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THOMAS LEE MD
NPI 1194708230
Obstetrics & Gynecology - Maternal & Fetal Medicine in Portland, OR

Active since November 22, 2005PECOS EnrolledAccepts Medicare Assignment
83.32/100
CMS Quality Rating
9701 SW BARNES RD, SUITE 299, PORTLAND, OR 97225(503) 297-3660(503) 297-7637 Get Directions Write a Review

NPPES record last updated: June 8, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 8, 2023, Jun 20, 2016 (2 updates tracked since 2016).

About Thomas Lee Md NPPES

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

THOMAS LEE MD (NPI 1194708230) is an individual maternal & fetal medicine provider in Portland, Oregon, licensed in Oregon (MD 23594) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1194708230
Entity TypeIndividualMale
Primary Taxonomy207VM0101X
Provider Legal NameTHOMAS LEECredential: MD
Location Address9701 SW BARNES RD, SUITE 299Portland, OR 97225-6772
Mailing Address7650 Sw Beveland Rd, Suite 200Portland, OR 97223-8692 · (503) 297-3660 · Fax (503) 297-7637
Phone(503) 297-3660
Fax(503) 297-7637
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateNovember 22, 2005
Last NPPES UpdateJune 8, 20232 updates tracked since enumeration
NPPES CertifiedJune 8, 2023
✔ NPI 1194708230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
Licenses✔ Licensed in OR · MD 23594✔ Licensed in ID · M-17229
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
9701 SW BARNES RD, Portland, OR 97225
Open in Google Maps ↗

Other Identifiers 2

OtherR158355OR · Medicare Ptan
Medicaid286895OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan.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

Thomas 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 ID8426230889
PECOS Enrollment IDI20230621001437
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.

Hospital Affiliations CMS Care Compare

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97225 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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.

83.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.51
Promoting Interoperability100
Improvement Activities40
Cost64.88

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.

DR. CHRISTOPHER R CARTER MD
Internal Medicine (Gastroenterology)
9701 SW BARNES RD, SUITE 300
PORTLAND, OR 97225
Washington County (503) 297-8081
THE OREGON CLINIC PC
Clinic/Center (Endoscopy)
9701 SW BARNES RD, SUITE 310
PORTLAND, OR 97225
Washington County (503) 297-8081
DR. CRISTIAN R. VALLEJOS M.D.
Internal Medicine (Gastroenterology)
9701 SW BARNES RD, SUITE 300
PORTLAND, OR 97225
Washington County (503) 297-8081
SALLY J WENTROSS MD
Obstetrics & Gynecology
9701 SW BARNES RD, SUITE 200
PORTLAND, OR 97225
Washington County (503) 734-3700
DR. GEORGE KOVAL MD
Internal Medicine (Gastroenterology)
9701 SW BARNES RD, STE 300
PORTLAND, OR 97225
Washington County (503) 297-8081
JENNIFER SARA SEMMELROTH PA-C
Physician Assistant (Medical)
9701 SW BARNES RD, SUITE 300
PORTLAND, OR 97225
Washington County (503) 297-8081
ANNA MALORA HARTSHORN ACNP
Nurse Practitioner (Acute Care)
9701 SW BARNES RD, SUITE 300
PORTLAND, OR 97225
Washington County (503) 297-8081
DR. MARY ELIZABETH SKRYPZAK M.D.
Obstetrics & Gynecology (Gynecology)
9701 SW BARNES RD, SUITE 150
PORTLAND, OR 97225
Washington County (503) 734-3535

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 Thomas Lee's NPI number?

The NPI number for Thomas Lee is 1194708230. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Where is Thomas Lee located?

Thomas Lee practices at 9701 SW Barnes Rd Suite 299, Portland, OR 97225. The listed phone number is (503) 297-3660.

What is Thomas Lee's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Thomas Lee enrolled in Medicare?

Yes. Thomas 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 Thomas Lee accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Thomas 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.

Is Thomas Lee affiliated with any hospitals?

According to CMS data, Thomas Lee is affiliated with St Luke's Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Lee was last updated on June 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.