DR. EUNJAE LEE MD
NPI 1093384042
Obstetrics & Gynecology in Jacksonville, FL

Q: What is Eunjae Lee's NPI number?

The NPI number for Eunjae Lee is 1093384042. It was assigned to this individual provider in the NPPES registry on June 23, 2021.

Q: What is Eunjae 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 Eunjae Lee was last updated on June 1, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 23, 2021PECOS EnrolledAccepts Medicare Assignment

4500 SAN PABLO RD S, JACKSONVILLE, FL 32224(904) 953-2000 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 1, 2026, May 19, 2025, Jun 25, 2021 (3 updates tracked since 2021).

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About Dr. Eunjae Lee Md NPPES

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

DR. EUNJAE LEE MD (NPI 1093384042) is an individual obstetrics & gynecology provider in Jacksonville, Florida, licensed in Florida (ME178930) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Temple University School Of Medicine (2021).

NPPES Registry Identity

NPI1093384042

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. EUNJAE LEECredential: MD

Location Address4500 SAN PABLO RD SJacksonville, FL 32224-1865

Mailing AddressPo Box 860912Minneapolis, MN 55486-0912

Phone(904) 953-2000

Sole ProprietorNo

Medical School CMSTemple University School Of MedicineGraduated 2021

Enumeration DateJune 23, 2021

Last NPPES UpdateJune 1, 20263 updates tracked since enumeration

NPPES CertifiedJune 1, 2026

✔ NPI 1093384042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in FL · ME178930✔ Licensed in PA · MD489423

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.

4500 SAN PABLO RD S, Jacksonville, FL 32224

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Secondary Practice Locations 2

Location 1130 S Bryn Mawr Ave, Labor & DeliveryBryn Mawr, PA 19010-3121 · Phone (484) 337-4715

Location 2100 E Lancaster AveWynnewood, PA 19096-3450 · Phone (484) 476-2000

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

Dr. Eunjae 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 ID840694402

PECOS Enrollment IDI20250513000737

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 32224 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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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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.

KATHERINE L WALSH PA-C/MPH

Physician Assistant