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DR. LEE KLOPFENSTEIN M.D.
NPI 1184729220
Family Medicine in Maumee, OH

Active since September 13, 2006PECOS EnrolledAccepts Medicare Assignment
1715 INDIAN WOOD CIR STE OFFICE, MAUMEE, OH 43537(419) 578-8594 Get Directions Write a Review

NPPES record last updated: February 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lee Klopfenstein M.d. NPPES

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

DR. LEE KLOPFENSTEIN M.D. (NPI 1184729220) is an individual family medicine provider in Maumee, Ohio, licensed in Ohio (35-056978) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Promedica Toledo Hospital, and is a graduate of Ohio State University College Of Medicine (1987).

NPPES Registry Identity

NPI1184729220
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. LEE KLOPFENSTEINCredential: M.D.
Location Address1715 INDIAN WOOD CIR STE OFFICEMaumee, OH 43537-4055
Mailing Address7360 Salisbury RdMaumee, OH 43537-9612 · (419) 263-8328 · Fax (567) 343-7298
Phone(419) 578-8594
Sole ProprietorYes
Medical School CMSOhio State University College Of MedicineGraduated 1987
Enumeration DateSeptember 13, 2006
Last NPPES UpdateFebruary 8, 2022
NPPES CertifiedFebruary 8, 2022
✔ NPI 1184729220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in OH · 35-056978✔ Licensed in IN · 01036887A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1715 INDIAN WOOD CIR STE OFFICE, Maumee, OH 43537
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Other Identifiers 1

Medicaid0717871OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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. Lee Klopfenstein 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 ID5092856054
PECOS Enrollment IDI20100113000144
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 2

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 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.
41 services24 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360068
Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County
Emergency services Birthing friendly

Mercy St Vincent Medical Center

Acute Care Hospitals · Toledo, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360112
Location2213 Cherry StreetToledo, OH 43608 · Lucas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43537 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
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 15

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers14 claims34 services$5.43 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers18 claims21 services$0.96 avg. paid by Medicare
Male external catheter, with or without adhesive, disposable, each A4349
DME-Medical/Surgical Supplies · category DA000N
1 supplier11 claims385 services$1.94 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier11 claims22 services$9.38 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers28 claims28 services$14.93 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier28 claims28 services$43.82 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Lee Klopfenstein's NPI number?

The NPI number for Lee Klopfenstein is 1184729220. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Where is Lee Klopfenstein located?

Lee Klopfenstein practices at 1715 Indian Wood Cir Ste Office, Maumee, OH 43537. The listed phone number is (419) 578-8594.

What is Lee Klopfenstein's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lee Klopfenstein enrolled in Medicare?

Yes. Lee Klopfenstein 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 Lee Klopfenstein accept?

Health plans from CareSource list Lee Klopfenstein 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 Lee Klopfenstein affiliated with any hospitals?

According to CMS data, Lee Klopfenstein is affiliated with Promedica Toledo Hospital and Mercy St Vincent Medical Center.

When was this NPI record last updated?

The NPPES record for Lee Klopfenstein was last updated on February 8, 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.