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DR. JAE K LEE M.D.
NPI 1194702563
Internal Medicine - Gastroenterology in Mission Viejo, CA

Active since December 28, 2005PECOS EnrolledAccepts Medicare Assignment
26800 CROWN VALLEY PKWY, SUITE 100, MISSION VIEJO, CA 92691(949) 364-6000(949) 364-1204 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jae K Lee M.d. NPPES

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

DR. JAE K LEE M.D. (NPI 1194702563) is an individual gastroenterology provider in Mission Viejo, California, licensed in California (A79627) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (2000).

NPPES Registry Identity

NPI1194702563
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. JAE K LEECredential: M.D.
Location Address26800 CROWN VALLEY PKWY, SUITE 100Mission Viejo, CA 92691-6384
Mailing Address27451 Los Altos, Suite 100Mission Viejo, CA 92691-6331 · (949) 282-1600 · Fax (949) 367-0518
Phone(949) 364-6000
Fax(949) 364-1204
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2000
Enumeration DateDecember 28, 2005
Last NPPES UpdateNovember 29, 2021
✔ NPI 1194702563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in CA · A79627
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
26800 CROWN VALLEY PKWY, Mission Viejo, CA 92691
Open in Google Maps ↗

Other Identifiers 1

Medicaid00A796270CA

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. Jae K 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 ID2567415250
PECOS Enrollment IDI20050222000792
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 Reassignment

Medicare enrollment records show Jae Lee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
22 mi
Health Maintenance Organization
441 N LAKEVIEW AVE
Anaheim, CA 92807
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1952333460 (714) 279-4000

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

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92691 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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.

AMY THU BUI M.D.
Specialist
26800 CROWN VALLEY PKWY, SUITE 230
MISSION VIEJO, CA 92691
Orange County (949) 542-8004
MATT AHMADI, DPM, INC.
Podiatrist (Foot & Ankle Surgery)
26800 CROWN VALLEY PKWY, SUITE 320
MISSION VIEJO, CA 92691
Orange County (949) 276-8900
MICHAEL PM TRUONG M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
26800 CROWN VALLEY PKWY, SUITE 230
MISSION VIEJO, CA 92691
Orange County (949) 364-3330
PETER C. CZULEGER M.D.
Emergency Medicine
26800 CROWN VALLEY PKWY, SUITE 150
MISSION VIEJO, CA 92691
Orange County (949) 276-2111
KATHLEEN MARY POLLOCK M.D.
Obstetrics & Gynecology
26800 CROWN VALLEY PKWY, SUITE 525
MISSION VIEJO, CA 92691
Orange County (949) 364-1040
TRICIA DAVID BATO D.D.S.
Dentist (Periodontics)
26800 CROWN VALLEY PKWY, STE 375
MISSION VIEJO, CA 92691
Orange County (949) 388-3877
DR. RICHARD JACOB M.D.
Internal Medicine (Cardiovascular Disease)
26800 CROWN VALLEY PKWY, SUITE 250
MISSION VIEJO, CA 92691
Orange County (949) 364-3570
HABIB AZAD M.D.
Internal Medicine (Nephrology)
26800 CROWN VALLEY PKWY, SUITE 250
MISSION VIEJO, CA 92691
Orange County (949) 364-0644

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 Jae Lee's NPI number?

The NPI number for Jae Lee is 1194702563. It was assigned to this individual provider in the NPPES registry on December 28, 2005.

Where is Jae Lee located?

Jae Lee practices at 26800 Crown Valley Pkwy Suite 100, Mission Viejo, CA 92691. The listed phone number is (949) 364-6000.

What is Jae Lee's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Jae Lee enrolled in Medicare?

Yes. Jae 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 organization bills Medicare for Jae Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jae Lee reassigns Medicare benefits to Southern California Permanente Medical Group (Anaheim, CA). The 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 Jae Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jae Lee was last updated on November 29, 2021. 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.