2026 NPPES data Rheumatology Physician NPI 1588160550 M.D
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ZI YING LI, M.D

Rheumatology Physician in DALY CITY, California. 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
534
Medicare Part D claims · 105 beneficiaries · Rheumatology Physician avg: 2K
MIPS score
84.0043/100
▲ 1 pts above national avg 83.1 · [object Object]
Industry payments
$2.8K
141 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ZI YING LI, M.D reported a CMS MIPS final score of 84.0043/100 — above the 83.1 national average — and filed 534 Medicare Part D claims in 2023.

84.0043/100
MIPS score · +1 vs avg
534
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.

ZI YING LI, 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

84 45th percentile higher than 45% 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%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. 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)

ZI YING LI, M.D practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — 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 ZI YING LI, M.D?

Near national average

NPI registry status

Active

Issued 03/30/2018

NPI 1588160550

Primary specialty

Rheumatology Physician

Mid-sized

6,181 US NPIs in this specialty

Medicare Part D claims

534 74% vs specialty avg

2023 prescription claims

Specialty avg: 2,054

MIPS final score

84.0043/100 0.9043000000000063% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in California

How Rheumatology Physician compares to other specialties among California providers

California providers

Rheumatology Physician share within California

1. Rheumatology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Rheumatology Physician share within California

Medicare quality performance — MIPS

ZI YING LI, M.D's 2023 MIPS final score plotted against the Rheumatology Physician national average

Near national average
MIPS Final Score
84.0043/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Rheumatology Physician) — 84.0043/100 vs national avg 83.1

0%100%National avg83%84%
MIPS final score (Rheumatology Physician) — 84.0043/100 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).

ZI YING LI, M.D appears in the CMS NPPES registry as a Rheumatology Physician provider holding M.D credentials at 1850 SULLIVAN AVE # 488, DALY CITY, CA, 94015, with a listed phone of (415) 841-3833. NPI 1588160550 was issued on 03/30/2018. 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 534 prescription claims written by this provider, covering 105 Medicare beneficiaries and totaling roughly $445K in drug spend, with an opioid prescribing rate of 3.4%. 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 84.0043/100 for the 2023 performance year (Quality 76.2778, Cost 57.8836), compared with the national average of 83.1.

Rheumatology Physician is a mid-sized specialty nationwide, with 6,181 enrolled providers across 52 states and an average of 2,054 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

1850 SULLIVAN AVE # 488
DALY CITY, CA 94015

Provider Details

NPI 1588160550
Specialty Rheumatology Physician
Credentials M.D
Gender Female
NPI Issued 03/30/2018

CMS Quality Score (MIPS)

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

84.0043
Final Score
Avg: 83.1
76.2778
Quality
57.8836
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where ZI YING LI, 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.

COMMUNITY HEALTH PARTNERS
CLOVIS, CA
WU LEE QUOCK MEDICAL CORPORATION
SAN FRANCISCO, CA

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 ZI YING LI, M.D. Source: openpaymentsdata.cms.gov.

Total received

$2.8K

Largest payer

ABBVIE 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.

License & disciplinary context — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to ZI YING LI, M.D. To verify ZI YING LI, M.D's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California 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.

534
Total Claims
$445K
Total Drug Cost
105
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
831
Total Day Supply
23,541
Generic Drug Cost
$16K
Opioid Claims
18 (3.4% rate)
Antibiotic Claims
13

Patient Demographics

Average Patient Age
67.9 years
Avg HCC Risk Score
1.97
Gender Split
78% female / 22% male

Top Prescribed Drugs (Medicare Part D)

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

What ZI YING LI, 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
Methotrexate
Methotrexate Sodium
63
Diclofenac Sodium
59
Hydroxychloroquine Sulfate
59
Prednisone
50
Enbrel Sureclick
Etanercept
29
Leflunomide
23
Colchicine
20
Lidocaine
18
Tramadol Hcl
18
Allopurinol
13

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

Rheumatology Physician Overview

How ZI YING LI, M.D fits within the Rheumatology Physician landscape nationally.

6,181
Rheumatology Physician Providers in US
52
States with Rheumatology Physician
2,054
Avg Claims per Provider

ZI YING LI, M.D's 534 claims are below the specialty average of 2,054.

Nearby Rheumatology Physician Providers in California

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

Compare Rheumatology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ZI YING LI, M.D's specialty?
ZI YING LI, M.D specializes in Rheumatology Physician and practices in DALY CITY, California. Credentials: M.D.
How much does ZI YING LI, M.D prescribe under Medicare Part D?
In 2023, ZI YING LI, M.D wrote 534 Medicare Part D claims totaling $445K in drug costs for 105 beneficiaries.
What is ZI YING LI, M.D's Medicare quality score?
ZI YING LI, M.D has a CMS MIPS Final Score of 84.0043/100 (Quality: 76.2778, Cost: 57.8836). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ZI YING LI, M.D located?
ZI YING LI, M.D is located at 1850 SULLIVAN AVE # 488, DALY CITY, CA, 94015. Phone: (415) 841-3833.
What is ZI YING LI, M.D's NPI number?
ZI YING LI, M.D's National Provider Identifier (NPI) is 1588160550, issued on 03/30/2018.
Does ZI YING LI, M.D prescribe opioids?
Yes, ZI YING LI, M.D had 18 opioid claims in 2023 with an opioid prescribing rate of 3.4%.
How many Rheumatology Physician providers are there in the US?
There are 6,181 Rheumatology Physician providers across 52 states in the US. The average Rheumatology Physician provider writes 2,054 Medicare Part D claims per year.
What drugs does ZI YING LI, M.D prescribe most often?
Based on 2023 Medicare Part D data, ZI YING LI, M.D's most frequently prescribed drugs include Methotrexate, Diclofenac Sodium, Hydroxychloroquine Sulfate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ZI YING LI, M.D accept Medicare?
ZI YING LI, M.D appears in CMS Medicare data with 534 Part D claims and 105 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ZI YING LI, M.D's credentials?
ZI YING LI, M.D's NPI is 1588160550 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