GRACE LEE MD
NPI 1053058073
Obstetrics & Gynecology in Urbana, IL

Q: What is Grace Lee's NPI number?

The NPI number for Grace Lee is 1053058073. It was assigned to this individual provider in the NPPES registry on May 20, 2022.

Q: What is Grace Lee's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Grace Lee was last updated on July 14, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 20, 2022PECOS Enrolled

611 W PARK ST, URBANA, IL 61801(615) 290-6597 Get Directions Write a Review

NPPES record last updated: July 14, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 14, 2023, Apr 3, 2023, May 20, 2022 (3 updates tracked since 2022).

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About Grace Lee Md NPPES

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

GRACE LEE MD (NPI 1053058073) is an individual obstetrics & gynecology provider in Urbana, Illinois, licensed in Illinois (125.083042) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053058073

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameGRACE LEECredential: MD

Location Address611 W PARK STUrbana, IL 61801-2529

Mailing Address1630 Camellia LnRedlands, CA 92374-1410 · (615) 290-6597

Phone(615) 290-6597

Sole ProprietorNo

Enumeration DateMay 20, 2022

Last NPPES UpdateJuly 14, 20233 updates tracked since enumeration

NPPES CertifiedJuly 14, 2023

✔ NPI 1053058073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in IL · 125.083042

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

611 W PARK ST, Urbana, IL 61801

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grace Lee Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61801 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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.

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