SANGIL LEE M.D. NPI 1003022237
Emergency Medicine in Mankato, MN

Individual Male Years of Experience 18 Emergency Medicine PECOS Enrolled Accepts Medicare Approved Payment

About SANGIL LEE M.D.

Sangil Lee is a provider established in Mankato, Minnesota and his medical specialization is Emergency Medicine with more than 18 years of experience. The NPI number of Sangil Lee is 1003022237 and was assigned on May 2007. The practitioner's primary taxonomy code is 207P00000X with license number 53390 (MN). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1003022237
Provider Name SANGIL LEE M.D.
Provider Location Address1025 MARSH ST MANKATO, MN 56001
Provider Mailing Address1025 MARSH ST MANKATO, MN 56001
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2005
Is Sole Proprietor?No
Enumeration Date05-15-2007
Last Update Date06-03-2016

Sangil Lee is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Sangil Lee is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with University Of Iowa Hospital & Clinics and Washington County Hospital And Clinics.

The typical physician office visit costs for Medicare beneficiaries in this area are: $22.21 for a new patient copayment and $25.76 for an established patient copayment.



Primary Taxonomy

Taxonomy Code207P00000X
ClassificationEmergency Medicine
TypeAllopathic & Osteopathic Physicians
License No.53390
License StateMN
Taxonomy DescriptionAn emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Business Address

SANGIL LEE M.D.
1025 MARSH ST
MANKATO, MN
ZIP 56001
Phone: (507) 254-6121

Get Directions


Mailing Address

SANGIL LEE M.D.
1025 MARSH ST
MANKATO, MN
ZIP 56001
Phone: (507) 254-6121


PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID8123143450
PECOS Enrollment IDI20160615002301
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 56001 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$57.95 $174.84 $88.84
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.48 $43.71 $22.21
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$18.41 $143.56 $103.04
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.6 $35.89 $25.76

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Sangil Lee is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
UNIVERSITY OF IOWA HOSPITAL & CLINICS200 HAWKINS DRIVE
IOWA CITY, IA 52242
(319) 356-1616Acute Care Hospitals160058
WASHINGTON COUNTY HOSPITAL AND CLINICS400 EAST POLK STREET
WASHINGTON, IA 52353
(319) 653-5481Critical Access Hospitals161344

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine104957MNNo

Taxonomy Description: an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

2207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine125-050465ILNo

Taxonomy Description: family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
ENROLLEDMEDICAID (05)MN
930003705MEDICARE PIN (08)MN

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003022237
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200302426
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 2 + 4 + 2 + 6 + 24 = 43
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 43 = 77

The NPI number 1003022237 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1770567125 DEBRA ANN VOGELSANG NP
Individual
Nurse Practitioner1025 MARSH ST
MANKATO, MN 56001
(507) 625-4031
1679557029 ROBERT C MORRIS MD
Individual
Surgery1025 MARSH ST
MANKATO, MN 56001
(507) 625-4031
1255315388 JENNIFER DONKIN
Individual
Dietitian, Registered1025 MARSH ST
MANKATO, MN 56001
(507) 625-4031
1699759373 CARLILE ROBERT GREY III MD
Individual
Radiology (Body Imaging)1025 MARSH ST
MANKATO, MN 56001
(507) 625-4031
1053396614 STUART E CLIVE MD
Individual
Emergency Medicine1025 MARSH ST
MANKATO, MN 56001
(507) 625-4031
1205811866 REBECCA J GRUENES
Individual
Dietitian, Registered1025 MARSH ST
MANKATO, MN 56001
(507) 625-4031
1437134087 MARK P ROREM MD
Individual
Emergency Medicine1025 MARSH ST
MANKATO, MN 56001
(507) 625-4031
1356326284 AVA M ADAMS-MORRIS MD
Individual
Family Medicine1025 MARSH ST
MANKATO, MN 56001
(507) 625-4031
1598741274 ELIZABETH P HAWKINSON LICSW
Individual
Social Worker (Clinical)1025 MARSH ST
MANKATO, MN 56001
(507) 625-4031
1689650368 LARRY W LARSON MD
Individual
Obstetrics & Gynecology1025 MARSH ST
MANKATO, MN 56001
(507) 625-4031
1295710911 ROSS CRARY MD
Individual
Emergency Medicine1025 MARSH ST
MANKATO, MN 56001
(507) 625-4031
1700862307 NORMAN NITZKOWSKI DO
Individual
Radiology (Diagnostic Radiology)1025 MARSH ST
MANKATO, MN 56001
(507) 625-4031
1710963202 KEVIN COCKERILL MD
Individual
Internal Medicine (Medical Oncology)1025 MARSH ST
MANKATO, MN 56001
(507) 625-4031
1720066608 RICHARD K WAESCHLE MD
Individual
Allergy & Immunology (Allergy)1025 MARSH ST
MANKATO, MN 56001
(507) 625-4031
1629056510 GLENN HARMAN MD
Individual
Internal Medicine (Medical Oncology)1025 MARSH ST
MANKATO, MN 56001
(507) 625-4031
1578592820 JOHN L RUSSO M.D.
Individual
Emergency Medicine1025 MARSH ST
MANKATO, MN 56001
(507) 625-4031
1811918337 ERIN K BROKL CNP
Individual
Nurse Practitioner (Acute Care)1025 MARSH ST
MANKATO, MN 56001
(507) 385-2646
1528079381 FRANK J STEFFAN M.D.
Individual
Anesthesiology1025 MARSH ST
MANKATO, MN 56001
(507) 345-2623
1861403651 KARLA K VANLITH CRNA
Individual
Nurse Anesthetist, Certified Registered1025 MARSH ST
MANKATO, MN 56001
(507) 345-2623
1003827908 PAUL L JOHNSON M.D.
Individual
Anesthesiology1025 MARSH ST
MANKATO, MN 56001
(507) 345-2623

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Sangil Lee M.d. is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.