KAYOUN LEE D.M.D
NPI 1104378322
Dentist - General Practice in Springfield, IL

Q: What is Kayoun Lee's NPI number?

The NPI number for Kayoun Lee is 1104378322. It was assigned to this individual provider in the NPPES registry on November 4, 2016.

Q: What is Kayoun Lee's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Kayoun Lee was last updated on December 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 November 04, 2016PECOS Enrolled

687 E LINTON AVE, SPRINGFIELD, IL 62703(217) 522-1111 Get Directions Write a Review

NPPES record last updated: December 31, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 31, 2016, Nov 4, 2016 (2 updates tracked since 2016).

On this page

About Kayoun Lee D.m.d NPPES

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

KAYOUN LEE D.M.D (NPI 1104378322) is an individual general practice provider in Springfield, Illinois, licensed in Illinois (019.030990) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104378322

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameKAYOUN LEECredential: D.M.D

Location Address687 E LINTON AVESpringfield, IL 62703-5902

Mailing Address687 E Linton AveSpringfield, IL 62703-5902 · (217) 522-1111

Phone(217) 522-1111

Sole ProprietorNo

Enumeration DateNovember 4, 2016

Last NPPES UpdateDecember 31, 20162 updates tracked since enumeration

✔ NPI 1104378322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IL · 019.030990

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

687 E LINTON AVE, Springfield, IL 62703

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kayoun Lee D.m.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 62703 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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.

Other Providers at the Same Location NPPES 3

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

DR MOSQUERA PROSTHODONTICS PLLC

Clinic/Center (Dental)

687 E LINTON AVE
SPRINGFIELD, IL 62703

Sangamon County (718) 909-2550

SECURE DENTAL III LLC

Dentist

687 E LINTON AVE
SPRINGFIELD, IL 62703

Sangamon County (815) 670-2923

JORGE ENRIQUE MOSQUERA CASTRILLON DDS

Dentist

687 E LINTON AVE
SPRINGFIELD, IL 62703

Sangamon County (718) 909-2550

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 Kayoun Lee's NPI number?

The NPI number for Kayoun Lee is 1104378322. It was assigned to this individual provider in the NPPES registry on November 4, 2016.

Where is Kayoun Lee located?

Kayoun Lee practices at 687 E Linton Ave, Springfield, IL 62703. The listed phone number is (217) 522-1111.

What is Kayoun Lee's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Kayoun Lee enrolled in Medicare?

Yes. Kayoun Lee is registered in the Medicare PECOS enrollment system.

What insurance does Kayoun Lee accept?

Health plans from Humana list Kayoun 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 Kayoun Lee was last updated on December 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.