2026 NPPES data Foot & Ankle Surgery Podiatrist NPI 1316191166 DPM
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PHONG LE, DPM

Foot & Ankle Surgery Podiatrist in ELK GROVE, California. 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
361
Medicare Part D claims · 143 beneficiaries · Foot & Ankle Surgery Podiatrist avg: 309
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
82.4212/100
▼ 1 pts below national avg 83.1 · [object Object]
Industry payments
$33.0K
77 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

PHONG LE, DPM reported a CMS MIPS final score of 82.4212/100 — below the 83.1 national average — and filed 361 Medicare Part D claims in 2023.

82.4212/100
MIPS score · -1 vs avg
361
Part D claims, 2023
95%
generic prescribing
$33.0K
industry payments (Sunshine Act)

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.

PHONG LE, DPM's MIPS score vs every scored U.S. clinician

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

82 39th percentile higher than 39% 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%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. 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

What does the federal data show about PHONG LE, DPM?

Near national average

NPI registry status

Active

Issued 11/06/2008

NPI 1316191166

Primary specialty

Foot & Ankle Surgery Podiatrist

Mid-sized

8,920 US NPIs in this specialty

Medicare Part D claims

361 17% vs specialty avg

2023 prescription claims

Specialty avg: 309

MIPS final score

82.4212/100 0.6787999999999954% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in California

How Foot & Ankle Surgery Podiatrist compares to other specialties among California providers

California providers

Foot & Ankle Surgery Podiatrist share within California

1. Foot & Ankle Surgery Podiatrist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Foot & Ankle Surgery Podiatrist share within California

Medicare quality performance — MIPS

PHONG LE, DPM's 2023 MIPS final score plotted against the Foot & Ankle Surgery Podiatrist national average

Near national average
MIPS Final Score
82.4212/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Foot & Ankle Surgery Podiatrist) — 82.4212/100 vs national avg 83.1

0%100%National avg83%82.4%
MIPS final score (Foot & Ankle Surgery Podiatrist) — 82.4212/100 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).

PHONG LE, DPM appears in the CMS NPPES registry as a Foot & Ankle Surgery Podiatrist provider holding DPM credentials at 8220 WYMARK DR, ELK GROVE, CA, 95757, with a listed phone of (916) 667-0600. NPI 1316191166 was issued on 11/06/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what LE 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 361 prescription claims written by this provider, covering 143 Medicare beneficiaries and totaling roughly $16K in drug spend, split 5% brand-name and 95% generic by claim count, with an opioid prescribing rate of 38.5%. 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 82.4212/100 for the 2023 performance year (Quality 59.6673), compared with the national average of 83.1.

Foot & Ankle Surgery Podiatrist is a mid-sized specialty nationwide, with 8,920 enrolled providers across 53 states and an average of 309 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

8220 WYMARK DR
ELK GROVE, CA 95757

Provider Details

NPI 1316191166
Specialty Foot & Ankle Surgery Podiatrist
Credentials DPM
Gender Male
NPI Issued 11/06/2008

CMS Quality Score (MIPS)

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

82.4212
Final Score
Avg: 83.1
59.6673
Quality
89
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where PHONG LE, DPM 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.

MARSHALL MEDICAL CENTER
★★★★☆ 4/5
EL DORADO HILLS, CA
Acute Care Hospitals
CMS CCN: 050254
DIGNITY HEALTH MEDICAL FOUNDATION
ELK GROVE, CA
NORTHERN CALIFORNIA ORTHOPAEDIC ASSOCIATES CORP
GRASS VALLEY, CA

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 PHONG LE, DPM. Source: openpaymentsdata.cms.gov.

Total received

$33.0K

Largest payer

Stryker Corporation

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 — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to PHONG LE, DPM. To verify PHONG LE, DPM's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

PHONG LE, DPM — brand share 5.0%
Specialty average (est.)

5% brand-name claims vs 95% generic, on 361 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.

361
Total Claims
$16K
Total Drug Cost
143
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
428
Total Day Supply
8,024
Brand vs Generic
5% brand / 95% generic
Brand Drug Cost
$7K
Generic Drug Cost
$9K
Opioid Claims
139 (38.5% rate)
Antibiotic Claims
70

Patient Demographics

Average Patient Age
70.1 years
Avg HCC Risk Score
1.51
Gender Split
65% female / 35% male
Age Distribution
<65: 27, 65-74: 76, 75-84: 27, 85+: 13

Top Prescribed Drugs (Medicare Part D)

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

What PHONG LE, DPM 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
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
105
Ammonium Lactate
47
Cephalexin
32
Diclofenac Sodium
29
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
19
Ibuprofen
14
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
14

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

Foot & Ankle Surgery Podiatrist Overview

How PHONG LE, DPM fits within the Foot & Ankle Surgery Podiatrist landscape nationally.

8,920
Foot & Ankle Surgery Podiatrist Providers in US
53
States with Foot & Ankle Surgery Podiatrist
309
Avg Claims per Provider

PHONG LE, DPM's 361 claims are above the specialty average of 309.

Nearby Foot & Ankle Surgery Podiatrist Providers in California

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

Compare Foot & Ankle Surgery Podiatrist nationally: see state-by-state distribution →

Frequently Asked Questions

What is PHONG LE, DPM's specialty?
PHONG LE, DPM specializes in Foot & Ankle Surgery Podiatrist and practices in ELK GROVE, California. Credentials: DPM.
How much does PHONG LE, DPM prescribe under Medicare Part D?
In 2023, PHONG LE, DPM wrote 361 Medicare Part D claims totaling $16K in drug costs for 143 beneficiaries.
What is PHONG LE, DPM's Medicare quality score?
PHONG LE, DPM has a CMS MIPS Final Score of 82.4212/100 (Quality: 59.6673). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PHONG LE, DPM located?
PHONG LE, DPM is located at 8220 WYMARK DR, ELK GROVE, CA, 95757. Phone: (916) 667-0600.
What is PHONG LE, DPM's NPI number?
PHONG LE, DPM's National Provider Identifier (NPI) is 1316191166, issued on 11/06/2008.
Does PHONG LE, DPM prescribe more brand-name or generic drugs?
PHONG LE, DPM's prescribing is 5% brand-name and 95% generic drugs by claim count, with $7K in brand drug costs.
Does PHONG LE, DPM prescribe opioids?
Yes, PHONG LE, DPM had 139 opioid claims in 2023 with an opioid prescribing rate of 38.5%.
How many Foot & Ankle Surgery Podiatrist providers are there in the US?
There are 8,920 Foot & Ankle Surgery Podiatrist providers across 53 states in the US. The average Foot & Ankle Surgery Podiatrist provider writes 309 Medicare Part D claims per year.
What drugs does PHONG LE, DPM prescribe most often?
Based on 2023 Medicare Part D data, PHONG LE, DPM's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Ammonium Lactate, Cephalexin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PHONG LE, DPM accept Medicare?
PHONG LE, DPM appears in CMS Medicare data with 361 Part D claims and 143 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PHONG LE, DPM's credentials?
PHONG LE, DPM's NPI is 1316191166 with credentials DPM. 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