DR. ELISABETH LEE D.D.S.
NPI 1023305364
Dentist - General Practice in Cleveland Heights, OH

Active since July 07, 2011Opted out of Medicare · through May 6, 2028
4159 BLUESTONE RD, CLEVELAND HEIGHTS, OH 44121(201) 850-9976 Get Directions Write a Review

NPPES record last updated: July 7, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Elisabeth Lee D.d.s. NPPES

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

DR. ELISABETH LEE D.D.S. (NPI 1023305364) is an individual general practice provider in Cleveland Heights, Ohio, licensed in Ohio (30-023324) and active in the NPI registry since July 2011. She has opted out of Medicare through May 6, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1023305364
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ELISABETH LEECredential: D.D.S.
Location Address4159 BLUESTONE RDCleveland Heights, OH 44121-2463
Mailing Address4159 Bluestone RdCleveland Heights, OH 44121-2463
Sole ProprietorYes
Enumeration DateJuly 7, 2011
NPI 1023305364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in OH · 30-023324
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4159 BLUESTONE RD, Cleveland Heights, OH 44121

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Elisabeth Lee D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 6, 2016 through May 6, 2028.

Opt-Out Effective DateMay 6, 2016
Opt-Out In Effect ThroughMay 6, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44121 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $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.

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 Elisabeth Lee's NPI number?

The NPI number for Elisabeth Lee is 1023305364. It was assigned to this individual provider in the NPPES registry on July 7, 2011.

Where is Elisabeth Lee located?

Elisabeth Lee practices at 4159 Bluestone Rd, Cleveland Heights, OH 44121. The listed phone number is (201) 850-9976.

What is Elisabeth Lee's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Elisabeth Lee enrolled in Medicare?

No. Elisabeth Lee has opted out of Medicare through May 6, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Elisabeth Lee accept?

Health plans from Delta Dental of Ohio, Guardian, Humana and MedMutual list Elisabeth 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.

When was this NPI record last updated?

The NPPES record for Elisabeth Lee was last updated on July 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.