NPI registry status
Active
2026 NPPES data Emergency Medicine Physician NPI 1780902874 MD
Verify on CMS → Terrence Lester, MD
Emergency Medicine Physician in Rochester, New York.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 64,398 in Emergency Medicine Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
407
Medicare Part D claims · 249 beneficiaries · Emergency Medicine Physician avg: 352
MIPS score
84.8/100
▲ 2 pts above national avg 83.1 · Above neutral
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Terrence Lester, MD reported a CMS MIPS final score of 84.8/100 - above the 83.1 national average - and filed 407 Medicare Part D claims in 2023.
- 84.8/100
- MIPS score · +2 vs avg
- 407
- 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.
Terrence Lester, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
85 45th percentile higher than 45% of 477,587 scored providers
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
Where Terrence Lester, MD sits
This provider among emergency medicine physician peers
Across the 14,967 emergency medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Terrence Lester, MD writes more Part D claims than 88% of them and scores higher on MIPS quality than 37% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one emergency medicine physician peer from a representative sample of 60; the gold marker is Terrence Lester, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Terrence Lester, 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).
What does the federal data show about Terrence Lester, MD?
Near national averagePrimary specialty
Emergency Medicine Physician
Medicare Part D claims
407 16% vs specialty avg
MIPS final score
84.8/100 1.7 pts vs avg
Specialty distribution in New York
How Emergency Medicine Physician compares to other specialties among New York providers
Medicare quality performance, MIPS
Terrence Lester, MD's 2023 MIPS final score plotted against the Emergency Medicine Physician national average
- MIPS Final Score
- 84.8/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Emergency Medicine Physician) - 84.8/100 vs national avg 83.1
How MIPS and board certification work
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).
Terrence Lester, MD appears in the CMS NPPES registry as a Emergency Medicine Physician provider holding MD credentials at 601 ELMWOOD AVE, Rochester, NY, 14642, with a listed phone of (585) 463-2940. NPI 1780902874 was issued on 05/13/2010.
Medicare Part D records for calendar year 2023 show 407 prescription claims written by this provider, covering 249 Medicare beneficiaries and totaling roughly $10K in drug spend, with an opioid prescribing rate of 13.3%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 84.8/100 for the 2023 performance year (Quality 78.1), compared with the national average of 83.1.
Emergency Medicine Physician is a high-volume specialty nationwide, with 64,398 enrolled providers across 56 states and an average of 352 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
Provider Details
| NPI | 1780902874 |
|---|---|
| Specialty | Emergency Medicine Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 05/13/2010 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
84.7639
Final Score
Avg: 83.1
78.1342
Quality
Reporting: Group practice
Hospital and facility affiliations
Facilities where Terrence Lester, 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.
Soldiers And Sailors Memorial Hospital
Penn Yan, NY
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
License & disciplinary context - New York NYSBPMC 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 ~100K New York medical licensees in 2023 - they are NOT specific to Terrence Lester, MD. To verify Terrence Lester, MD's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases
NYSBPMC 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 New York 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.
407
Total Claims
$10K
Total Drug Cost
249
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 412
- Total Day Supply
- 3,799
- Generic Drug Cost
- $4K
- Opioid Claims
- 54 (13.3% rate)
- Antibiotic Claims
- 158
Patient Demographics
- Average Patient Age
- 70.5 years
- Avg HCC Risk Score
- 1.74
- Gender Split
- 57% female / 43% male
- Age Distribution
- <65: 56, 65-74: 92, 75-84: 68, 85+: 33
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Terrence Lester, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Amoxicillin-Clavul…
Amoxicillin-Clavulanate Potass
41 claims
- Cefdinir
Cefdinir
35 claims
- Prednisone
Prednisone
34 claims
- Oxycodone Hcl
Oxycodone Hcl
31 claims
- Ondansetron Odt
Ondansetron Odt
23 claims
- Azithromycin
Azithromycin
22 claims
- Oxycodone-Acetamin…
Oxycodone-Acetaminophen
18 claims
- Nitrofurantoin Mon… 15
Nitrofurantoin Mono-Macro
15 claims
| Drug | Claims |
|---|---|
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 41 |
| Cefdinir | 35 |
| Prednisone | 34 |
| Oxycodone Hcl | 31 |
| Ondansetron Odt Ondansetron | 23 |
| Azithromycin | 22 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 18 |
| Nitrofurantoin Mono-Macro Nitrofurantoin Monohyd/M-Cryst | 15 |
| Doxycycline Monohydrate | 14 |
| Potassium Chloride | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Emergency Medicine Physician Overview
How Terrence Lester, MD fits within the Emergency Medicine Physician landscape nationally.
64,398
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider
Terrence Lester, MD's 407 claims are above the specialty average of 352.
Nearby Emergency Medicine Physician Providers in New York
Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Lester.
Dr. Matthew Abad
D.O.
Bronx, NY
Nabil Abazaid
New York, NY
Dr. Ethan Abbott
DO
Bronx, NY
Dr. Frederick Abbuhl
MD
Albany, NY
Dr. Minako Abe
MD
New York, NY
Compare Emergency Medicine Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the New York medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Emergency Medicine Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Medical Specialties Explained
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Understanding Medicare Claims Data
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Frequently Asked Questions
What is Terrence Lester, MD's specialty? ▼
Terrence Lester, MD specializes in Emergency Medicine Physician and practices in Rochester, New York. Credentials: MD.
How much does Terrence Lester, MD prescribe under Medicare Part D? ▼
In 2023, Terrence Lester, MD wrote 407 Medicare Part D claims totaling $10K in drug costs for 249 beneficiaries.
What is Terrence Lester, MD's Medicare quality score? ▼
Terrence Lester, MD has a CMS MIPS Final Score of 84.8/100 (Quality: 78.1). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Terrence Lester, MD located? ▼
Terrence Lester, MD is located at 601 ELMWOOD AVE, Rochester, NY, 14642. Phone: (585) 463-2940.
What is Terrence Lester, MD's NPI number? ▼
Terrence Lester, MD's National Provider Identifier (NPI) is 1780902874, issued on 05/13/2010.
Does Terrence Lester, MD prescribe opioids? ▼
Yes, Terrence Lester, MD had 54 opioid claims in 2023 with an opioid prescribing rate of 13.3%.
How many Emergency Medicine Physician providers are there in the US? ▼
There are 64,398 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
What drugs does Terrence Lester, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Terrence Lester, MD's most frequently prescribed drugs include Amoxicillin-Clavulanate Potass, Cefdinir, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Terrence Lester, MD accept Medicare? ▼
Terrence Lester, MD appears in CMS Medicare data with 407 Part D claims and 249 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Terrence Lester, MD's credentials? ▼
Terrence Lester, MD's NPI is 1780902874 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.