083/100 (Quality: 73.5834, Cost: 65.7777). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is NICOLE LEE, MD located?
NICOLE LEE, MD is located at 500 E MAIN ST STE 100, COLUMBUS, OH, 43215. Phone: (614) 566-9933.
What is NICOLE LEE, MD's NPI number?
NICOLE LEE, MD's National Provider Identifier (NPI) is 1790246833, issued on 03/29/2019.
Does NICOLE LEE, MD prescribe more brand-name or generic drugs?
NICOLE LEE, MD's prescribing is 9% brand-name and 91% generic drugs by claim count, with $9K in brand drug costs.
How many Addiction Medicine (Family Medicine) Physician providers are there in the US?
There are 763 Addiction Medicine (Family Medicine) Physician providers across 48 states in the US. The average Addiction Medicine (Family Medicine) Physician provider writes 1,134 Medicare Part D claims per year.
What drugs does NICOLE LEE, MD prescribe most often?
Based on 2023 Medicare Part D data, NICOLE LEE, MD's most frequently prescribed drugs include Buprenorphine-Naloxone, Lisinopril, Albuterol Sulfate Hfa. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NICOLE LEE, MD accept Medicare?
NICOLE LEE, MD appears in CMS Medicare data with 179 Part D claims and 45 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NICOLE LEE, MD's credentials?
NICOLE LEE, MD's NPI is 1790246833 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