JUSTIN T LEE MD
NPI 1023004413
Urology in Arlington, TX

Active since September 21, 2005PECOS EnrolledAccepts Medicare Assignment
79.61/100
CMS Quality Rating
5005 S COOPER ST STE 250, ARLINGTON, TX 76017(866) 367-8768(817) 541-9540 Get Directions Write a Review

NPPES record last updated: July 17, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 17, 2019, May 23, 2019 (2 updates tracked since 2019).

About Justin T Lee Md NPPES

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

JUSTIN T LEE MD (NPI 1023004413) is an individual urology provider in Arlington, Texas, licensed in Texas (L3726) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with U S M D Hospital At Arlington L P, and is a graduate of University Of Texas Medical School At San Antonio (1996).

NPPES Registry Identity

NPI1023004413
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameJUSTIN T LEECredential: MD
Location Address5005 S COOPER ST STE 250Arlington, TX 76017-5996
Mailing Address5001 S Cooper St Ste 201Arlington, TX 76017-5993 · (866) 367-8768 · Fax (817) 541-9555
Fax(817) 541-9540
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 1996
Enumeration DateSeptember 21, 2005
Last NPPES UpdateJuly 17, 20192 updates tracked since enumeration
NPI 1023004413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in TX · L3726
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.
5005 S COOPER ST STE 250, Arlington, TX 76017

Other Identifiers 5

Medicaid150756801TX
Medicaid150756805TX
Other150756804TX · Medicaid Other
Medicaid150756803TX
Medicaid150756802TX

Accepted 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

Justin T Lee Md 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 ID8729167234
PECOS Enrollment IDI20080509000082
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 12

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 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.
421 services317 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
322 services211 patients
Psa (prostate specific antigen) measurement, total 84153
PSA measurement is a simple blood test that checks for a specific protein produced by your body. High levels could indicate a health issue that needs further investigation. It's often used to monitor general wellness and is part of routine health screening.
314 services203 patients
Testosterone (hormone) level, total 84403
A total testosterone level test measures the amount of a key hormone in your body. This hormone influences various body functions such as muscle mass, energy levels, and mood. The test involves a simple blood draw, and results help monitor health conditions.
98 services74 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
71 services61 patients
Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month 99426
Principal care management services focus on managing a single high-risk disease. This involves a health care professional directing clinical staff for the first 30 minutes each month. The aim is to monitor your health, coordinate care, and provide necessary support for your disease management.
69 services14 patients

Hospital Affiliations CMS Care Compare

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

U S M D Hospital At Arlington L P

Acute Care Hospitals · Arlington, TX
OwnershipPhysician
CMS Certification Number450872
Location801 W Interstate 20Arlington, TX 76017 · Tarrant County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76017 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
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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.

79.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.34
Promoting Interoperability77
Improvement Activities40
Cost59.87

Other Providers at the Same Location NPPES 19

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

Urology
5005 S COOPER ST STE 250
ARLINGTON, TX 76017
Urology (Urogynecology and Reconstructive Pelvic Surgery)
5005 S COOPER ST STE 250
ARLINGTON, TX 76017
Physician Assistant
5005 S COOPER ST STE 250
ARLINGTON, TX 76017
Urology
5005 S COOPER ST STE 250
ARLINGTON, TX 76017
Physician Assistant
5005 S COOPER ST STE 250
ARLINGTON, TX 76017
Urology
5005 S COOPER ST STE 250
ARLINGTON, TX 76017
Urology
5005 S COOPER ST STE 250
ARLINGTON, TX 76017
Urology
5005 S COOPER ST STE 250
ARLINGTON, TX 76017

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 Justin Lee's NPI number?

The NPI number for Justin Lee is 1023004413. It was assigned to this individual provider in the NPPES registry on September 21, 2005.

Where is Justin Lee located?

Justin Lee practices at 5005 S Cooper St Ste 250, Arlington, TX 76017. The listed phone number is (866) 367-8768.

What is Justin Lee's specialty?

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

Is Justin Lee enrolled in Medicare?

Yes. Justin Lee 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 Justin Lee accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., UnitedHealthcare and WellPoint list Justin Lee 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 Justin Lee affiliated with any hospitals?

According to CMS data, Justin Lee is affiliated with U S M D Hospital At Arlington L P.

When was this NPI record last updated?

The NPPES record for Justin Lee was last updated on July 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.