2026 NPPES data Transplant Hepatology Physician NPI 1396032546 M.D.
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TZU-HAO LEE, M.D.

Transplant Hepatology Physician in HOUSTON, 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
70
Medicare Part D claims · 15 beneficiaries · Transplant Hepatology Physician avg: 536
Generic prescribing
64%
generic claims · 36% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
91.3432/100
▲ 8 pts above national avg 83.1 · [object Object]
Industry payments
$203.99
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

TZU-HAO LEE, M.D. reported a CMS MIPS final score of 91.3432/100 — above the 83.1 national average — and filed 70 Medicare Part D claims in 2023.

91.3432/100
MIPS score · +8 vs avg
70
Part D claims, 2023
64%
generic prescribing
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.

TZU-HAO LEE, M.D.'s MIPS score vs every scored U.S. clinician

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

91 Top 37% higher than 63% 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%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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

Board certification likely (heuristic — not verified)

TZU-HAO LEE, M.D. 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 TZU-HAO LEE, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 07/07/2011

NPI 1396032546

Primary specialty

Transplant Hepatology Physician

Rare

131 US NPIs in this specialty

Medicare Part D claims

70 87% vs specialty avg

2023 prescription claims

Specialty avg: 536

MIPS final score

91.3432/100 8.243200000000002% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Texas

How Transplant Hepatology Physician compares to other specialties among Texas providers

Texas providers

Transplant Hepatology Physician share within Texas

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

Medicare quality performance — MIPS

TZU-HAO LEE, M.D.'s 2023 MIPS final score plotted against the Transplant Hepatology Physician national average

High performer (top quartile)
MIPS Final Score
91.3432/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Transplant Hepatology Physician) — 91.3432/100 vs national avg 83.1

0%100%National avg83%91.3%
MIPS final score (Transplant Hepatology Physician) — 91.3432/100 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).

TZU-HAO LEE, M.D. appears in the CMS NPPES registry as a Transplant Hepatology Physician provider holding M.D. credentials at 6720 BERTNER AVE, HOUSTON, TX, 77030, with a listed phone of (832) 355-2666. NPI 1396032546 was issued on 07/07/2011. 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 70 prescription claims written by this provider, covering 15 Medicare beneficiaries and totaling roughly $125K in drug spend, split 36% brand-name and 64% 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 91.3432/100 for the 2023 performance year (Quality 81.6474), compared with the national average of 83.1.

Transplant Hepatology Physician is a narrow specialty nationwide, with 131 enrolled providers across 36 states and an average of 536 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

6720 BERTNER AVE
HOUSTON, TX 77030

Provider Details

NPI 1396032546
Specialty Transplant Hepatology Physician
Credentials M.D.
Gender Male
NPI Issued 07/07/2011

CMS Quality Score (MIPS)

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

91.3432
Final Score
Avg: 83.1
81.6474
Quality
89.1302
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where TZU-HAO LEE, M.D. 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.

BAYLOR COLLEGE OF MEDICINE
THE WOODLANDS, TX

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 TZU-HAO LEE, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$204

Largest payer

Cook Medical LLC

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 TZU-HAO LEE, M.D.. To verify TZU-HAO 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 · Above average

TZU-HAO LEE, M.D. — brand share 36.0%
Specialty average (est.)

36% brand-name claims vs 64% generic, on 70 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.

70
Total Claims
$125K
Total Drug Cost
15
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
115
Total Day Supply
3,375
Brand vs Generic
36% brand / 64% generic
Brand Drug Cost
$116K
Generic Drug Cost
$9K

Patient Demographics

Average Patient Age
65.4 years
Avg HCC Risk Score
3.15

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Spironolactone
24

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

Transplant Hepatology Physician Overview

How TZU-HAO LEE, M.D. fits within the Transplant Hepatology Physician landscape nationally.

131
Transplant Hepatology Physician Providers in US
36
States with Transplant Hepatology Physician
536
Avg Claims per Provider

TZU-HAO LEE, M.D.'s 70 claims are below the specialty average of 536.

Nearby Transplant Hepatology Physician Providers in Texas

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

Compare Transplant Hepatology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is TZU-HAO LEE, M.D.'s specialty?
TZU-HAO LEE, M.D. specializes in Transplant Hepatology Physician and practices in HOUSTON, Texas. Credentials: M.D..
How much does TZU-HAO LEE, M.D. prescribe under Medicare Part D?
In 2023, TZU-HAO LEE, M.D. wrote 70 Medicare Part D claims totaling $125K in drug costs for 15 beneficiaries.
What is TZU-HAO LEE, M.D.'s Medicare quality score?
TZU-HAO LEE, M.D. has a CMS MIPS Final Score of 91.3432/100 (Quality: 81.6474). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is TZU-HAO LEE, M.D. located?
TZU-HAO LEE, M.D. is located at 6720 BERTNER AVE, HOUSTON, TX, 77030. Phone: (832) 355-2666.
What is TZU-HAO LEE, M.D.'s NPI number?
TZU-HAO LEE, M.D.'s National Provider Identifier (NPI) is 1396032546, issued on 07/07/2011.
Does TZU-HAO LEE, M.D. prescribe more brand-name or generic drugs?
TZU-HAO LEE, M.D.'s prescribing is 36% brand-name and 64% generic drugs by claim count, with $116K in brand drug costs.
How many Transplant Hepatology Physician providers are there in the US?
There are 131 Transplant Hepatology Physician providers across 36 states in the US. The average Transplant Hepatology Physician provider writes 536 Medicare Part D claims per year.
What drugs does TZU-HAO LEE, M.D. prescribe most often?
Based on 2023 Medicare Part D data, TZU-HAO LEE, M.D.'s most frequently prescribed drugs include Spironolactone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does TZU-HAO LEE, M.D. accept Medicare?
TZU-HAO LEE, M.D. appears in CMS Medicare data with 70 Part D claims and 15 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TZU-HAO LEE, M.D.'s credentials?
TZU-HAO LEE, M.D.'s NPI is 1396032546 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