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JAE YOUNG LEE MD
NPI 1104826973
Internal Medicine in Marine City, MI

Active since July 22, 2005PECOS Enrolled
130 WASHINGTON ST, MARINE CITY, MI 48039(810) 765-8844(810) 765-4326 Get Directions Write a Review

NPPES record last updated: January 14, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jae Young Lee Md NPPES

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

JAE YOUNG LEE MD (NPI 1104826973) is an individual internal medicine provider in Marine City, Michigan, licensed in Michigan (4301033400) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1968).

NPPES Registry Identity

NPI1104826973
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJAE YOUNG LEECredential: MD
Location Address130 WASHINGTON STMarine City, MI 48039-1680
Mailing Address130 Washington StMarine City, MI 48039-1680 · (810) 765-8844 · Fax (810) 765-4326
Phone(810) 765-8844
Fax(810) 765-4326
Sole ProprietorNo
Medical School CMSOtherGraduated 1968
Enumeration DateJuly 22, 2005
Last NPPES UpdateJanuary 14, 2011
✔ NPI 1104826973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 4301033400
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.
130 WASHINGTON ST, Marine City, MI 48039
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Other Identifiers 3

Medicare ID-Type Unspecified3740520MI
Medicaid1068960MI
Medicare UPINB43807MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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)

Jae Young Lee Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991993552
PECOS Enrollment IDI20110115000053
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

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.
218 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48039 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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. PETER R PASHLEY D.O
Internal Medicine
130 WASHINGTON ST
MARINE CITY, MI 48039
St. Clair County (810) 765-8750
MS. NICOLETTE SYLVIA KOWAL FNP-BC, ACNS-BC
Nurse Practitioner (Family)
130 WASHINGTON ST
MARINE CITY, MI 48039
St. Clair County (810) 765-8750
JAE YOUNG LEE MD PC
Internal Medicine
130 WASHINGTON ST
MARINE CITY, MI 48039
St. Clair County (810) 765-8844

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 Jae Lee's NPI number?

The NPI number for Jae Lee is 1104826973. It was assigned to this individual provider in the NPPES registry on July 22, 2005.

Where is Jae Lee located?

Jae Lee practices at 130 Washington St, Marine City, MI 48039. The listed phone number is (810) 765-8844.

What is Jae Lee's specialty?

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

Is Jae Lee enrolled in Medicare?

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

What insurance does Jae Lee accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Jae 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 Jae Lee was last updated on January 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.