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BENJAMIN LEE M.D.
NPI 1164407714
Thoracic Surgery (Cardiothoracic Vascular Surgery) in New York, NY

Active since December 07, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
525 E 68TH ST, M404, NEW YORK, NY 10065(212) 746-5043(646) 962-0203 Get Directions Write a Review

NPPES record last updated: November 17, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 17, 2022, Aug 18, 2016 (2 updates tracked since 2016).

About Benjamin Lee M.d. NPPES

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

BENJAMIN LEE M.D. (NPI 1164407714) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in New York, New York, licensed in New York (243796) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian/queens, and is a graduate of New York Medical College (2001).

NPPES Registry Identity

NPI1164407714
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameBENJAMIN LEECredential: M.D.
Location Address525 E 68TH ST, M404New York, NY 10065-4870
Mailing Address525 E 68th St, M404New York, NY 10065-4870 · (212) 746-5043 · Fax (646) 962-0203
Phone(212) 746-5043
Fax(646) 962-0203
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 2001
Enumeration DateDecember 7, 2005
Last NPPES UpdateNovember 17, 20222 updates tracked since enumeration
NPPES CertifiedNovember 17, 2022
✔ NPI 1164407714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses✔ Licensed in NY · 243796✔ Licensed in NJ · 25MA08573300
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
525 E 68TH ST, New York, NY 10065
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Benjamin 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 ID1658426408
PECOS Enrollment IDI20160824001542
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.

Medicare Billing Reassignment

Medicare enrollment records show Benjamin Lee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New York Queens Medicine And Surgery, P.C.
6.9 mi
Multi-Specialty
5645 MAIN ST
Flushing, NY 11355
  • Reassigned Medicare billing, New York enrollment
  • 645 clinicians in this Medicare group
NPI 1740792233 (718) 661-8706

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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 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.
120 services85 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.
28 services19 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
24 services24 patients
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.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

New York-Presbyterian/Queens

Acute Care Hospitals · Flushing, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330055
Location56-45 Main StreetFlushing, NY 11355 · Queens County
Emergency services Birthing friendly

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10065 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
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier32 claims32 services$14.92 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers49 claims49 services$79.70 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
2 suppliers16 claims16 services$37.48 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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. AKILI HINSON M.D.
Surgery
525 E 68TH ST
NEW YORK, NY 10065
New York County (212) 746-5454
ABBY AVGERINOS
Nurse Practitioner (Adult Health)
525 E 68TH ST
NEW YORK, NY 10065
New York County (610) 742-3894
DR. PAMELA JOAN-YIN TIEU M.D.
Hospitalist
525 E 68TH ST
NEW YORK, NY 10065
New York County (212) 746-5454
JENNIFER ANNE SOO HOO MD
Physical Medicine & Rehabilitation (Sports Medicine)
525 E 68TH ST
NEW YORK, NY 10065
New York County (212) 746-1500
WEILL MEDICAL COLLEGE OF CORNELL
Specialist
525 E 68TH ST
NEW YORK, NY 10065
New York County (212) 746-2846
MS. RACHAEL HALEY BLAIRE PA-C
Physician Assistant
525 E 68TH ST
NEW YORK, NY 10065
New York County (480) 221-9894
DR. NISHA MEHTA-NAIK M.D.
Psychiatry & Neurology (Psychiatry)
525 E 68TH ST, MAIL SLOT 140
NEW YORK, NY 10065
New York County (212) 746-3720
POOJA SHAH SALVI
Student in an Organized Health Care Education/Training Program
525 E 68TH ST
NEW YORK, NY 10065
New York County (646) 962-8413

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 Benjamin Lee's NPI number?

The NPI number for Benjamin Lee is 1164407714. It was assigned to this individual provider in the NPPES registry on December 7, 2005.

Where is Benjamin Lee located?

Benjamin Lee practices at 525 E 68th St M404, New York, NY 10065. The listed phone number is (212) 746-5043.

What is Benjamin Lee's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Benjamin Lee enrolled in Medicare?

Yes. Benjamin 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.

Which organization bills Medicare for Benjamin Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Lee reassigns Medicare benefits to New York Queens Medicine And Surgery, P.C. (Flushing, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Benjamin Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Lee accept?

Health plans from Oscar Health list Benjamin 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 Benjamin Lee affiliated with any hospitals?

According to CMS data, Benjamin Lee is affiliated with New York-Presbyterian/Queens and New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Benjamin Lee was last updated on November 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.