2026 NPPES data Pain Medicine (Psychiatry & Neurology) Physician NPI 1265995351 MD, PHD
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SHENGYUN LI, MD, PHD

Pain Medicine (Psychiatry & Neurology) Physician in GAITHERSBURG, Maryland. 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
40
Medicare Part D claims · Pain Medicine (Psychiatry & Neurology) Physician avg: 2K
Industry payments
$543.36
8 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

SHENGYUN LI, MD, PHD filed 40 Medicare Part D claims in 2023 as a Pain Medicine (Psychiatry & Neurology) Physician in GAITHERSBURG, Maryland.

40
Part D claims, 2023
Likely
board-certified (heuristic)

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.

SHENGYUN LI, MD, PHD's Medicare Part D volume vs every U.S. prescriber

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

40 0th percentile higher than 0% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 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 certification likely (heuristic — not verified)

SHENGYUN LI, MD, PHD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about SHENGYUN LI, MD, PHD?

Quality data not reported

NPI registry status

Active

Issued 04/07/2019

NPI 1265995351

Primary specialty

Pain Medicine (Psychiatry & Neurology) Physician

Rare

161 US NPIs in this specialty

Medicare Part D claims

40 98% vs specialty avg

2023 prescription claims

Specialty avg: 1,690

Specialty distribution in Maryland

How Pain Medicine (Psychiatry & Neurology) Physician compares to other specialties among Maryland providers

Maryland providers

Pain Medicine (Psychiatry & Neurology) Physician share within Maryland

1. Pain Medicine (Psychiatry & Neurology) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pain Medicine (Psychiatry & Neurology) Physician share within Maryland

Specialty board-certification context

Estimated specialty board-certified rate — Pain Medicine (Psychiatry & Neurology) Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pain Medicine (Psychiatry & Neurology) Physician ABMS/AOA estimate

Est. board-certified rate (Pain Medicine (Psychiatry & Neurology) Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pain Medicine (Psychiatry & Neurology) 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).

SHENGYUN LI, MD, PHD appears in the CMS NPPES registry as a Pain Medicine (Psychiatry & Neurology) Physician provider holding MD, PHD credentials at 501 N FREDERICK AVE STE 302, GAITHERSBURG, MD, 20877, with a listed phone of (240) 220-6600. NPI 1265995351 was issued on 04/07/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what LI 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 40 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $1K in drug spend. 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.

Pain Medicine (Psychiatry & Neurology) Physician is a narrow specialty nationwide, with 161 enrolled providers across 39 states and an average of 1,690 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

501 N FREDERICK AVE STE 302
GAITHERSBURG, MD 20877

Provider Details

NPI 1265995351
Specialty Pain Medicine (Psychiatry & Neurology) Physician
Credentials MD, PHD
Gender Male
NPI Issued 04/07/2019

Hospital and facility affiliations

Facilities where SHENGYUN LI, MD, PHD 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.

PRIVIA MEDICAL GROUP, LLC
WALDORF, MD

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 SHENGYUN LI, MD, PHD. Source: openpaymentsdata.cms.gov.

Total received

$543

Largest payer

Medtronic, 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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

40
Total Claims
$1K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
48
Total Day Supply
1,420
Brand Drug Cost
$0
Generic Drug Cost
$1K

Patient Demographics

Average Patient Age
63.5 years
Avg HCC Risk Score
2.63

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
22

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

Pain Medicine (Psychiatry & Neurology) Physician Overview

How SHENGYUN LI, MD, PHD fits within the Pain Medicine (Psychiatry & Neurology) Physician landscape nationally.

161
Pain Medicine (Psychiatry & Neurology) Physician Providers in US
39
States with Pain Medicine (Psychiatry & Neurology) Physician
1,690
Avg Claims per Provider

SHENGYUN LI, MD, PHD's 40 claims are below the specialty average of 1,690.

Nearby Pain Medicine (Psychiatry & Neurology) Physician Providers in Maryland

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

Compare Pain Medicine (Psychiatry & Neurology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SHENGYUN LI, MD, PHD's specialty?
SHENGYUN LI, MD, PHD specializes in Pain Medicine (Psychiatry & Neurology) Physician and practices in GAITHERSBURG, Maryland. Credentials: MD, PHD.
How much does SHENGYUN LI, MD, PHD prescribe under Medicare Part D?
In 2023, SHENGYUN LI, MD, PHD wrote 40 Medicare Part D claims totaling $1K in drug costs for N/A beneficiaries.
Where is SHENGYUN LI, MD, PHD located?
SHENGYUN LI, MD, PHD is located at 501 N FREDERICK AVE STE 302, GAITHERSBURG, MD, 20877. Phone: (240) 220-6600.
What is SHENGYUN LI, MD, PHD's NPI number?
SHENGYUN LI, MD, PHD's National Provider Identifier (NPI) is 1265995351, issued on 04/07/2019.
How many Pain Medicine (Psychiatry & Neurology) Physician providers are there in the US?
There are 161 Pain Medicine (Psychiatry & Neurology) Physician providers across 39 states in the US. The average Pain Medicine (Psychiatry & Neurology) Physician provider writes 1,690 Medicare Part D claims per year.
What drugs does SHENGYUN LI, MD, PHD prescribe most often?
Based on 2023 Medicare Part D data, SHENGYUN LI, MD, PHD's most frequently prescribed drugs include Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SHENGYUN LI, MD, PHD accept Medicare?
SHENGYUN LI, MD, PHD appears in CMS Medicare data with 40 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 SHENGYUN LI, MD, PHD's credentials?
SHENGYUN LI, MD, PHD's NPI is 1265995351 with credentials MD, PHD. 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