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DR. WILLIAM S LEE M.D.
NPI 1154605996
Surgery in Salem, OH

Active since September 28, 2011PECOS EnrolledAccepts Medicare Assignment
92.46/100
CMS Quality Rating
2094 E STATE ST, SUITE A, SALEM, OH 44460(330) 337-2868(330) 337-2875 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 19, 2024, Dec 6, 2022 (2 updates tracked since 2022).

About Dr. William S Lee M.d. NPPES

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

DR. WILLIAM S LEE M.D. (NPI 1154605996) is an individual surgery provider in Salem, Ohio, licensed in Ohio (35097931) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS, is affiliated with Salem Regional Medical Center, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1154605996
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. WILLIAM S LEECredential: M.D.
Location Address2094 E STATE ST, SUITE ASalem, OH 44460-4409
Mailing Address1995 E State StSalem, OH 44460-2423 · (330) 337-2868 · Fax (330) 337-2875
Phone(330) 337-2868
Fax(330) 337-2875
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateSeptember 28, 2011
Last NPPES UpdateSeptember 19, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2024
✔ NPI 1154605996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in OH · 35097931
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
2094 E STATE ST, Salem, OH 44460
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Dr. William S Lee M.d. 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 ID6709058811
PECOS Enrollment IDI20111015000046
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 7

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
46 services46 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.
19 services18 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
15 services13 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
14 services12 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
14 services14 patients
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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Salem Regional Medical Center

Acute Care Hospitals · Salem, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360185
Location1995 East State StreetSalem, OH 44460 · Columbiana County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44460 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

92.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality81.58
Promoting Interoperability100
Improvement Activities40
Cost84.16

Reported Quality Measures

Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture
Lower rates are better for this measure.
2%43 patients
Breast Cancer Screening
49%151 patients3/55-star benchmark: 93%
Cervical Cancer Screening
12%114 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
0%198 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
66%323 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
83%141 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
10%68 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
34%68 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
69%705 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
66%214 patients3/55-star benchmark: 100%
HIV Screening
6%307 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
0%434 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%350 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
21%427 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 84% · 188 patients
Patients screened: 100% · 188 patients
30%43 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
95%131 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
75%162 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 221 patients
Patients totalRate: 0% · 221 patients
0%221 patients5/55-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.

Other Providers at the Same Location NPPES 7

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

DR. IVAN DARRELL PUGH JR. DO
Surgery
2094 E STATE ST, SUITE A
SALEM, OH 44460
Columbiana County (330) 337-2868
ASSOCIATES IN PULMONARY MEDICINE
Internal Medicine (Pulmonary Disease)
2094 E STATE ST, SUITE G
SALEM, OH 44460
Columbiana County (330) 707-5864
FRANCISCO A. MATEO MD
Internal Medicine (Pulmonary Disease)
2094 E STATE ST, SUITE G
SALEM, OH 44460
Columbiana County (330) 337-0177
DR. JONATHAN PULIDO M.D.
Surgery
2094 E STATE ST, SUITE A
SALEM, OH 44460
Columbiana County (330) 337-2868
MR. BRIAN PATRICK RAFFERTY PT
Physical Therapist
2094 E STATE ST
SALEM, OH 44460
Columbiana County (330) 332-7297
MRS. MICHELLE JOY SLIDER CRNP
Nurse Practitioner (Obstetrics & Gynecology)
2094 E STATE ST, SUITE B
SALEM, OH 44460
Columbiana County (330) 332-1939
SALEM WOMEN'S CARE, INC
Obstetrics & Gynecology
2094 E STATE ST, STE B
SALEM, OH 44460
Columbiana County (330) 332-1989

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 William Lee's NPI number?

The NPI number for William Lee is 1154605996. It was assigned to this individual provider in the NPPES registry on September 28, 2011.

Where is William Lee located?

William Lee practices at 2094 E State St Suite A, Salem, OH 44460. The listed phone number is (330) 337-2868.

What is William Lee's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is William Lee enrolled in Medicare?

Yes. William Lee is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does William Lee accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 1 other insurer list William 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.

Is William Lee affiliated with any hospitals?

According to CMS data, William Lee is affiliated with Salem Regional Medical Center.

When was this NPI record last updated?

The NPPES record for William Lee was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.