Dr. Tom Long Le, MD

  • Fullerton, CA
  • Family medicine physician
NPI1669547006PAC ID6204864887
Medicare services, 2024
268
Medicare patients, 2024
206
Part D claims, 2024
471
Publications
6
MIPS score, 2024
96
Practice address
2251 N Harbor Blvd, Fullerton, CA 92835
Practice phone
Call (714) 449-4900
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Providence Medical Foundation

Fullerton, California

See all 4 affiliations

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Dr. Tom Long Le is a family medicine physician in Fullerton, California

Dr. Le practices at Providence Medical Foundation in Fullerton, California.

Dr. Le's NPI, 1669547006, was assigned on November 21, 2006. Dr. Le graduated from American University of the Caribbean School of Medicine in 2001. Dr. Le holds California license A88137.

NPI and contact details
Medicare PAC ID
6204864887
NPI enumeration date
November 21, 2006
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(714) 449-4900
Professional email
Get email
Personal email
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Mobile number
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Sex
Male
Estimated age
51
Medical school graduation
2001

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Tom Long Le practices at Providence Medical Foundation in Fullerton, California

Dr. Le's primary practice is Providence Medical Foundation, at 2251 N Harbor Blvd, Fullerton, CA 92835 in Orange County. The practice phone is (714) 449-4900.

  • Providence Medical Foundation
    2251 N Harbor Blvd, Fullerton, CA 92835 · Orange CountyPhone(714) 449-4900

Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data

Dr. Tom Long Le is affiliated with 2 sites of care and 2 medical groups

Dr. Le's primary practice is Providence Medical Foundation in Fullerton, California. The medical group on file is St. Jude Heritage Medical Group. Dmand AI also links Dr. Le to 1 more group practice or clinic and 1 medical group, each named with a free account.

See all 4 affiliations for Dr. Le

Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data

Dmand AI tracks the EHR system at Dr. Tom Long Le's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Le practices. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Providence Medical FoundationAvailable with a free account
+1 more site and 1 medical groupAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Tom Long Le is one of 15,680 family medicine physicians in California

Family medicine is Dr. Le's primary specialty in the NPI Registry, under taxonomy code 207Q00000X. Dr. Le is board certified in family medicine by the American Board of Family Medicine. Dmand AI has Dr. Le's licenses on file in 15 states: California, New Jersey, Maryland, Arizona, Illinois, Michigan, Washington, Hawaii, Pennsylvania, Virginia, Indiana, Wisconsin, Connecticut, Colorado and Oklahoma.

Specialties and state licenses

  • Family medicine, CaliforniaPrimaryLicense A88137 · 2004 to 2026 · taxonomy 207Q00000X
  • New Jersey license2007 to 2023
  • Maryland license2006 to 2018
  • Arizona license2006 to 2017
  • Illinois license2007 to 2017
  • Michigan license2006 to 2017
  • Washington license2006 to 2017
  • Hawaii license2006 to 2016
  • Pennsylvania license2006 to 2016
  • Virginia license2006 to 2016
  • Indiana license2006 to 2015
  • Wisconsin license2007 to 2015
  • Connecticut license2007 to 2010
  • Colorado license2007 to 2009
  • Oklahoma license2007 to 2009

Clinical focus

Dmand AI lists acute sinusitis, acute skin infection, conjunctivitis, contact dermatitis, ear infection, fluid in a joint, gastroenteritis and hemorrhoids among the conditions Dr. Le treats.

Family medicine physicians near Dr. Le

Counts of family medicine physicians with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Tom Long Le billed Medicare for 268 services in 2024

CMS data shows 268 Medicare services from Dr. Le across 7 procedure codes in 2024, for 206 Medicare patients. Medicare paid $22,180 for them. Every service was in an office.

Medicare services, 2024268
Medicare patients206
Paid by Medicare$22,180
Procedure codes7

Dr. Le's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 1092024: 21698%
Lab and pathology
2023: 292024: 4038%
Tests and treatments
2023: 02024: 12

Dr. Le compared with the California median for family medicine physicians, 2024

  • Dr. Le
  • California median
Medicare services
268vs 2469% above
Medicare patients
206vs 11875% above
Part D claims
312vs 83363% below

Medians across 15,349 family medicine physicians in California with Dmand AI profiles that report each measure.

Dr. Le's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Le

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Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Le and other family medicine physicians in California.

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Tom Long Le treated 206 Medicare patients in 2024, average age 75

CMS counts 206 Medicare patients who saw Dr. Le in 2024. The largest group is 65 to 74, with 91 patients. 75% of them have high cholesterol, and 68% have high blood pressure. 14% are also on Medicaid. Their average risk score is 1.06, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. Le's median patient age at 45, with 61% women.

Medicare patients, 2024206
Average age75
Average risk score1.06
Also on Medicaid14%

Dr. Le's Medicare patients by age, 2024

CMS leaves out age groups with fewer than 11 patients.

Dr. Le's Medicare patients by sex, 2024

  • Women12058%
  • Men8642%

Chronic conditions among Dr. Le's Medicare patients, 2024

  1. High cholesterol75%
  2. High blood pressure68%
  3. Arthritis47%
  4. Diabetes31%
  5. Chronic kidney disease24%
  6. Osteoporosis24%
  7. Anxiety20%
  8. Atrial fibrillation18%

Share of Medicare patients with each condition. A patient can have several.

Dr. Le's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 45

Patient panel by sex, all payers

  • Women61%
  • Men38%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Tom Long Le wrote 471 Medicare Part D claims in 2024

In 2024, Dr. Le wrote 471 Medicare Part D claims for 317 patients. 94% of them were for generic drugs. CMS names the drug for 312 of them, across 15 drugs with 11 or more claims each, at $3,234 in total drug cost. In 2023, CMS named 144 claims across 8 drugs.

Part D claims, 2024471
Drugs named by CMS15
Total drug cost$3,234
Part D patients317

Dr. Le's Part D claims by kind of drug, 2024

  • Generic442 claims94%
  • Brand-name and other29 claims6%

Dr. Le's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Le's Part D claims, 2024

  • Antibiotics41%192 of 471 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 1442024: 312117%

Drugs named by CMS: 15 in 2024, 8 in 2023.

See all prescribing by Dr. Le

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Tom Long Le scored 96 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 96 out of 100 for Dr. Le for performance year 2024, reported through an alternative payment model (APM). Dr. Le accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Dr. Le's MIPS scores, performance year 2024

  • 96of 100Final score
  • 84.3of 100Quality
  • 100of 100Promoting Interoperability
  • 40of 100Improvement Activities

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026

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Dr. Tom Long Le has 6 publications on record

Dmand AI links 6 papers to Dr. Le, published from 2011 to 2015. 2011 was the busiest year, with 2. The most frequent topics are Fetus, Mice, Inbred BALB C and Mice, Inbred C57BL. Dr. Le has published most often in Chimerism. Dr. Le's most frequent co-authors are Tippi C. Mackenzie, MD and Amar Nijagal, MD.

Papers6
Years published2011 to 2015

Dr. Le's papers by year, 2011 to 2015

Topics Dr. Le writes about most

  • Fetus
  • Mice, Inbred BALB C
  • Mice, Inbred C57BL
  • Immune Tolerance
  • Maternal-Fetal Exchange
  • Adoptive Transfer
  • Fetal Therapies
  • Hematopoietic Stem Cell Transplantation

Dr. Le's most frequent co-authors

Recent publications by Dr. Le

See all 6 publications and co-authors

See who Dr. Le researches with

Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. Le works with, so you can find a warm path to the right family medicine physicians.

How network discovery works

Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage

Dr. Tom Long Le received $403 in industry payments from 2016 to 2025

CMS Open Payments shows 12 general payments to Dr. Le from 6 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 100% of the total. Boston Scientific Corporation paid the most, $186.

General payments to Dr. Le by program year, 2016 to 2025

Companies that paid Dr. Le the most, 2016 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Le

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Tom Long Le graduated from American University of the Caribbean School of Medicine

Dr. Le graduated from American University of the Caribbean School of Medicine in 2001.

  1. Medical schoolAmerican University of the Caribbean School of Medicine
  2. Board certified in family medicineAmerican Board of Family Medicine

Source: Dmand AI Professional Profile Data

Dr. Tom Long Le accepts plans from 6 insurance carriers

Dr. Le is in network with 6 carriers, including Blue Cross Blue Shield of Michigan, Elevance and Blue Cross Blue Shield of Massachusetts. Medicare plans come from the most carriers, 6. Check the plan with the practice before a visit.

  • Blue Cross Blue Shield of Michigan
  • Elevance
  • Blue Cross Blue Shield of Massachusetts
  • HCSC
  • Regence Health Plans
  • CMS Medicare

Plan types Dr. Le accepts, by number of carriers

  1. Medicare6
  2. PPO5
  3. POS2
  4. EPO1
  5. HMO1

Source: Dmand AI Insurance Network Data

Sources for Dr. Tom Long Le's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)
Publications, topics and co-authorsPubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Tom Long Le

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Tom Long Le's NPI number?

Dr. Tom Long Le's NPI number is 1669547006. It was assigned on November 21, 2006, and it is active in the NPI Registry.

What kind of doctor is Dr. Tom Long Le?

Dr. Tom Long Le is a family medicine physician in Fullerton, California. The primary specialty in the NPI Registry is Family Medicine Physician (taxonomy code 207Q00000X).

Where does Dr. Tom Long Le practice?

Dr. Le practices at 2251 N Harbor Blvd, Fullerton, CA 92835. Dr. Le's primary practice is Providence Medical Foundation in Fullerton, California. Dmand AI also links Dr. Le to 1 group practice or clinic and 1 medical group.

What is Dr. Tom Long Le's office phone number?

The practice phone on file for Dr. Le is (714) 449-4900.

What is Dr. Tom Long Le's medical license number?

Dr. Le holds California license A88137, one of the licenses on file in 15 states.

Which states has Dr. Tom Long Le been licensed in?

Dmand AI has state licenses on file for Dr. Le in California (2004 to 2026), New Jersey (2007 to 2023), Maryland (2006 to 2018), Arizona (2006 to 2017), Illinois (2007 to 2017), Michigan (2006 to 2017), Washington (2006 to 2017), Hawaii (2006 to 2016), Pennsylvania (2006 to 2016), Virginia (2006 to 2016), Indiana (2006 to 2015), Wisconsin (2007 to 2015), Connecticut (2007 to 2010), Colorado (2007 to 2009) and Oklahoma (2007 to 2009).

What medical group is Dr. Tom Long Le part of?

Dr. Le is linked to St. Jude Heritage Medical Group. Dmand AI links Dr. Le to 1 more medical group.

Does Dr. Tom Long Le accept Medicare?

Yes. CMS data shows Dr. Le billed Medicare for 268 services in 2024, and Dr. Le accepts Medicare assignment.

What is Dr. Tom Long Le's MIPS score?

Dr. Le's MIPS final score for performance year 2024 is 96 out of 100, reported through an alternative payment model (APM).

How many Medicare patients does Dr. Tom Long Le see?

CMS counts 206 Medicare patients who saw Dr. Le in 2024, with an average age of 75.

Show 9 more questionsShow fewer questions

Is Dr. Tom Long Le board certified?

Yes. Dr. Le is board certified in family medicine by the American Board of Family Medicine.

What services does Dr. Tom Long Le bill to Medicare?

In 2024, Dr. Le's most billed Medicare services were office visit, established patient (99214), office visit, established patient (99213) and office visit, new patient (99204).

Where did Dr. Tom Long Le go to medical school?

Dr. Le graduated from American University of the Caribbean School of Medicine in 2001.

What drugs does Dr. Tom Long Le prescribe most?

In 2024 Medicare Part D data, Dr. Le's most prescribed drugs by claims were Prednisone, Amoxicillin-Clavulanate Potass and Doxycycline Monohydrate.

Has Dr. Tom Long Le received payments from drug or device companies?

CMS Open Payments shows $403 in general payments to Dr. Le from 6 companies from 2016 to 2025. The largest total came from Boston Scientific Corporation.

How long has Dr. Tom Long Le been practicing?

Dr. Le graduated from medical school in 2001, 25 years ago.

Does Dr. Tom Long Le do research?

Dmand AI links 6 publications to Dr. Le, published from 2011 to 2015.

Who does Dr. Tom Long Le publish with?

Dr. Le's most frequent co-authors are Tippi C. Mackenzie, MD (6 shared papers) and Amar Nijagal, MD (5 shared papers).

What insurance does Dr. Tom Long Le accept?

Dr. Le is in network with 6 carriers, including Blue Cross Blue Shield of Michigan, Elevance and Blue Cross Blue Shield of Massachusetts. Medicare plans come from the most carriers, 6. Check the plan with the practice before a visit.

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