Doctor profile · Federal record

Dr. Patricia Tsai, M.D.

Gastroenterology Physician (CMS: Gastroenterology) · Newport Beach, CA

  • NPI 1538100896
  • Accepts Medicare
  • MIPS 73.4 / 100 · 2023
  • 31 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
496 Old Newport Blvd, # 1
Newport Beach, CA 926634263
(949) 650-4630
Mailing address
Po Box 788
Hemet, CA 925460788

Credentials & registration

NPPES · NUCC
NPI registered
June 2006 — 20 yrs on file
Profile last updated
June 7, 2012
Year of graduation
1995 — 31 yrs since
Specialty taxonomy
207RG0100X — NUCC code
State license (1)
California #A64184
Medicaid
CA #00A641840

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1538100896. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
4,763
Distinct HCPCS
10
Medicare allowed
$420,505
HCPCS Description Services Patients Avg allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity 2,267 341 $39
99215 Established patient office or other outpatient visit, 40-54 minutes 852 382 $170
99214 Established patient office or other outpatient visit, 30-39 minutes 262 201 $110
45380 Biopsy of large bowel using a flexible endoscope 258 257 $121
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 222 204 $109
88312 Special stained specimen slides to identify organisms including interpretation and report 209 191 $28
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito 173 163 $6
99205 New patient office or other outpatient visit, 60-74 minutes 163 163 $235
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare 118 118 $255
99213 Established patient office or other outpatient visit, 20-29 minutes 99 98 $69

In context: peer comparison

Among 8 peers in Newport Beach Gastroenterology Physician, average services per provider: 102. This provider delivers 47× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$4,426
Transactions
153
Manufacturers
15
Payer (manufacturer) Industry Txns Amount
Abbvie INC. 31 $603.27
Pfizer INC. 20 $586.67
Janssen Biotech, INC. 14 $448.28
Aimmune Therapeutics, INC. 17 $402.43
Salix Pharmaceuticals, A Division of Bausch Health US, LLC 23 $375.38
Lilly USA, LLC 9 $323.38
Gilead Sciences, INC. 2 $248.50
Ardelyx, INC. 10 $236.90
Takeda Pharmaceuticals U.S.A., INC. 10 $166.32
Boston Scientific Corporation 1 $131.17
Phathom Pharmaceuticals, INC. 1 $124.99
Intercept Pharmaceuticals, INC. 1 $118.88
Celgene Corporation 7 $110.07
Ironwood Pharmaceuticals, INC 4 $99.60
Qol Medical, LLC 3 $99.57

By nature of payment

Food and Beverage
$4,327
Education
$99

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
1,875
Patients
771
Total drug cost
$241,698
Drug Type Claims Patients Total cost
Pantoprazole Sodium Generic 470 164 $5,244
Famotidine Generic 418 151 $7,555
Omeprazole Generic 343 122 $4,204
Sod Sulf-Potass Sulf-Mag Sulf (Sodium, Potassium,Mag Sulfates) Brand 148 146 $11,536
Sucralfate Generic 80 38 $1,600
Vemlidy (Tenofovir Alafenamide) Brand 64 0 $87,490
Colestipol Hcl Generic 58 24 $2,783
Dicyclomine Hcl Generic 50 27 $560
Linzess (Linaclotide) Brand 45 16 $35,192
Mesalamine Generic 44 16 $32,944

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Patricia Tsai's medical specialty?
Dr. Patricia Tsai practices Gastroenterology Physician in Newport Beach, CA.
Where does Dr. Patricia Tsai practice?
Dr. Patricia Tsai practices at 496 Old Newport Blvd, Newport Beach, CA 926634263. Office phone: 9496504630.
What is Dr. Patricia Tsai's NPI?
Dr. Patricia Tsai's National Provider Identifier (NPI) is 1538100896, issued by NPPES.
Does Dr. Patricia Tsai accept Medicare assignment?
Yes. Dr. Patricia Tsai accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Patricia Tsai commonly perform?
Top Medicare-reported procedures in 2023: Pathology examination of tissue using a microscope, intermediate complexity (HCPCS 88305); Established patient office or other outpatient visit (HCPCS 99215); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.