BRIAN C LEE
NPI 1104799154
Physician Assistant in Tampa, FL

Q: What is Brian Lee's NPI number?

The NPI number for Brian Lee is 1104799154. It was assigned to this individual provider in the NPPES registry on September 25, 2025.

Q: What is Brian Lee's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Brian Lee was last updated on November 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 25, 2025PECOS EnrolledAccepts Medicare Assignment

12902 USF MAGNOLIA DR, TAMPA, FL 33612(813) 745-4673(813) 449-8618 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Brian C Lee NPPES

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

BRIAN C LEE (NPI 1104799154) is an individual physician assistant in Tampa, Florida, licensed in Florida (PA9120842) and active in the NPI registry since September 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1104799154

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameBRIAN C LEE

Location Address12902 USF MAGNOLIA DRTampa, FL 33612-9416

Mailing AddressPo Box 198441Atlanta, GA 30384-8441 · (813) 745-4673 · Fax (813) 449-8618

Phone(813) 745-4673

Fax(813) 449-8618

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateSeptember 25, 2025

Last NPPES UpdateNovember 21, 2025

NPPES CertifiedNovember 21, 2025

✔ NPI 1104799154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in FL · PA9120842

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

12902 USF MAGNOLIA DR, Tampa, FL 33612

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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

Brian C Lee 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 ID4385136050

PECOS Enrollment IDI20251120004029

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 33612 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

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.

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.

DR. MICHAEL MARTIN WACH MD

Surgery