DR. ROBERT HAYES LEE D.P.M.
NPI 1114941820
Podiatrist in Tulsa, OK
NPI Status: Active since July 26, 2006
Contact Information
3315 E 47TH PL
SUITE 102
TULSA, OK
ZIP 74135
Phone: (918) 749-4484
Fax: (918) 749-2350
- Individual
- Male
- Years of Experience 41
- Podiatrist
- Accepts Insurance
- May Accept Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About ROBERT LEE
This page provides the complete NPI Profile along with additional information for Robert Lee, a provider established in Tulsa, Oklahoma with a medical specialization in Podiatrist and more than 41 years of experience. The healthcare provider is registered in the NPI registry with number 1114941820 assigned on July 2006. The practitioner's primary taxonomy code is 213E00000X with license number 188 (OK). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1114941820
- Provider Name
- DR. ROBERT HAYES LEE D.P.M.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3315 E 47TH PL SUITE 102 TULSA, OK 74135
- Location Phone
- (918) 749-4484
- Location Fax
- (918) 749-2350
- Mailing Address
- 3315 E 47TH PL SUITE 102 TULSA, OK 74135
- Mailing Phone
- (918) 749-4484
- Mailing Fax
- (918) 749-2350
- Medical School Name
- OTHER
- Graduation Year
- 1985
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-26-2006
- Last Update Date
- 07-08-2007
- Code Navigator
A podiatrist like Robert Lee provides medical and surgical care for people with foot, ankle, and lower leg issues. Podiatrists treat foot and ankle ailments like calluses, ingrown toenails, heel spurs, arthritis, congenital foot deformities, foot problems associated with diabetes and arch problems.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Podiatrist
- Taxonomy Code
- 213E00000X
- Type
- Podiatric Medicine & Surgery Service Providers
- License No.
- 188
- License State
- OK
- Taxonomy Description
- A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Complete Silver (QualChoice) - POS
- Connected Silver - PPO
- Connected Silver (QualChoice) - POS
- Connected Silver (QualChoiceLife) - PPO
- Connected Silver + Vision + Adult Dental - PPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Elite Gold - PPO
- Elite Gold + Vision + Adult Dental - PPO
- Everyday Bronze - PPO
- Everyday Bronze + Vision + Adult Dental - PPO
- Everyday Gold - PPO
- Everyday Gold + Vision + Adult Dental - PPO
- Focused Silver - PPO
- Focused Silver + Vision + Adult Dental - PPO
- Blue Advantage Bronze PPO? 202 - PPO
- Blue Advantage Bronze PPO? 203 - PPO
- Blue Advantage Bronze PPO? Standard - PPO
- Blue Advantage Gold PPO? 309 - PPO
- Blue Advantage Gold PPO? 604 - PPO
- Blue Advantage Gold PPO? Standard - PPO
- Blue Advantage Silver PPO? 204 - PPO
- Blue Advantage Silver PPO? 501 - PPO
- Blue Advantage Silver PPO? Standard - PPO
- Blue Preferred Bronze PPO? Standard - PPO
- CommunityCare Bronze IH223 - HMO
- CommunityCare Bronze IH224 - HMO
- CommunityCare Catastrophic - HMO
- CommunityCare Expanded Bronze Standardized - HMO
- CommunityCare Gold IH221 - HMO
- CommunityCare Gold L21 - HMO
- CommunityCare Gold Standardized - HMO
- CommunityCare Silver L21 - HMO
- CommunityCare Silver SLIH223 - HMO
- CommunityCare Silver Standardized - HMO
- TARO Direct Primary Care Bronze 4150 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
- TARO Direct Primary Care Gold $0 Ded ($0 DPC + $0 PCP + $0 Mental Health) - HMO
- TARO Direct Primary Care Silver 1900 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
- TARO Standard Bronze (No Direct Primary Care, for DPC select DPC Bronze) - HMO
- TARO Standard Gold (No Direct Primary Care, for DPC select DPC Gold) - HMO
- TARO Standard Silver (No Direct Primary Care, for DPC select DPC Silver) - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
- UHC Bronze Standard (No Referrals) - EPO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - EPO
- UHC Bronze Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - HMO
- UHC Bronze Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
- UHC Bronze Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Robert Lee is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
Robert Lee is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 5294915021
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20110330000204
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Incision of connective tissue of foot and/or toe
Incision of joint capsule of foot and toe
Incision of toe joint capsule
Melanoma (skin cancer) excision
Reconstruction of soft tissue angular deformity of toe
Release of hand or foot nerve
Removal of inflamed or infected skin, up to 10% of body surface
This procedure involves making a small cut in the connective tissue of your foot or toe. It's often done to relieve pressure, treat injuries, or remove abnormal growths. You'll be given anesthetic to minimize discomfort.
This service was performed 82 times for 38 patientsAn incision of the joint capsule of the foot and toe is a procedure where a small cut is made to access the joint capsule in your foot or toe. This is often done to treat conditions like arthritis or injury. It can help to relieve pain and improve mobility.
This service was performed 95 times for 48 patientsAn incision of the toe joint capsule is a surgical procedure where a small cut is made to access the joint capsule in your toe. This can help to relieve pain or pressure, correct deformities, or treat certain conditions. Your doctor will discuss the details and potential benefits with you.
This service was performed 21 times for 16 patientsMelanoma excision is a procedure where a surgeon removes melanoma, a type of skin cancer, and some surrounding healthy tissue. Local anesthesia is applied to numb the area. The goal is to completely remove the cancer and prevent its spread. Healing time varies.
This service was performed for 1-10 patientsReconstruction of soft tissue angular deformity of the toe is a procedure to correct abnormal bending in the toe. It involves adjusting soft tissues like tendons and ligaments to restore the toe's normal alignment. This can ease discomfort and improve foot function.
This service was performed 117 times for 42 patientsA release of hand or foot nerve is a surgical procedure to free a trapped nerve, often caused by conditions like carpal tunnel syndrome. The process can alleviate symptoms such as pain, numbness, or weakness. Recovery time varies, but physical therapy may be recommended.
This service was performed 16 times for 13 patientsThis procedure involves the surgical removal of inflamed or infected skin covering up to 10% of your body surface. It's done to prevent the spread of infection and promote healing. Local or general anesthesia is used to ensure comfort during the process.
This service was performed 19 times for 16 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 74135 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $82.46
- Minimum New Patient Price $53
- Maximum New Patient Price $162.61
- Average New Patient Copayment $20.61
- Minimum New Patient Copayment $13.25
- Maximum New Patient Copayment $40.65
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $66.48
- Minimum Established Patient Price $16.68
- Maximum Established Patient Price $132.4
- Average Established Patient Copayment $16.62
- Minimum Established Patient Copayment $4.17
- Maximum Established Patient Copayment $33.1
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
Quality Measure | Performance | Number of Patients |
---|---|---|
Annual registration in the Prescription Drug Monitoring Program | Yes | N/A |
Annual registration by eligible clinician or group in the prescription drug monitoring program of the state where they practice. Activities that simply involve registration are not sufficient. MIPS eligible clinicians and groups must participate for a minimum of 6 months. | ||
Consultation of the Prescription Drug Monitoring Program | Yes | N/A |
Clinicians would attest to reviewing the patients’ history of controlled substance prescription using state prescription drug monitoring program (PDMP) data prior to the issuance of a Controlled Substance Schedule II (CSII) opioid prescription lasting longer than 3 days. For the transition year, clinicians would attest to 60 percent review of applicable patient’s history. For the Quality Payment Program Year 2 and future years, clinicians would attest to 75 percent review of applicable patient’s history performance. |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 1 | 1 | 4 | 9 | 4 | 1 | 8 | 2 | 0 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 1 | 2 | 4 | 18 | 4 | 2 | 8 | 4 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 1 + 2 + 4 + 1 + 8 + 4 + 2 + 8 + 4 + 24 = 60 | |||||||||
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
0 |
The NPI number 1114941820 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
DR. TROY HOWARD COOL D.C.
Chiropractor
(Sports Physician)
3315 E 47TH PL
SUITE 100
TULSA, OK
ZIP 74135
HARVARD FAMILY CLINIC INC
Family Medicine
3315 E 47TH PL
SUITE 111
TULSA, OK
ZIP 74135
COOL CHIROPRACTIC CLINIC INC.
Chiropractor
3315 E 47TH PL
SUITE 100
TULSA, OK
ZIP 74135
TERRY R TATUM, DC, PC, INC
Chiropractor
3315 E 47TH PL
SUITE 120
TULSA, OK
ZIP 74135
GRADDY CHIROPRACTIC PLLC
Chiropractor
3315 E 47TH PL
STE. 120
TULSA, OK
ZIP 74135
ALEXANDER KVACH D.C.
Chiropractor
3315 E 47TH PL
TULSA, OK
ZIP 74135
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114941820, enumerated as an "individual" on July 26, 2006.
The provider is located at 3315 E 47TH PL SUITE 102 TULSA, OK 74135 and the phone number is (918) 749-4484.
Podiatrist with taxonomy code 213E00000X.
The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.