KATHERINE SUZANNE LEE MD
NPI 1104356757
Family Medicine in Independence, MO

Q: What is Katherine Lee's NPI number?

The NPI number for Katherine Lee is 1104356757. It was assigned to this individual provider in the NPPES registry on June 15, 2017.

Q: What is Katherine Lee's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: Is Katherine Lee enrolled in Medicare?

No. Katherine Lee has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Katherine Lee was last updated on October 13, 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.

Active since June 15, 2017Opted out of Medicare · through Oct 1, 2027

12400 E US HIGHWAY 40, INDEPENDENCE, MO 64055(816) 890-9507(816) 890-9516 Get Directions Write a Review

NPPES record last updated: October 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 13, 2023, Feb 11, 2021, Jan 30, 2019 and 1 more (4 updates tracked since 2017).

On this page

About Katherine Suzanne Lee Md NPPES

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

KATHERINE SUZANNE LEE MD (NPI 1104356757) is an individual family medicine provider in Independence, Missouri, licensed in Missouri (2020033778) and active in the NPI registry since June 2017. She has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1104356757

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameKATHERINE SUZANNE LEECredential: MD

Location Address12400 E US HIGHWAY 40Independence, MO 64055-5929

Mailing Address13851 W 63rd St # 203Shawnee, KS 66216-3800 · (816) 890-9507 · Fax (816) 890-9516

Phone(816) 890-9507

Fax(816) 890-9516

Sole ProprietorYes

Enumeration DateJune 15, 2017

Last NPPES UpdateOctober 13, 20234 updates tracked since enumeration

NPPES CertifiedOctober 13, 2023

✔ NPI 1104356757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in MO · 2020033778✔ Licensed in MI · 4301112969✔ Licensed in MI · 4351034526

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

12400 E US HIGHWAY 40, Independence, MO 64055

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Katherine Suzanne Lee Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2023 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2023

Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64055 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

$85.82 typical visit price

range $55.29 – $168.52

Typical copayment $21.45 (range $13.82 – $42.13)

Most-billed visit code 99203

Established Patient

$97.82 typical visit price

range $17.60 – $137.20

Typical copayment $24.45 (range $4.40 – $34.30)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers11 claims11 services$25.09 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

DR. JESSICA CHRISTINE ELLIS DDS

Dentist (General Practice)

12400 E US HIGHWAY 40
INDEPENDENCE, MO 64055

Jackson County (816) 897-5850

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 Katherine Lee's NPI number?

The NPI number for Katherine Lee is 1104356757. It was assigned to this individual provider in the NPPES registry on June 15, 2017.

Where is Katherine Lee located?

Katherine Lee practices at 12400 E Us Highway 40, Independence, MO 64055. The listed phone number is (816) 890-9507.

What is Katherine Lee's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Katherine Lee enrolled in Medicare?

No. Katherine Lee has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Katherine Lee accept?

Health plans from Anthem Blue Cross and Blue Shield list Katherine 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.

When was this NPI record last updated?

The NPPES record for Katherine Lee was last updated on October 13, 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.