DR. BENJAMIN R LEE MD NPI 1013087451
Urology in Tucson, AZ

About DR. BENJAMIN R LEE MD

Benjamin Lee is a provider established in Tucson, Arizona and his medical specialization is Urology with more than 29 years of experience. He graduated from Johns Hopkins University School Of Medicine in 1994. The NPI number of Benjamin Lee is 1013087451 and was assigned on November 2006. The practitioner's primary taxonomy code is 208800000X with license number 51857 (AZ). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1013087451
Provider NameDR. BENJAMIN R LEE MD
Location Address1501 N CAMPBELL AVE DIVISION UROLOGY, BOX 245077 TUCSON, AZ 85724
Location Phone(520) 626-6895
Mailing AddressPO BOX 245077 UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE, UROLOGY TUCSON, AZ 85724
GenderMale
NPI Entity TypeIndividual
Medical School NameJOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year1994
Is Sole Proprietor?No
Enumeration Date11-09-2006
Last Update Date07-23-2016

Benjamin 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.

Benjamin 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 Banner - University Medical Center Tucson Campus, New York-presbyterian/queens and Banner-university Medical Center South Campus.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 95.1, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The typical physician office visit costs for Medicare beneficiaries in this area are: $33.05 for a new patient copayment and $17.96 for an established patient copayment.



Primary Taxonomy

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.

Taxonomy Code208800000X
ClassificationUrology
TypeAllopathic & Osteopathic Physicians
License No.51857
License StateAZ
Taxonomy DescriptionA urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

DR. BENJAMIN R LEE MD
1501 N CAMPBELL AVE
DIVISION UROLOGY, BOX 245077
TUCSON, AZ
ZIP 85724
Phone: (520) 626-6895
Fax: (520) 626-4933

Get Directions


Mailing Address

DR. BENJAMIN R LEE MD
PO BOX 245077
UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE, UROLOGY
TUCSON, AZ
ZIP 85724
Phone: (520) 626-6895
Fax: (520) 626-4933


Location Map

PECOS Enrollment and Medicare Participation Status

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 ID5799716726
PECOS Enrollment IDI20160616002231
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 85724 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99204
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$57.31 $174.67 $132.23
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.32 $43.66 $33.05
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$17.74 $142.64 $71.86
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.43 $35.66 $17.96

* 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.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 100
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% 67.3
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 95.1
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 46Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope (HCPCS:52000)

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. Benjamin Lee is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS1625 NORTH CAMPBELL AVENUE
TUCSON, AZ 85724
(520) 874-4189Acute Care Hospitals30064
NEW YORK-PRESBYTERIAN/QUEENS56-45 MAIN STREET
FLUSHING, NY 11355
(718) 670-2000Acute Care Hospitals330055
BANNER-UNIVERSITY MEDICAL CENTER SOUTH CAMPUS2800 EAST AJO WAY
TUCSON, AZ 85713
(520) 874-2000Acute Care Hospitals30111

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
H-12618MEDICARE UPIN (02)

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.
1013087451
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20230814410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 8 + 1 + 4 + 4 + 1 + 0 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1013087451 is valid because the calculated check digit 1 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
1285631481 REBECCA ADELE MILLIUS MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1501 N CAMPBELL AVE
TUCSON, AZ 85724
(520) 626-6830
1891793170MR. MEDDIE NAZIFI PHARM.D
Individual
Pharmacist1501 N CAMPBELL AVE
TUCSON, AZ 85724
(520) 694-6133
1801896725 BRIAN J KOPP PHARM.D.
Individual
Pharmacist (Pharmacotherapy)1501 N CAMPBELL AVE
TUCSON, AZ 85724
(520) 694-2173
1306846944DR. KATHRYN ROSE MATTHIAS PHARMD
Individual
Pharmacist1501 N CAMPBELL AVE
TUCSON, AZ 85724
(520) 626-2484
1205838117DR. CAROL ANN SCHNEIDERMAN PHARM D
Individual
Pharmacist1501 N CAMPBELL AVE BOX 245039
TUCSON, AZ 85724
(520) 626-2889
1568458438DR. BHASKAR BANERJEE MD
Individual
Internal Medicine (Gastroenterology)1501 N CAMPBELL AVE ROOM 6402
TUCSON, AZ 85724
(520) 626-6119
1750370631MS. LESLIE F BENSON M.S., C.G.C.
Individual
Genetic Counselor, MS1501 N CAMPBELL AVE UNIVERSITY MEDICAL CENTER DEPT. OB/GYN
TUCSON, AZ 85724
(520) 626-2152
1639168354 SARA HAMMER RIORDAN M.S.
Individual
Genetic Counselor, MS1501 N CAMPBELL AVE ROOM 1156
TUCSON, AZ 85724
(520) 626-3410
1710968565 JANET CAMPION MD
Individual
Internal Medicine (Geriatric Medicine)1501 N CAMPBELL AVE
TUCSON, AZ 85724
(520) 694-6000
1346224524 JILL MARNI SCHULTZ PHARMD
Individual
Pharmacist (Pharmacotherapy)1501 N CAMPBELL AVE
TUCSON, AZ 85724
(520) 694-2484
1962487751MS. BETSY ELLEN PAINTER FNP
Individual
Nurse Practitioner (Family)1501 N CAMPBELL AVE SUITE 4615
TUCSON, AZ 85724
(520) 694-7000
1548249485 RODNEY D ADAM MD
Individual
Internal Medicine (Infectious Disease)1501 N CAMPBELL AVE
TUCSON, AZ 85724
(520) 694-8888
1114997376 JOHN T CUNNINGHAM M.D.
Individual
Internal Medicine (Gastroenterology)1501 N CAMPBELL AVE
TUCSON, AZ 85724
(520) 694-8888
1578534251 ANTHONY A ADMIRE M.D.
Individual
Surgery (Plastic and Reconstructive Surgery)1501 N CAMPBELL AVE
TUCSON, AZ 85724
(520) 874-3500
1730150582 ILANA B ADDIS M.D
Individual
Obstetrics & Gynecology1501 N CAMPBELL AVE
TUCSON, AZ 85724
(520) 874-3500
1093787277DR. PATRICK KEVIN BOYLE M.D.
Individual
Anesthesiology1501 N CAMPBELL AVE BOX 245114
TUCSON, AZ 85724
(520) 626-7221
1265404446 JOSEPH ALPERT MD
Individual
Internal Medicine (Cardiovascular Disease)1501 N CAMPBELL AVE
TUCSON, AZ 85724
(520) 874-3500
1386616100 THOMAS BALL MD
Individual
Pediatrics1501 N CAMPBELL AVE
TUCSON, AZ 85724
(520) 874-3500
1811969660 STEVEN BARKER MD, PHD
Individual
Anesthesiology1501 N CAMPBELL AVE
TUCSON, AZ 85724
(520) 874-3500
1720050404 ROBERT D BASTRON MD
Individual
Anesthesiology1501 N CAMPBELL AVE
TUCSON, AZ 85724
(520) 874-3500

Frequently Asked Questions

What is Dr. Benjamin Lee MD NPI number?

The NPI number assigned to Dr. Benjamin Lee MD is 1013087451, registered as an "individual" on November 09, 2006

Where is Dr. Benjamin Lee MD located?

The provider is located at 1501 N Campbell Ave Division Urology, Box 245077 Tucson, Az 85724 and the phone number is (520) 626-6895

Which is Dr. Benjamin Lee MD specialty?

The provider's speciality is Urology

How many years of experience does Dr. Benjamin Lee MD have?

The provider has more than 29 years of experience. He graduated from Johns Hopkins University School Of Medicine in 1994.

What insurance does Dr. Benjamin Lee MD accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Dr. Benjamin Lee MD registered in PECOS?

Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary 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.

How much is a visit to Dr. Benjamin Lee MD?

Medicare beneficiaries should expect a typical cost of $132.23 with an average copayment of $33.05 for new patient appointments. Established patients should expect a typical charge of $71.86 and an average copayment of 17.96. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Dr. Benjamin Lee MD?

The most common procedures or services performed by this practitioner are: Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope.

Is Dr. Benjamin Lee MD affiliated to any hospitals?

The practitioner is affiliated to the following hospitals: BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS, NEW YORK-PRESBYTERIAN/QUEENS and BANNER-UNIVERSITY MEDICAL CENTER SOUTH CAMPUS. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

How do I update my NPI information?

The NPI record of Dr. Benjamin Lee MD was last updated on November 09, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]