JAMES M LEE MD
NPI 1144514787
Family Medicine in Kirkland, WA

Q: What is James Lee's NPI number?

The NPI number for James Lee is 1144514787. It was assigned to this individual provider in the NPPES registry on May 31, 2011.

Q: What is James Lee's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for James Lee was last updated on July 16, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 31, 2011PECOS EnrolledAccepts Medicare Assignment

72.35/100

CMS Quality Rating

12710 TOTEM LAKE BLVD NE, KIRKLAND, WA 98034(425) 821-4040(425) 820-5060 Get Directions Write a Review

NPPES record last updated: July 16, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About James M Lee Md NPPES

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

JAMES M LEE MD (NPI 1144514787) is an individual family medicine provider in Kirkland, Washington, licensed in Washington (MD60383004) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Evergreenhealth Medical Center, and is a graduate of University Of Washington School Of Medicine (2011).

NPPES Registry Identity

NPI1144514787

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJAMES M LEECredential: MD

Location Address12710 TOTEM LAKE BLVD NEKirkland, WA 98034-2907

Mailing AddressPo Box 646Bothell, WA 98041-0646 · (425) 485-3955 · Fax (425) 485-1476

Phone(425) 821-4040

Fax(425) 820-5060

Sole ProprietorNo

Medical School CMSUniversity Of Washington School Of MedicineGraduated 2011

Enumeration DateMay 31, 2011

Last NPPES UpdateJuly 16, 2014

✔ NPI 1144514787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WA · MD60383004

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.

12710 TOTEM LAKE BLVD NE, Kirkland, WA 98034

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

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

James M Lee Md 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 ID5294955217

PECOS Enrollment IDI20140925000823

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 3

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.

129 services92 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

90 services75 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

52 services52 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Evergreenhealth Medical Center

Acute Care Hospitals · Kirkland, WA

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number500124

Location12040 NE 128th StreetKirkland, WA 98034 · King County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98034 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

$97.43 typical visit price

range $63.67 – $189.37

Typical copayment $24.35 (range $15.91 – $47.34)

Most-billed visit code 99203

Established Patient

$111.00 typical visit price

range $21.12 – $155.00

Typical copayment $27.75 (range $5.28 – $38.75)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

72.35/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

89.6

Promoting Interoperability

100

Improvement Activities

Cost

18.25

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment

0%67 patients

Appropriate Treatment for Upper Respiratory Infection (URI)

91%23 patients4/55-star benchmark: 100%

Breast Cancer Screening

70%232 patients4/55-star benchmark: 93%

Cervical Cancer Screening

36%438 patients2/55-star benchmark: 98%

Chlamydia Screening for Women

35%23 patients

Closing the Referral Loop: Receipt of Specialist Report

0%307 patients1/55-star benchmark: 87%

Colorectal Cancer Screening

48%1,003 patients3/55-star benchmark: 88%

Controlling High Blood Pressure

77%588 patients4/55-star benchmark: 91%

Diabetes: Eye Exam

9%170 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

18%171 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

99%3,187 patients4/55-star benchmark: 100%

e-Prescribing

100%532 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

27%463 patients2/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

35%1,968 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

17%1,730 patients1/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

53%1,912 patients4/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 96% · 1,544 patients

Patients screened: 97% · 1,544 patients

55%53 patients3/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

100%809 patients5/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

62%451 patients2/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 10% · 492 patients

Patients totalRate: 15% · 492 patients

14%492 patients3/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier12 claims12 services$169.80 avg. paid by Medicare

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

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Other Providers at the Same Location NPPES 19

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

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Family Medicine