Dr. Patricia Shih-Ting Tsai, MD
- Medicare services, 2024
- 4,661
- Medicare patients, 2024
- 643
- Part D claims, 2024
- 2,393
- MIPS score, 2024
- 74
- Hospital affiliations
- 1
- Practice address
- 496 Old Newport Blvd, Newport Beach, CA 92663-4263
- Practice phone
- Call (949) 650-4630
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Patricia S. Tsai, MD
Physician office · Newport Beach, California
Find Dr. Tsai's professional email, personal email and mobile number
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Dr. Patricia Shih-Ting Tsai is a gastroenterologist in Newport Beach, California
Dr. Tsai practices at Patricia S. Tsai, MD in Newport Beach, California.
Dr. Tsai's NPI, 1538100896, was assigned on June 9, 2006. Dr. Tsai graduated from Pritzker School of Medicine in 1995. Dr. Tsai holds California license A64184.
- NPI
- 1538100896NPI Registry (opens in a new tab)
- Medicare PAC ID
- 3870564065
- NPI enumeration date
- June 9, 2006
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
- Practice phone
- (949) 650-4630
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Female
- Estimated age
- 57
- Medical school graduation
- 1995
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Patricia Shih-Ting Tsai practices at Patricia S. Tsai, MD in Newport Beach, California
Dr. Tsai's primary practice is Patricia S. Tsai, MD, at 496 Old Newport Blvd, Newport Beach, CA 92663-4263. The practice phone is (949) 650-4630.
- Patricia S. Tsai, MD496 Old Newport Blvd, Newport Beach, CA 92663-4263Phone(949) 650-4630
Source: Dmand AI Affiliation Data
Dr. Patricia Shih-Ting Tsai is affiliated with 2 sites of care
Dr. Tsai's primary practice is Patricia S. Tsai, MD in Newport Beach, California. Dr. Tsai is also affiliated with Hoag Hospital Newport Beach.
Source: Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Dr. Patricia Shih-Ting Tsai's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Tsai practices, 2 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Patricia S. Tsai, MD | Available with a free account |
| +1 more affiliated site | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Patricia Shih-Ting Tsai is one of 1,977 gastroenterologists in California
Gastroenterology is Dr. Tsai's primary specialty in the NPI Registry, under taxonomy code 207RG0100X. Dr. Tsai is board certified in gastroenterology by the American Board of Internal Medicine. Dr. Tsai is licensed in California.
Specialties and state licenses
- Gastroenterology, CaliforniaPrimary
Clinical focus
Dmand AI lists acid reflux, acute gastroduodenitis, chronic inflammatory bowel disease (IBD), cirrhosis of the liver, colonoscopy, fatty liver, gastroduodenitis and gastroenteritis among the conditions Dr. Tsai treats.
Gastroenterologists near Dr. Tsai
Counts of gastroenterologists 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. Patricia Shih-Ting Tsai billed Medicare for 4,661 services in 2024
CMS data shows 4,661 Medicare services from Dr. Tsai across 16 procedure codes in 2024, for 643 Medicare patients. Medicare paid $315,458 for them.
Dr. Tsai's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Lab and pathology
- 2023: 2,4762024: 2,4123%
- Office and hospital visits
- 2023: 1,5052024: 1,4702%
- Surgery
- 2023: 6092024: 6334%
- Other services
- 2023: 1732024: 14616%
Where Dr. Tsai's Medicare services took place, 2024
- In an office3,80682%
- In a facility85518%
Dr. Tsai compared with the California median for gastroenterologists, 2024
- Dr. Tsai
- California median
- Medicare services
- 4,661vs 5868.0 times
- Medicare patients
- 643vs 3022.1 times
- Part D claims
- 2,196vs 3805.8 times
Medians across 1,875 gastroenterologists in California with Dmand AI profiles that report each measure.
Dr. Tsai'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.
Need commercial claims for Dr. Tsai?
Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Tsai and other gastroenterologists in California.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Patricia Shih-Ting Tsai treated 643 Medicare patients in 2024, average age 74
CMS counts 643 Medicare patients who saw Dr. Tsai in 2024. The largest group is 65 to 74, with 318 patients. 75% of them have high cholesterol, and 64% have high blood pressure. 8% are also on Medicaid. Their average risk score is 1.04, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Dr. Tsai's median patient age at 64, with 78% women.
Dr. Tsai's Medicare patients by age, 2024
Dr. Tsai's Medicare patients by sex, 2024
- Women48876%
- Men15524%
Chronic conditions among Dr. Tsai's Medicare patients, 2024
- High cholesterol75%
- High blood pressure64%
- Arthritis51%
- Osteoporosis28%
- Diabetes25%
- Anxiety20%
- Cancer20%
- Ischemic heart disease20%
Share of Medicare patients with each condition. A patient can have several.
Dr. Tsai's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 64
Patient panel by sex, all payers
- Women78%
- Men20%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Patricia Shih-Ting Tsai wrote 2,393 Medicare Part D claims in 2024
In 2024, Dr. Tsai wrote 2,393 Medicare Part D claims for 697 patients. 84% of them were for generic drugs. CMS names the drug for 2,196 of them, across 31 drugs with 11 or more claims each, at $308,470 in total drug cost. In 2023, CMS named 2,178 claims across 33 drugs.
Dr. Tsai's Part D claims by kind of drug, 2024
- Generic2,007 claims84%
- Brand-name and other386 claims16%
Dr. Tsai'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. Tsai's Part D claims, 2024
- Antibiotics2%48 of 2,393 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: 2,1782024: 2,1961%
Drugs named by CMS: 31 in 2024, 33 in 2023.
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. Patricia Shih-Ting Tsai scored 74 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 74 out of 100 for Dr. Tsai for performance year 2024, reported individually. Dr. Tsai accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Dr. Tsai as offering telehealth. CMS counts 570 procedures of colonoscopy by Dr. Tsai, more than 99% of the clinicians it reports for that procedure.
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
Dr. Tsai's MIPS scores, performance year 2024
- 74of 100Final score
- 47.9of 100Quality
- 40of 100Improvement Activities
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Where Dr. Tsai ranks in Medicare procedure volume
- Colonoscopy
- 99th percentile570 procedures
- Upper gastrointestinal (GI) endoscopy for acid reflux
- 94th percentile280 procedures
CMS ranks each clinician against every clinician it reports for the same procedure category.
Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)
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Dr. Patricia Shih-Ting Tsai received $36,999 in industry payments from 2016 to 2025
CMS Open Payments shows 1,446 general payments to Dr. Tsai from 53 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 99% of the total. Abbvie Inc. paid the most, $6,952.
General payments to Dr. Tsai by program year, 2016 to 2025
General payments to Dr. Tsai by kind, 2016 to 2025
- Food and beverage$36,71799%
- Education$2471%
- Consulting fees$350%
Companies that paid Dr. Tsai the most, 2016 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. Patricia Shih-Ting Tsai has 1 award and honors on record
Dmand AI lists 1 award for Dr. Tsai, most recently CMS Stage 1 EHR in 2013.
Awards and honors for Dr. Tsai
- 2013
- CMS Stage 1 EHR
Source: Dmand AI Professional Profile Data
Dr. Patricia Shih-Ting Tsai graduated from Pritzker School of Medicine
Dr. Tsai graduated from Pritzker School of Medicine in 1995.
- Medical school
- Board certified in gastroenterology
Source: Dmand AI Professional Profile Data
Dr. Patricia Shih-Ting Tsai accepts plans from 12 insurance carriers
Dr. Tsai is in network with 12 carriers, including Aetna, Elevance and Blue Cross Blue Shield of Michigan. PPO plans come from the most carriers, 8. Check the plan with the practice before a visit.
- Aetna
- Elevance
- Blue Cross Blue Shield of Michigan
- United Healthcare
- HCSC
- Blue Cross Blue Shield of Massachusetts
- Alliant Health Plans
- Blue Cross and Blue Shield of Kansas City
- +4 more carriersWith a free account
Plan types Dr. Tsai accepts, by number of carriers
- PPO8
- Medicare7
- HMO6
- EPO4
- POS4
Source: Dmand AI Insurance Network Data
Sources for Dr. Patricia Shih-Ting Tsai's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare 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 percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Awards and committee roles | Dmand AI Professional Profile Data |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| Insurance carriers and plan types | Dmand AI Insurance Network Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Patricia Shih-Ting Tsai
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. Patricia Shih-Ting Tsai's NPI number?
Dr. Patricia Shih-Ting Tsai's NPI number is 1538100896. It was assigned on June 9, 2006, and it is active in the NPI Registry.
What kind of doctor is Dr. Patricia Shih-Ting Tsai?
Dr. Patricia Shih-Ting Tsai is a gastroenterologist in Newport Beach, California. The primary specialty in the NPI Registry is Gastroenterology Physician (taxonomy code 207RG0100X).
Where does Dr. Patricia Shih-Ting Tsai practice?
Dr. Tsai practices at 496 Old Newport Blvd, Newport Beach, CA 92663-4263. Dr. Tsai's primary practice is Patricia S. Tsai, MD in Newport Beach, California.
What is Dr. Patricia Shih-Ting Tsai's office phone number?
The practice phone on file for Dr. Tsai is (949) 650-4630.
What is Dr. Patricia Shih-Ting Tsai's medical license number?
Dr. Tsai holds California license A64184.
Which hospitals is Dr. Patricia Shih-Ting Tsai affiliated with?
Dr. Tsai is affiliated with Hoag Hospital Newport Beach.
Does Dr. Patricia Shih-Ting Tsai accept Medicare?
Yes. CMS data shows Dr. Tsai billed Medicare for 4,661 services in 2024, and Dr. Tsai accepts Medicare assignment.
Does Dr. Patricia Shih-Ting Tsai offer telehealth?
Yes. The CMS Doctors and Clinicians file lists Dr. Tsai as offering telehealth services.
What is Dr. Patricia Shih-Ting Tsai's MIPS score?
Dr. Tsai's MIPS final score for performance year 2024 is 74 out of 100, reported individually.
How many Medicare patients does Dr. Patricia Shih-Ting Tsai see?
CMS counts 643 Medicare patients who saw Dr. Tsai in 2024, with an average age of 74.
Show 7 more questionsShow fewer questions
Is Dr. Patricia Shih-Ting Tsai board certified?
Yes. Dr. Tsai is board certified in gastroenterology by the American Board of Internal Medicine.
What services does Dr. Patricia Shih-Ting Tsai bill to Medicare?
In 2024, Dr. Tsai's most billed Medicare services were lab and pathology test (88305), office visit, established patient (99215) and office visit, established patient (99214).
Where did Dr. Patricia Shih-Ting Tsai go to medical school?
Dr. Tsai graduated from Pritzker School of Medicine in 1995.
What drugs does Dr. Patricia Shih-Ting Tsai prescribe most?
In 2024 Medicare Part D data, Dr. Tsai's most prescribed drugs by claims were Pantoprazole Sodium, Famotidine and Omeprazole.
Has Dr. Patricia Shih-Ting Tsai received payments from drug or device companies?
CMS Open Payments shows $36,999 in general payments to Dr. Tsai from 53 companies from 2016 to 2025. The largest total came from Abbvie Inc.
How long has Dr. Patricia Shih-Ting Tsai been practicing?
Dr. Tsai graduated from medical school in 1995, 31 years ago.
What insurance does Dr. Patricia Shih-Ting Tsai accept?
Dr. Tsai is in network with 12 carriers, including Aetna, Elevance and Blue Cross Blue Shield of Michigan. PPO plans come from the most carriers, 8. Check the plan with the practice before a visit.
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