DR. MICHAEL PENG-WEI LEE M.D.
NPI 1063731040
Pathology - Dermatopathology in New Orleans, LA
NPI Status: Active since May 29, 2010
Contact Information
3715 PRYTANIA ST
NEW ORLEANS, LA
ZIP 70115
Phone: (504) 392-4009
- Individual
- Male
- Pathology
- Dermatopathology
- Accepts Insurance
- PECOS Enrolled
- Medicare Quality Reporting
About MICHAEL LEE
This page provides the complete NPI Profile along with additional information for Michael Lee, a provider established in New Orleans, Louisiana with a medical specialization in Pathology, focusing in dermatopathology . The healthcare provider is registered in the NPI registry with number 1063731040 assigned on May 2010. The practitioner's primary taxonomy code is 207ZD0900X with license number MD.206941 (LA). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1063731040
- Provider Name
- DR. MICHAEL PENG-WEI LEE M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3715 PRYTANIA ST NEW ORLEANS, LA 70115
- Location Phone
- (504) 392-4009
- Mailing Address
- 3715 PRYTANIA ST NEW ORLEANS, LA 70115
- Mailing Phone
- (504) 392-4009
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-29-2010
- Last Update Date
- 03-23-2016
- Code Navigator
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
Pathology Dermatopathology
- Taxonomy Code
- 207ZD0900X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD.206941
- License State
- LA
- Taxonomy Description
- A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Molina Gold Standard - HMO
- Molina Silver Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Michael 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
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
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 70115 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $128.88
- Minimum New Patient Price $55.5
- Maximum New Patient Price $170.3
- Average New Patient Copayment $32.22
- Minimum New Patient Copayment $13.87
- Maximum New Patient Copayment $42.57
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $98.35
- Minimum Established Patient Price $17.42
- Maximum Established Patient Price $138.03
- Average Established Patient Copayment $24.58
- Minimum Established Patient Copayment $4.35
- Maximum Established Patient Copayment $34.5
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Implementation of improvements that contribute to more timely communication of test results | Yes | N/A |
| Timely communication of test results defined as timely identification of abnormal test results with timely follow-up. | ||
| Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral Loop | Yes | N/A |
| Performance of regular practices that include providing specialist reports back to the referring individual MIPS eligible clinician or group to close the referral loop or where the referring individual MIPS eligible clinician or group initiates regular inquiries to specialist for specialist reports which could be documented or noted in the EHR technology. | ||
Reviews for DR. MICHAEL PENG-WEI 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 1063731040, we treat the final digit (0) 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 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).
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 50 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
NEW ORLEANS, LA 70115
NEW ORLEANS, LA 70115
NEW ORLEANS, LA 70115
NEW ORLEANS, LA 70115
NEW ORLEANS, LA 70115
NEW ORLEANS, LA 70115
NEW ORLEANS, LA 70115
NEW ORLEANS, LA 70115
NEW ORLEANS, LA 70115
NEW ORLEANS, LA 70115
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063731040, enumerated as an "individual" on May 29, 2010.
The provider is located at 3715 PRYTANIA ST NEW ORLEANS, LA 70115 and the phone number is (504) 392-4009.
Pathology with taxonomy code 207ZD0900X and a focus in Dermatopathology.
The provider might be accepting Accepts: Molina Healthcare. Please consult your insurance carrier or call the provider to verify.
