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DEREK LEE MD
NPI 1083235386
Internal Medicine in Sioux Falls, SD

Active since April 28, 2020PECOS EnrolledAccepts Medicare Assignment
76.69/100
CMS Quality Rating
1321 W 22ND ST, SIOUX FALLS, SD 57105(605) 404-4000 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 9, 2023, Jul 7, 2023 (2 updates tracked since 2023).

About Derek Lee Md NPPES

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

DEREK LEE MD (NPI 1083235386) is an individual internal medicine provider in Sioux Falls, South Dakota, licensed in South Dakota (14500) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Sanford Tracy Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1083235386
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDEREK LEECredential: MD
Location Address1321 W 22ND STSioux Falls, SD 57105-1502
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-6585
Phone(605) 404-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 28, 2020
Last NPPES UpdateAugust 9, 20232 updates tracked since enumeration
NPPES CertifiedAugust 9, 2023
✔ NPI 1083235386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in SD · 14500
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1321 W 22ND ST, Sioux Falls, SD 57105
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan, Security Health Plan.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

Derek 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 ID7911321476
PECOS Enrollment IDI20230823001548
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 3

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.
372 services199 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This 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.
70 services66 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This 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.
46 services46 patients

Hospital Affiliations CMS Care Compare 5

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

Sanford Tracy Medical Center

Critical Access Hospitals · Tracy, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241303
Location251 Fifth Street EastTracy, MN 56175 · Lyon County
Emergency services

Murray County Memorial Hospital

Critical Access Hospitals · Slayton, MN
OwnershipGovernment - Local
CMS Certification Number241319
Location2042 Juniper AvenueSlayton, MN 56172 · Murray County
Emergency services

Sanford Luverne Medical Center

Critical Access Hospitals · Luverne, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241371
Location1600 N Kniss AvenueLuverne, MN 56156 · Rock County
Emergency services

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430027
Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Sanford Canton-Inwood Medical Center - Cah

Critical Access Hospitals · Canton, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431333
Location440 North Hiawatha DriveCanton, SD 57013 · Lincoln County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57105 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
$126.78 typical visit price
range $55.52 – $167.23
Typical copayment $31.69 (range $13.88 – $41.80)
Most-billed visit code 99204
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
Most-billed visit code 99214
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.

76.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.56
Promoting Interoperability99
Improvement Activities40
Cost44.56

Other Providers at the Same Location NPPES 20

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

HALEY ASHLYN GALLMAN
Dietitian, Registered
1321 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 404-4319
KEERTHI BANSAL
Allergy & Immunology
1321 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 404-4000
DR. JENNA DONELLE GASSMAN DO
Internal Medicine
1321 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 404-4000
MRS. SARA ASHLEY JARES CSW-PIP
Social Worker (Clinical)
1321 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 404-4000
ELIZABETH LUKETICH PA
Physician Assistant
1321 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 404-4000
KRISTA LYNN HUNSTAD APRN
Nurse Practitioner
1321 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 404-4000
ASHLEY NIERMAN CSW
Counselor
1321 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 312-5350
UKAMAKA N NWADIBIA MD
Internal Medicine
1321 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 404-4000

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 Derek Lee's NPI number?

The NPI number for Derek Lee is 1083235386. It was assigned to this individual provider in the NPPES registry on April 28, 2020.

Where is Derek Lee located?

Derek Lee practices at 1321 W 22nd St, Sioux Falls, SD 57105. The listed phone number is (605) 404-4000.

What is Derek Lee's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Derek Lee enrolled in Medicare?

Yes. Derek 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 Derek Lee accept?

Health plans from Medica, Sanford Health Plan and Security Health Plan list Derek 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 Derek Lee affiliated with any hospitals?

According to CMS data, Derek Lee is affiliated with Sanford Tracy Medical Center, Murray County Memorial Hospital, Sanford Luverne Medical Center, Sanford Usd Medical Center and Sanford Canton-Inwood Medical Center - Cah.

When was this NPI record last updated?

The NPPES record for Derek Lee was last updated on August 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.