DR. MARY CARROLL LEE M.D.
NPI 1184003279
Emergency Medicine in Portland, OR
About Dr. Mary Carroll Lee M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARY CARROLL LEE M.D. (NPI 1184003279) is an individual emergency medicine provider in Portland, Oregon, licensed in Oregon (MD193202) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and is a graduate of Medical College Of Georgia School Of Medicine (2015).
NPPES Registry Identity
Specialties & Licenses 2
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. Mary Carroll 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.
Medicare Billing Reassignments
5Medicare enrollment records show Mary Carroll Lee reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Portland, OR 97239
- Reassigned Medicare billing, Oregon enrollment
- 2,212 clinicians in this Medicare group
Salem, OR 97301
- Reassigned Medicare billing, Oregon enrollment
- 47 clinicians in this Medicare group
Hood River, OR 97031
- Reassigned Medicare billing, Oregon enrollment
- 195 clinicians in this Medicare group
Astoria, OR 97103
- Reassigned Medicare billing, Oregon enrollment
- Also billed through NPI 1134146939 (Oregon)
- 278 clinicians in this Medicare group
Florence, OR 97439
- Reassigned Medicare billing, Oregon enrollment
- Also billed through NPI 1578552402 (Oregon)
- 172 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 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ohsu Hospital And Clinics
Acute Care Hospitals · Portland, ORColumbia Memorial Hospital
Critical Access Hospitals · Astoria, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97239 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
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 Mary Carroll Lee's NPI number?
The NPI number for Mary Carroll Lee is 1184003279. It was assigned to this individual provider in the NPPES registry on May 22, 2015.
Where is Mary Carroll Lee located?
Mary Carroll Lee practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 494-7551.
What is Mary Carroll Lee's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Mary Carroll Lee enrolled in Medicare?
Yes. Mary Carroll 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 Mary Carroll Lee's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Carroll Lee reassigns Medicare benefits to 5 organizations: University Professional Services (Portland, OR), Salem Emergency Physicians Service, PC (Salem, OR), Mid-Columbia Medical Center (Hood River, OR), Columbia Lutheran Charities (Astoria, OR) and Peacehealth (Florence, OR). 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 Mary Carroll Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Mary Carroll Lee affiliated with any hospitals?
According to CMS data, Mary Carroll Lee is affiliated with Ohsu Hospital And Clinics and Columbia Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Mary Carroll Lee was last updated on January 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Mary Carroll Lee, M.D. · NPI 1184003279
Emergency Medicine physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since May 22, 2015.
## Identity
- **NPI:** 1184003279 (Entity type: Individual)
- **Enumerated:** May 22, 2015
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** MD193202 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 3181 SW SAM JACKSON PARK RD, Portland, OR 97239-3011
- **Phone:** (503) 494-7551
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): University Professional Services (NPI 1073767588, Portland, OR); Salem Emergency Physicians Service, PC (NPI 1063454395, Salem, OR); Mid-Columbia Medical Center (NPI 1568979680, Hood River, OR); Columbia Lutheran Charities (NPI 1700809761, Astoria, OR); Peacehealth (NPI 1982774378, Florence, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Medical College Of Georgia School Of Medicine, class of 2015
## Record status
- **NPPES last updated:** January 6, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1184003279) · Data from the CMS NPPES public registry.