SPENCER DARRELL LEE M.D.
NPI 1053470252
Specialist in Port St Lucie, FL
NPI Status: Active since December 06, 2006
Contact Information
525 NW LAKE WHITNEY PL
SUITE 206
PORT ST LUCIE, FL
ZIP 34986
Phone: (772) 878-8885
Fax: (772) 878-5898
- Individual
- Male
- Specialist
- PECOS Enrolled
- Opted-Out Medicare
About SPENCER LEE
This page provides the complete NPI Profile along with additional information for Spencer Lee, a provider established in Port St Lucie, Florida with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1053470252 assigned on December 2006. The practitioner's primary taxonomy code is 174400000X with license number ME 76643 (FL). The provider is registered as an individual and his NPI record was last updated 13 years ago.
- NPI
- 1053470252
- Provider Name
- SPENCER DARRELL LEE M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 525 NW LAKE WHITNEY PL SUITE 206 PORT ST LUCIE, FL 34986
- Location Phone
- (772) 878-8885
- Location Fax
- (772) 878-5898
- Mailing Address
- 525 NW LAKE WHITNEY PL SUITE 206 PORT ST LUCIE, FL 34986
- Mailing Phone
- (772) 878-8885
- Mailing Fax
- (772) 878-5898
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 12-06-2006
- Last Update Date
- 05-01-2013
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Spencer Lee opted out of Medicare effective on 04-01-2025 until 04-01-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- ME 76643
- License State
- FL
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| G36268 | MEDICARE UPIN (02) | FL | |
| 44220 | MEDICARE ID-TYPE UNSPECIFIED (04) | FL |
Medicare Participation & PECOS Enrollment Status
Spencer Lee is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 04-01-2025
Opt-Out End Date: 04-01-2027
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Biopsy of related skin growth, first growth
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm
Destruction of precancer skin growth, 1 growth
Established patient office or other outpatient visit, 20-29 minutes
New patient office or other outpatient visit, 45-59 minutes
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
This service was performed 33 times for 25 patientsThis procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size ranges from 2.6-7.5 cm. The process includes cleaning, removing damaged tissue, and stitching the wound for proper healing.
This service was performed 15 times for 13 patients"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
This service was performed 18 times for 13 patientsThis 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.
This service was performed 88 times for 59 patientsThis 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.
This service was performed 12 times for 12 patientsReviews for SPENCER DARRELL LEE M.D.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1053470252, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 48 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PORT ST LUCIE, FL 34986
PORT ST LUCIE, FL 34986
PORT SAINT LUCIE, FL 34986
PORT ST LUCIE, FL 34986
PORT ST LUCIE, FL 34986
PORT ST LUCIE, FL 34986
PORT ST LUCIE, FL 34986
PORT SAINT LUCIE, FL 34986
PORT SAINT LUCIE, FL 34986
PORT SAINT LUCIE, FL 34986
PORT SAINT LUCIE, FL 34986
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053470252, enumerated as an "individual" on December 06, 2006.
The provider is located at 525 NW LAKE WHITNEY PL SUITE 206 PORT ST LUCIE, FL 34986 and the phone number is (772) 878-8885.
Specialist with taxonomy code 174400000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
