DR. SANGWOO LEE M.D.
NPI 1164476404
Ophthalmology in Fresh Meadows, NY

Active since May 20, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
17415 HORACE HARDING EXPY, FRESH MEADOWS, NY 11365(718) 661-8800(516) 437-4167 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 24, 2023, Jan 27, 2023, Mar 15, 2017 (3 updates tracked since 2017).

About Dr. Sangwoo Lee M.d. NPPES

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

DR. SANGWOO LEE M.D. (NPI 1164476404) is an individual ophthalmology provider in Fresh Meadows, New York, licensed in New York (238084-1) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian/queens, and is a graduate of Warren Alpert Medical School Of Brown University (1998).

NPPES Registry Identity

NPI1164476404
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. SANGWOO LEECredential: M.D.
Location Address17415 HORACE HARDING EXPYFresh Meadows, NY 11365-1527
Mailing AddressPo Box 27842New York, NY 10087-7842 · (718) 670-1651 · Fax (516) 437-4167
Fax(516) 437-4167
Sole ProprietorNo
Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 1998
Enumeration DateMay 20, 2006
Last NPPES UpdateMay 24, 20233 updates tracked since enumeration
NPPES CertifiedMay 24, 2023
✔ NPI 1164476404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in NY · 238084-1
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
17415 HORACE HARDING EXPY, Fresh Meadows, NY 11365

Other Identifiers 1

Medicaid02390852NY

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

Dr. Sangwoo 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 ID7517933153
PECOS Enrollment IDI20040907000123
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 Reassignments

4

Medicare enrollment records show Sangwoo Lee reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
16303 HORACE HARDING EXPY, 4TH FLOOR
Fresh Meadows, NY 11365
  • Reassigned Medicare billing, New York enrollment
  • 645 clinicians in this Medicare group
Cardiovascular Disease
5645 MAIN ST
Flushing, NY 11355
  • Reassigned Medicare billing, New York enrollment
  • 120 clinicians in this Medicare group
Specialist
4161 KISSENA BLVD, C#24
Flushing, NY 11355
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Daniel Kim MD Total Eye Care PC
  • 5 clinicians in this Medicare group
Ophthalmology
540 BERGEN BLVD
Palisades Park, NJ 07650
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: Daniel Y Kim MD PA
  • 6 clinicians in this Medicare group

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 13

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.

Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
936 services466 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
441 services383 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
361 services202 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
350 services85 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
198 services23 patients
Extended exam of the back part of the eye with optic nerve drawing 92202
This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.
76 services64 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11365 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
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 as part of a group practice
Quality100
Improvement Activities40

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.

Internal Medicine (Endocrinology, Diabetes & Metabolism)
17415 HORACE HARDING EXPY, 2ND FLOOR
FRESH MEADOWS, NY 11365
Internal Medicine (Endocrinology, Diabetes & Metabolism)
17415 HORACE HARDING EXPY
FRESH MEADOWS, NY 11365
Internal Medicine (Endocrinology, Diabetes & Metabolism)
17415 HORACE HARDING EXPY
FRESH MEADOWS, NY 11365

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 Sangwoo Lee's NPI number?

The NPI number for Sangwoo Lee is 1164476404. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Where is Sangwoo Lee located?

Sangwoo Lee practices at 17415 Horace Harding Expy, Fresh Meadows, NY 11365. The listed phone number is (718) 661-8800.

What is Sangwoo Lee's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Sangwoo Lee enrolled in Medicare?

Yes. Sangwoo 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 organizations bill Medicare for Sangwoo Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sangwoo Lee reassigns Medicare benefits to 4 organizations: New York Queens Medicine And Surgery, P.C. (Fresh Meadows, NY), Newyork-Presbyterian/Queens (Flushing, NY), Daniel Kim, M.D., Total Eye Care, P.C. (Flushing, NY) and Daniel Y. Kim, M.D., P.A. (Palisades Park, NJ). Each 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 Sangwoo Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Sangwoo Lee affiliated with any hospitals?

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

When was this NPI record last updated?

The NPPES record for Sangwoo Lee was last updated on May 24, 2023. 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.