TOBY LEES M.D.
NPI 1013120633
Urology in Holland, MI

Q: What is Toby Lees's NPI number?

The NPI number for Toby Lees is 1013120633. It was assigned to this individual provider in the NPPES registry on May 8, 2007.

Q: What is Toby Lees's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Toby Lees was last updated on August 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 08, 2007PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

577 MICHIGAN AVE STE 201, HOLLAND, MI 49423(616) 392-1816 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 30, 2017, Nov 7, 2016 (2 updates tracked since 2016).

On this page

About Toby Lees M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TOBY LEES M.D. (NPI 1013120633) is an individual urology provider in Holland, Michigan, licensed in Michigan (4301501186) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Corewell Health Zeeland Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1013120633

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameTOBY LEESCredential: M.D.

Location Address577 MICHIGAN AVE STE 201Holland, MI 49423-4911

Mailing Address577 Michigan Ave Ste 201Holland, MI 49423-4911 · (616) 392-1816

Phone(616) 392-1816

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateMay 8, 2007

Last NPPES UpdateAugust 29, 20242 updates tracked since enumeration

NPPES CertifiedAugust 29, 2024

✔ NPI 1013120633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in MI · 4301501186

Definition

A 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.

577 MICHIGAN AVE STE 201, Holland, MI 49423

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Toby Lees M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981848017

PECOS Enrollment IDI20200813001991

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

94 services82 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

82 services70 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

67 services56 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

21 services21 patients

Ultrasound scan of pelvic region through rectum 76872

An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.

19 services19 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

17 services15 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Corewell Health Zeeland Hospital

Acute Care Hospitals · Zeeland, MI

OwnershipVoluntary non-profit - Private

CMS Certification Number230003

Location8333 Felch StZeeland, MI 49464 · Ottawa County

Emergency services Birthing friendly

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230038

Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County

Emergency services Birthing friendly

Holland Community Hospital

Acute Care Hospitals · Holland, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230072

Location602 Michigan AveHolland, MI 49423 · Ottawa County

Emergency services Birthing friendly

Bronson South Haven Hospital

Acute Care Hospitals · South Haven, MI

OwnershipGovernment - Hospital District or Authority

CMS Certification Number230085

Location955 S Bailey AveSouth Haven, MI 49090 · Van Buren County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49423 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

100

Improvement Activities

Cost

100

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

5 suppliers35 claims4,470 services$1.61 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

3 suppliers23 claims37 services$8.84 avg. paid by Medicare

Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358

DME-Orthotic Devices · category DF000N

2 suppliers12 claims21 services$5.51 avg. paid by Medicare

Skin barrier; solid, 4 x 4 or equivalent; each A4362

DME-Orthotic Devices · category DF010N

1 supplier13 claims200 services$3.04 avg. paid by Medicare

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385

DME-Orthotic Devices · category DF010N

1 supplier12 claims140 services$4.65 avg. paid by Medicare

Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each A4393

DME-Orthotic Devices · category DF010N

1 supplier12 claims130 services$8.07 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. DEVIN RICHARDS BAKER NP

Nurse Practitioner