NPI registry status
Active
2026 NPPES data Allergy Physician NPI 1689606881 MD
Verify on CMS → Theodore Lee, MD
Allergy Physician in Atlanta, Georgia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,019 in Allergy 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
2K
Medicare Part D claims · 251 beneficiaries · Allergy Physician avg: 755
MIPS score
79.6/100
▼ 3 pts below national avg 83.1 · Above neutral
Industry payments
$2.0K
88 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Theodore Lee, MD reported a CMS MIPS final score of 79.6/100 - below the 83.1 national average - and filed 1,773 Medicare Part D claims in 2023.
- 79.6/100
- MIPS score · -3 vs avg
- 2K
- 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.
Theodore Lee, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
80 30th percentile higher than 30% 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 Theodore Lee, MD sits
This provider among allergy physician peers
Across the 175 allergy physician providers who report both Medicare Part D prescribing and a MIPS quality score, Theodore Lee, MD writes more Part D claims than 77% of them and scores higher on MIPS quality than 47% - 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 allergy physician peer from a representative sample of 60; the gold marker is Theodore Lee, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Theodore 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).
What does the federal data show about Theodore Lee, MD?
Near national averagePrimary specialty
Allergy Physician
Medicare Part D claims
1,773 135% vs specialty avg
MIPS final score
79.6/100 3.5 pts vs avg
Specialty distribution in Georgia
How Allergy Physician compares to other specialties among Georgia providers
Medicare quality performance, MIPS
Theodore Lee, MD's 2023 MIPS final score plotted against the Allergy Physician national average
- MIPS Final Score
- 79.6/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Allergy Physician) - 79.6/100 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).
Theodore Lee, MD appears in the CMS NPPES registry as a Allergy Physician provider holding MD credentials at 1800 PEACHTREE ST. NW, Atlanta, GA, 30309, with a listed phone of (404) 351-7520. NPI 1689606881 was issued on 07/07/2006.
Medicare Part D records for calendar year 2023 show 1,773 prescription claims written by this provider, covering 251 Medicare beneficiaries and totaling roughly $1.3 million in drug spend, with an opioid prescribing rate of 1.1%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 79.6/100 for the 2023 performance year (Quality 100, Cost 32.1), compared with the national average of 83.1.
Allergy Physician is a narrow specialty nationwide, with 1,019 enrolled providers across 49 states and an average of 755 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 | 1689606881 |
|---|---|
| Specialty | Allergy Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 07/07/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
79.6186
Final Score
Avg: 83.1
100
Quality
32.062
Cost
Reporting: Group practice
Hospital and facility affiliations
Facilities where Theodore 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.
Peachtree Allergy And Asthma Clinic PC
Atlanta, GA
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 Theodore Lee, MD. Source: openpaymentsdata.cms.gov.
Total received
$2.0K
Largest payer
Takeda Pharmaceuticals U.S.A., 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.
1,773
Total Claims
$1.3M
Total Drug Cost
251
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 3,173
- Total Day Supply
- 89,418
- Generic Drug Cost
- $76K
- Opioid Claims
- 19 (1.1% rate)
- Antibiotic Claims
- 75
Patient Demographics
- Average Patient Age
- 71.4 years
- Avg HCC Risk Score
- 1.13
- Gender Split
- 72% female / 28% male
- Age Distribution
- <65: 31, 65-74: 127, 75-84: 77, 85+: 16
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Theodore Lee, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Montelukast Sodium
Montelukast Sodium
424 claims
- Fluticasone Propio… 110
Fluticasone Propionate
110 claims
- Trelegy Ellipta 82
Trelegy Ellipta
82 claims
- Prednisone 71
Prednisone
71 claims
- Levocetirizine Dih… 69
Levocetirizine Dihydrochloride
69 claims
- Albuterol Sulfate … 66
Albuterol Sulfate Hfa
66 claims
- Azelastine Hcl 63
Azelastine Hcl
63 claims
- Breo Ellipta 62
Breo Ellipta
62 claims
| Drug | Claims |
|---|---|
| Montelukast Sodium | 424 |
| Fluticasone Propionate | 110 |
| Trelegy Ellipta Fluticasone/Umeclidin/Vilanter | 82 |
| Prednisone | 71 |
| Levocetirizine Dihydrochloride | 69 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 66 |
| Azelastine Hcl | 63 |
| Breo Ellipta Fluticasone/Vilanterol | 62 |
| Cromolyn Sodium | 52 |
| Alvesco Ciclesonide | 42 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Allergy Physician Overview
How Theodore Lee, MD fits within the Allergy Physician landscape nationally.
1,019
Allergy Physician Providers in US
49
States with Allergy Physician
755
Avg Claims per Provider
Theodore Lee, MD's 1,773 claims are above the specialty average of 755.
Nearby Allergy Physician Providers in Georgia
Other clinicians with the same primary specialty enrolled in Georgia, drawn from the same CMS NPPES roster as Lee.
Dr. Ariana Buchanan
MD
Carrollton, GA
Dr. Thomas Chacko
MD
Alpharetta, GA
Dr. Tesneem Chaudhary
MD
Augusta, GA
Dr. Donnie Dunagan
M.D.
Augusta, GA
Dr. Sofia Edwards-Salmon
MD
Alpharetta, GA
Compare Allergy 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 Georgia medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Allergy 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.
Healthcare Guides
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Medical Specialties Explained
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Frequently Asked Questions
What is Theodore Lee, MD's specialty? ▼
Theodore Lee, MD specializes in Allergy Physician and practices in Atlanta, Georgia. Credentials: MD.
How much does Theodore Lee, MD prescribe under Medicare Part D? ▼
In 2023, Theodore Lee, MD wrote 1,773 Medicare Part D claims totaling $1.3M in drug costs for 251 beneficiaries.
What is Theodore Lee, MD's Medicare quality score? ▼
Theodore Lee, MD has a CMS MIPS Final Score of 79.6/100 (Quality: 100, Cost: 32.1). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Theodore Lee, MD located? ▼
Theodore Lee, MD is located at 1800 PEACHTREE ST. NW, Atlanta, GA, 30309. Phone: (404) 351-7520.
What is Theodore Lee, MD's NPI number? ▼
Theodore Lee, MD's National Provider Identifier (NPI) is 1689606881, issued on 07/07/2006.
Does Theodore Lee, MD prescribe opioids? ▼
Yes, Theodore Lee, MD had 19 opioid claims in 2023 with an opioid prescribing rate of 1.1%.
How many Allergy Physician providers are there in the US? ▼
There are 1,019 Allergy Physician providers across 49 states in the US. The average Allergy Physician provider writes 755 Medicare Part D claims per year.
What drugs does Theodore Lee, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Theodore Lee, MD's most frequently prescribed drugs include Montelukast Sodium, Fluticasone Propionate, Trelegy Ellipta. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Theodore Lee, MD accept Medicare? ▼
Theodore Lee, MD appears in CMS Medicare data with 1,773 Part D claims and 251 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Theodore Lee, MD's credentials? ▼
Theodore Lee, MD's NPI is 1689606881 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.