2026 NPPES data Gastroenterology Physician NPI 1629118278 M.D.
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Wilfred Lee, M.D.

Gastroenterology Physician in Cape Girardeau, Missouri. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers — including 16,567 in Gastroenterology 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
189
Medicare Part D claims · 74 beneficiaries · Gastroenterology Physician avg: 833
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
92.6/100
▲ 9 pts above national avg 83.1 · Exceptional
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Wilfred Lee, M.D. reported a CMS MIPS final score of 92.6/100 — above the 83.1 national average — and filed 189 Medicare Part D claims in 2023.

92.6/100
MIPS score · +9 vs avg
189
Part D claims, 2023
88%
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.

Wilfred 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

93 Top 32% higher than 68% 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

Where Wilfred Lee, M.D. sits

This provider among gastroenterology physician peers

Across the 5,957 gastroenterology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Wilfred Lee, M.D. writes more Part D claims than 14% of them and scores higher on MIPS quality than 73% — placing this provider in the lower-volume, high-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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume — percentile in specialtyMIPS quality — percentilePart D claim volume — percentile in specialty: 67 · MIPS quality — percentile: 83Part D claim volume — percentile in specialty: 52 · MIPS quality — percentile: 68Part D claim volume — percentile in specialty: 57 · MIPS quality — percentile: 8Part D claim volume — percentile in specialty: 73 · MIPS quality — percentile: 87Part D claim volume — percentile in specialty: 5 · MIPS quality — percentile: 38Part D claim volume — percentile in specialty: 60 · MIPS quality — percentile: 75Part D claim volume — percentile in specialty: 65 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 53 · MIPS quality — percentile: 45Part D claim volume — percentile in specialty: 45 · MIPS quality — percentile: 7Part D claim volume — percentile in specialty: 20 · MIPS quality — percentile: 47Part D claim volume — percentile in specialty: 28 · MIPS quality — percentile: 58Part D claim volume — percentile in specialty: 32 · MIPS quality — percentile: 3Part D claim volume — percentile in specialty: 80 · MIPS quality — percentile: 20Part D claim volume — percentile in specialty: 40 · MIPS quality — percentile: 10Part D claim volume — percentile in specialty: 20 · MIPS quality — percentile: 97Part D claim volume — percentile in specialty: 43 · MIPS quality — percentile: 27Part D claim volume — percentile in specialty: 90 · MIPS quality — percentile: 57Part D claim volume — percentile in specialty: 37 · MIPS quality — percentile: 15Part D claim volume — percentile in specialty: 92 · MIPS quality — percentile: 97Part D claim volume — percentile in specialty: 13 · MIPS quality — percentile: 48Part D claim volume — percentile in specialty: 23 · MIPS quality — percentile: 77Part D claim volume — percentile in specialty: 2 · MIPS quality — percentile: 80Part D claim volume — percentile in specialty: 7 · MIPS quality — percentile: 22Part D claim volume — percentile in specialty: 25 · MIPS quality — percentile: 23Part D claim volume — percentile in specialty: 8 · MIPS quality — percentile: 43Part D claim volume — percentile in specialty: 33 · MIPS quality — percentile: 65Part D claim volume — percentile in specialty: 15 · MIPS quality — percentile: 42Part D claim volume — percentile in specialty: 72 · MIPS quality — percentile: 25Part D claim volume — percentile in specialty: 68 · MIPS quality — percentile: 82Part D claim volume — percentile in specialty: 3 · MIPS quality — percentile: 50Part D claim volume — percentile in specialty: 77 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 30 · MIPS quality — percentile: 92Part D claim volume — percentile in specialty: 87 · MIPS quality — percentile: 60Part D claim volume — percentile in specialty: 50 · MIPS quality — percentile: 13Part D claim volume — percentile in specialty: 63 · MIPS quality — percentile: 10Part D claim volume — percentile in specialty: 82 · MIPS quality — percentile: 62Part D claim volume — percentile in specialty: 35 · MIPS quality — percentile: 52Part D claim volume — percentile in specialty: 78 · MIPS quality — percentile: 28Part D claim volume — percentile in specialty: 12 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 18 · MIPS quality — percentile: 40Part D claim volume — percentile in specialty: 0 · MIPS quality — percentile: 37Part D claim volume — percentile in specialty: 48 · MIPS quality — percentile: 3Part D claim volume — percentile in specialty: 100 · MIPS quality — percentile: 17Part D claim volume — percentile in specialty: 62 · MIPS quality — percentile: 67Part D claim volume — percentile in specialty: 93 · MIPS quality — percentile: 92Part D claim volume — percentile in specialty: 75 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 47 · MIPS quality — percentile: 73Part D claim volume — percentile in specialty: 27 · MIPS quality — percentile: 2Part D claim volume — percentile in specialty: 55 · MIPS quality — percentile: 18Part D claim volume — percentile in specialty: 70 · MIPS quality — percentile: 88Part D claim volume — percentile in specialty: 83 · MIPS quality — percentile: 97Part D claim volume — percentile in specialty: 42 · MIPS quality — percentile: 68Part D claim volume — percentile in specialty: 10 · MIPS quality — percentile: 63Part D claim volume — percentile in specialty: 88 · MIPS quality — percentile: 88Part D claim volume — percentile in specialty: 58 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 85 · MIPS quality — percentile: 52Part D claim volume — percentile in specialty: 98 · MIPS quality — percentile: 95Part D claim volume — percentile in specialty: 38 · MIPS quality — percentile: 68Part D claim volume — percentile in specialty: 95 · MIPS quality — percentile: 52Part D claim volume — percentile in specialty: 97 · MIPS quality — percentile: 0Wilfred Lee, M.D. — Part D claim volume — percentile in specialty: 14 · MIPS quality — percentile: 73
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one gastroenterology physician peer from a representative sample of 60; the gold marker is Wilfred Lee, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic — not verified)

Wilfred Lee, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 Wilfred Lee, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 02/06/2007

NPI 1629118278

Primary specialty

Gastroenterology Physician

Mid-sized

16,567 US NPIs in this specialty

Medicare Part D claims

189 77% vs specialty avg

2023 prescription claims

Specialty avg: 833

MIPS final score

92.6/100 9.5 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Missouri

How Gastroenterology Physician compares to other specialties among Missouri providers

Missouri providers

Largest specialties in Missouri (% of in-state providers)

Pharmacist — 4.8%Pharmacist4.8%Professional Counselor — 4.8%Professional Counselor4.8%Speech-Language Pathologist — 4.5%Speech-Language Pathologist4.5%Clinical Social Worker — 4.5%Clinical Social Worker4.5%Family Nurse Practitioner — 4.3%Family Nurse Practitioner4.3%Physical Therapist — 4%Physical Therapist4%Gastroenterology Physician — 0.3%Gastroenterology Physician0.3%
Largest specialties in Missouri (% of in-state providers)

Medicare quality performance — MIPS

Wilfred Lee, M.D.'s 2023 MIPS final score plotted against the Gastroenterology Physician national average

High performer (top quartile)
MIPS Final Score
92.6/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gastroenterology Physician) — 92.6/100 vs national avg 83.1

0%100%National avg83%92.6%
MIPS final score (Gastroenterology Physician) — 92.6/100 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).

Wilfred Lee, M.D. appears in the CMS NPPES registry as a Gastroenterology Physician provider holding M.D. credentials at 28 S MOUNT AUBURN RD, Cape Girardeau, MO, 63703, with a listed phone of (573) 331-3350. NPI 1629118278 was issued on 02/06/2007. 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 189 prescription claims written by this provider, covering 74 Medicare beneficiaries and totaling roughly $6K in drug spend, split 12% brand-name and 88% 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 92.6/100 for the 2023 performance year (Quality 85), compared with the national average of 83.1.

Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 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

28 S MOUNT AUBURN RD
Cape Girardeau, MO 63703

Provider Details

NPI 1629118278
Specialty Gastroenterology Physician
Credentials M.D.
Gender Male
NPI Issued 02/06/2007

CMS Quality Score (MIPS)

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

92.5751
Final Score
Avg: 83.1
85.0323
Quality
88
Promoting Interoperability

Reporting: Alternative Payment Model

Brand vs generic prescribing mix · Typical

Wilfred Lee, M.D. — brand share 12.0%
Gastroenterology Physician average

12% brand-name claims vs 88% generic, on 189 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.

189
Total Claims
$6K
Total Drug Cost
74
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
261
Total Day Supply
6,264
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$1K
Generic Drug Cost
$5K

Patient Demographics

Average Patient Age
70.1 years
Avg HCC Risk Score
1.28
Gender Split
50% female / 50% male

Top Prescribed Drugs (Medicare Part D)

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

What Wilfred Lee, M.D. 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
Pantoprazole Sodium
31
Dicyclomine Hcl
28
Omeprazole
26
Sulfasalazine
22
Famotidine
16
Gavilyte-G
"Peg3350/Sod Sulf
N/A
Peg-3350 And Electrolytes
"Peg3350/Sod Sulf
N/A
Sod Sulf-Potass Sulf-Mag Sulf
"Sodium
N/A

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

Gastroenterology Physician Overview

How Wilfred Lee, M.D. fits within the Gastroenterology Physician landscape nationally.

16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider

Wilfred Lee, M.D.'s 189 claims are below the specialty average of 833.

Nearby Gastroenterology Physician Providers in Missouri

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

Compare Gastroenterology 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 Missouri medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Gastroenterology 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.

Frequently Asked Questions

What is Wilfred Lee, M.D.'s specialty?
Wilfred Lee, M.D. specializes in Gastroenterology Physician and practices in Cape Girardeau, Missouri. Credentials: M.D..
How much does Wilfred Lee, M.D. prescribe under Medicare Part D?
In 2023, Wilfred Lee, M.D. wrote 189 Medicare Part D claims totaling $6K in drug costs for 74 beneficiaries.
What is Wilfred Lee, M.D.'s Medicare quality score?
Wilfred Lee, M.D. has a CMS MIPS Final Score of 92.6/100 (Quality: 85). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Wilfred Lee, M.D. located?
Wilfred Lee, M.D. is located at 28 S MOUNT AUBURN RD, Cape Girardeau, MO, 63703. Phone: (573) 331-3350.
What is Wilfred Lee, M.D.'s NPI number?
Wilfred Lee, M.D.'s National Provider Identifier (NPI) is 1629118278, issued on 02/06/2007.
Does Wilfred Lee, M.D. prescribe more brand-name or generic drugs?
Wilfred Lee, M.D.'s prescribing is 12% brand-name and 88% generic drugs by claim count, with $1K in brand drug costs.
How many Gastroenterology Physician providers are there in the US?
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does Wilfred Lee, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Wilfred Lee, M.D.'s most frequently prescribed drugs include Pantoprazole Sodium, Dicyclomine Hcl, Omeprazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Wilfred Lee, M.D. accept Medicare?
Wilfred Lee, M.D. appears in CMS Medicare data with 189 Part D claims and 74 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Wilfred Lee, M.D.'s credentials?
Wilfred Lee, M.D.'s NPI is 1629118278 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

Compiled from official public sources by the PlainDoctor editorial team.