DR. PANDORA KEALA LEE DMD
NPI 1174054282
Dentist - Prosthodontics in Rochester, MN

Active since March 22, 2017PECOS EnrolledAccepts Medicare Assignment
99.95/100
CMS Quality Rating
200 1ST ST SW, ROCHESTER, MN 55905(507) 284-2511 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 27, 2022, Jul 21, 2022, Mar 22, 2019 and 3 more (6 updates tracked since 2017).

About Dr. Pandora Keala Lee Dmd NPPES

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

DR. PANDORA KEALA LEE DMD (NPI 1174054282) is an individual prosthodontics provider in Rochester, Minnesota, licensed in Minnesota (D13786) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Richmond, and is a graduate of University Of Florida College Of Dentistry (2014).

NPPES Registry Identity

NPI1174054282
Entity TypeIndividualFemale
Primary Taxonomy1223P0700X
Provider Legal NameDR. PANDORA KEALA LEECredential: DMD
Location Address200 1ST ST SWRochester, MN 55905-0001
Mailing AddressPo Box 860912Minneapolis, MN 55486-0912 · (507) 284-2511
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of DentistryGraduated 2014
Enumeration DateMarch 22, 2017
Last NPPES UpdateJanuary 28, 20256 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2025
NPI 1174054282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
Licenses Licensed in MN · D13786 Licensed in VA · 0401415962
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Also ListedDentistTaxonomy 122300000X · License D13786 (MN), DN21129 (FL)
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License D13786 (MN)
200 1ST ST SW, Rochester, MN 55905

Other Names 1

Former Name (1)Pandora Wojnarwsky Dmd

Secondary Practice Location 1

Location 1520 N 12th StRichmond, VA 23298-5064 · Phone (507) 284-2511

Accepted 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. Pandora Keala Lee Dmd 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 ID9830466481
PECOS Enrollment IDI20170601002179
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

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.

X-ray of lower jaws, upper jaws and teeth 70355
An X-ray of lower jaws, upper jaws, and teeth is a diagnostic procedure that uses radiation to create images of these areas. This helps in identifying issues like tooth decay, gum problems, or jawbone irregularities. It's a quick, painless process and crucial for maintaining oral health.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55905 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

99.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality92.89
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine
200 1ST ST SW
ROCHESTER, MN 55905
Pathology (Clinical Pathology/Laboratory Medicine)
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Practitioner
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Practitioner
200 1ST ST SW
ROCHESTER, MN 55905
Optometrist
200 1ST ST SW
ROCHESTER, MN 55905
Psychologist
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Anesthetist, Certified Registered
200 1ST ST SW
ROCHESTER, MN 55905
Internal Medicine (Endocrinology, Diabetes & Metabolism)
200 1ST ST SW
ROCHESTER, MN 55905

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 Pandora Lee's NPI number?

The NPI number for Pandora Lee is 1174054282. It was assigned to this individual provider in the NPPES registry on March 22, 2017. The provider is also known as Pandora Wojnarwsky Dmd.

Where is Pandora Lee located?

Pandora Lee practices at 200 1st St SW, Rochester, MN 55905. The listed phone number is (507) 284-2511.

What is Pandora Lee's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Is Pandora Lee enrolled in Medicare?

Yes. Pandora 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 Pandora Lee accept?

Health plans from Florida Combined Life list Pandora 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.

When was this NPI record last updated?

The NPPES record for Pandora Lee was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.