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JIVIANNE KRISTINE TAN LEE MD
NPI 1184772972
Otolaryngology - Plastic Surgery within the Head & Neck in Santa Monica, CA

Active since January 08, 2007PECOS EnrolledAccepts Medicare Assignment
86.26/100
CMS Quality Rating
1131 WILSHIRE BLVD STE 302, SANTA MONICA, CA 90401(424) 259-6559(310) 319-3877 Get Directions Write a Review

NPPES record last updated: December 4, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jivianne Kristine Tan Lee Md NPPES

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

JIVIANNE KRISTINE TAN LEE MD (NPI 1184772972) is an individual plastic surgery within the head & neck provider in Santa Monica, California, licensed in California (A72248) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of University Of California, Geffen School Of Medicine (1998).

NPPES Registry Identity

NPI1184772972
Entity TypeIndividualFemale
Primary Taxonomy207YX0007X
Provider Legal NameJIVIANNE KRISTINE TAN LEECredential: MD
Location Address1131 WILSHIRE BLVD STE 302Santa Monica, CA 90401-2061
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Phone(424) 259-6559
Fax(310) 319-3877
Sole ProprietorNo
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 1998
Enumeration DateJanuary 8, 2007
Last NPPES UpdateDecember 4, 2019
✔ NPI 1184772972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians
Taxonomy Code207YX0007X
License✔ Licensed in CA · A72248
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
1131 WILSHIRE BLVD STE 302, Santa Monica, CA 90401
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Secondary Practice Location 1

Location 1200 Ucla Medical Plz Ste 550Los Angeles, CA 90095-3028 · Phone (310) 206-6688 · Fax (310) 825-2810

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

Jivianne Kristine Tan Lee Md 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 ID1355300591
PECOS Enrollment IDI20090216000262
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 7

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.

Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
126 services93 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
93 services67 patients
Biopsy or removal of nasal polyp or tissue using an endoscope 31237
A nasal biopsy or polyp removal is a procedure where an endoscope, a thin tube with a light and camera, is inserted into the nose. This allows the doctor to see and remove abnormal tissues or polyps, which are small growths. This procedure helps diagnose or treat nasal issues.
79 services36 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.
73 services47 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.
16 services16 patients
Computer-assisted procedure outside membrane covering brain 61782
A computer-assisted procedure outside the brain's membrane involves using advanced technology to help doctors accurately navigate and perform operations near the brain. This method enhances precision, safety, and effectiveness, potentially reducing recovery time.
15 services13 patients

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.

86.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.86
Promoting Interoperability100
Improvement Activities40
Cost64.12

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREW ALEXANDER MCCALL
Otolaryngology
1131 WILSHIRE BLVD STE 302
SANTA MONICA, CA 90401
Los Angeles County (424) 259-6559
DR. ERIC JAMES KEZIRIAN MD
Otolaryngology
1131 WILSHIRE BLVD STE 302
SANTA MONICA, CA 90401
Los Angeles County (424) 259-6559

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 Jivianne Lee's NPI number?

The NPI number for Jivianne Lee is 1184772972. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Jivianne Lee located?

Jivianne Lee practices at 1131 Wilshire Blvd Ste 302, Santa Monica, CA 90401. The listed phone number is (424) 259-6559.

What is Jivianne Lee's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Is Jivianne Lee enrolled in Medicare?

Yes. Jivianne 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.

When was this NPI record last updated?

The NPPES record for Jivianne Lee was last updated on December 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.