2026 NPPES data Pediatric Endocrinology Physician NPI 1437277969 M.D.
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PHILLIP LEE, M.D.

Pediatric Endocrinology Physician in GALVESTON, 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
31
Medicare Part D claims · Pediatric Endocrinology Physician avg: 151
Generic prescribing
39%
generic claims · 61% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
74.9614/100
▼ 8 pts below national avg 83.1 · [object Object]
Industry payments
$38.02
2 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: PHILLIP LEE, M.D. is a Pediatric Endocrinology Physician ([object Object]) practicing in GALVESTON, Texas with a Medicare Part D prescribing footprint of 31 claims — 61% brand-name prescribing . Their CMS MIPS Final Score of 74.9614/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $38.02 across 2 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: PHILLIP LEE, M.D. reported a CMS MIPS final score of 74.9614 out of 100, below the 83.1 national average, and filed 31 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)

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

PHILLIP LEE, M.D. at a glance

Below national average

NPI registry status

Active

Issued 03/26/2007

NPI 1437277969

Primary specialty

Pediatric Endocrinology Physician

Niche

1,457 US NPIs in this specialty

Medicare Part D claims

31 79% vs specialty avg

2023 prescription claims

Specialty avg: 151

MIPS final score

74.9614/100 8.138599999999997% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Texas

How Pediatric Endocrinology Physician compares to other specialties among Texas providers

Texas providers

Pediatric Endocrinology Physician share within Texas

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

Medicare quality performance — MIPS

PHILLIP LEE, M.D.'s 2023 MIPS final score plotted against the Pediatric Endocrinology Physician national average

Below national average
MIPS Final Score
74.9614/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatric Endocrinology Physician) — 74.9614/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Pediatric Endocrinology Physician) — 74.9614/100 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).

PHILLIP LEE, M.D. is a Pediatric Endocrinology Physician provider practicing in GALVESTON, Texas, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1437277969. 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.

PHILLIP LEE, M.D. appears in the CMS NPPES registry as a Pediatric Endocrinology Physician provider holding M.D. credentials at 301 UNIVERSITY BLVD, GALVESTON, TX, 77555, with a listed phone of (409) 772-2222. NPI 1437277969 was issued on 03/26/2007. 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 31 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $42K in drug spend, split 61% brand-name and 39% 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 74.9614/100 for the 2023 performance year (Quality 73.7789, Cost 47.7591), compared with the national average of 83.1.

Pediatric Endocrinology Physician is a narrow specialty nationwide, with 1,457 enrolled providers across 51 states and an average of 151 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

301 UNIVERSITY BLVD
GALVESTON, TX 77555

Provider Details

NPI 1437277969
Specialty Pediatric Endocrinology Physician
Credentials M.D.
Gender Male
NPI Issued 03/26/2007

CMS Quality Score (MIPS)

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

74.9614
Final Score
Avg: 83.1
73.7789
Quality
47.7591
Cost
94
Promoting Interoperability

Reporting: Group practice

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

Total received

$38

Largest payer

ABBVIE INC.

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 — 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 PHILLIP LEE, M.D.. To verify PHILLIP LEE, M.D.'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

PHILLIP LEE, M.D. — brand share 61.0%
Specialty average (est.)

61% brand-name claims vs 39% generic, on 31 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.

31
Total Claims
$42K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
46
Total Day Supply
1,380
Brand vs Generic
61% brand / 39% generic
Brand Drug Cost
$41K

Patient Demographics

Average Patient Age
26.0 years
Avg HCC Risk Score
0.84

Pediatric Endocrinology Physician Overview

How PHILLIP LEE, M.D. fits within the Pediatric Endocrinology Physician landscape nationally.

1,457
Pediatric Endocrinology Physician Providers in US
51
States with Pediatric Endocrinology Physician
151
Avg Claims per Provider

PHILLIP LEE, M.D.'s 31 claims are below the specialty average of 151.

Nearby Pediatric Endocrinology Physician Providers in Texas

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

Compare Pediatric Endocrinology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is PHILLIP LEE, M.D.'s specialty?
PHILLIP LEE, M.D. specializes in Pediatric Endocrinology Physician and practices in GALVESTON, Texas. Credentials: M.D..
How much does PHILLIP LEE, M.D. prescribe under Medicare Part D?
In 2023, PHILLIP LEE, M.D. wrote 31 Medicare Part D claims totaling $42K in drug costs for N/A beneficiaries.
What is PHILLIP LEE, M.D.'s Medicare quality score?
PHILLIP LEE, M.D. has a CMS MIPS Final Score of 74.9614/100 (Quality: 73.7789, Cost: 47.7591). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PHILLIP LEE, M.D. located?
PHILLIP LEE, M.D. is located at 301 UNIVERSITY BLVD, GALVESTON, TX, 77555. Phone: (409) 772-2222.
What is PHILLIP LEE, M.D.'s NPI number?
PHILLIP LEE, M.D.'s National Provider Identifier (NPI) is 1437277969, issued on 03/26/2007.
Does PHILLIP LEE, M.D. prescribe more brand-name or generic drugs?
PHILLIP LEE, M.D.'s prescribing is 61% brand-name and 39% generic drugs by claim count, with $41K in brand drug costs.
How many Pediatric Endocrinology Physician providers are there in the US?
There are 1,457 Pediatric Endocrinology Physician providers across 51 states in the US. The average Pediatric Endocrinology Physician provider writes 151 Medicare Part D claims per year.
Does PHILLIP LEE, M.D. accept Medicare?
PHILLIP LEE, M.D. appears in CMS Medicare data with 31 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PHILLIP LEE, M.D.'s credentials?
PHILLIP LEE, M.D.'s NPI is 1437277969 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