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LEE R CARRASCO MD DDS
NPI 1013946540
Oral & Maxillofacial Surgery in Philadelphia, PA

Active since June 30, 2006PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
3400 SPRUCE STREET, 5 WHITE BUILDING, PHILADELPHIA, PA 19104(215) 662-3580 Get Directions Write a Review

NPPES record last updated: April 10, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lee R Carrasco Md Dds NPPES

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

LEE R CARRASCO MD DDS (NPI 1013946540) is an individual oral & maxillofacial surgery provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD418924) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of University Of Miami, Lm Miller School Of Medicine (1999).

NPPES Registry Identity

NPI1013946540
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameLEE R CARRASCOCredential: MD DDS
Location Address3400 SPRUCE STREET, 5 WHITE BUILDINGPhiladelphia, PA 19104
Mailing Address3400 Spruce Street, 5 White BuildingPhiladelphia, PA 19104 · (215) 662-3580
Phone(215) 662-3580
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1999
Enumeration DateJune 30, 2006
Last NPPES UpdateApril 10, 2013
✔ NPI 1013946540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Licenses✔ Licensed in PA · MD418924✔ Licensed in PA · DS031585L
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
3400 SPRUCE STREET, Philadelphia, PA 19104
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Other Identifiers 3

Medicaid0018942480001PA
Medicare PIN056952PA
Medicare UPINH58705

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.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

Lee R Carrasco Md Dds 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 ID6103887740
PECOS Enrollment IDI20041026000773
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 3

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.
52 services41 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
46 services46 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
20 services18 patients

Hospital Affiliations CMS Care Compare

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

SARAH KUMAR M.D.
Anesthesiology (Critical Care Medicine)
3400 SPRUCE STREET
PHILADELPHIA, PA 19104
Philadelphia County (215) 349-8310
RYAN MCCLINTOCK MD
Radiology (Diagnostic Radiology)
3400 SPRUCE STREET
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3000
ADRIAN W ONG MD
Surgery (Surgical Critical Care)
3400 SPRUCE STREET, 2 DULLES
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-7320
MATHEW N BESHARA MD
Obstetrics & Gynecology
3400 SPRUCE STREET, 5 PENN TOWER
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-6035
JILL E LANGER MD
Radiology (Diagnostic Radiology)
3400 SPRUCE STREET, GROUND FLOOR DULLES
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-7012
BERNADETTE C WHEELER MD
Obstetrics & Gynecology
3400 SPRUCE STREET, 1 WEST GATES
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2730
EDWARD T DICKINSON MD
Emergency Medicine
3400 SPRUCE STREET, GROUND SILVERSTEIN BLDG
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-6698
WENDY RACHEL GALPERN MD, PHD
Psychiatry & Neurology (Neurology)
3400 SPRUCE STREET
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2219

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lee Carrasco's NPI number?

The NPI number for Lee Carrasco is 1013946540. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Lee Carrasco located?

Lee Carrasco practices at 3400 Spruce Street 5 White Building, Philadelphia, PA 19104. The listed phone number is (215) 662-3580.

What is Lee Carrasco's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Lee Carrasco enrolled in Medicare?

Yes. Lee Carrasco is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lee Carrasco accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 4 other insurers list Lee Carrasco as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Lee Carrasco affiliated with any hospitals?

According to CMS data, Lee Carrasco is affiliated with Hospital Of Univ Of Pennsylvania.

When was this NPI record last updated?

The NPPES record for Lee Carrasco was last updated on April 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.