DR. SAMUEL SHIN KWON LEE M.D.
NPI 1194772418
Urology in Apple Valley, CA

Active since May 30, 2006PECOS EnrolledAccepts Medicare Assignment
97.5/100
CMS Quality Rating
18400 US HIGHWAY 18, APPLE VALLEY, CA 92307(760) 242-3939(760) 242-3232 Get Directions Write a Review

NPPES record last updated: June 15, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Samuel Shin Kwon Lee M.d. NPPES

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

DR. SAMUEL SHIN KWON LEE M.D. (NPI 1194772418) is an individual urology provider in Apple Valley, California, licensed in California (A49819) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Tulane University School Of Medicine (1990).

NPPES Registry Identity

NPI1194772418
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. SAMUEL SHIN KWON LEECredential: M.D.
Location Address18400 US HIGHWAY 18Apple Valley, CA 92307-2306
Mailing Address18400 Us Highway 18Apple Valley, CA 92307-2306 · (760) 242-3939 · Fax (760) 242-3232
Fax(760) 242-3232
Sole ProprietorYes
Medical School CMSTulane University School Of MedicineGraduated 1990
Enumeration DateMay 30, 2006
Last NPPES UpdateJune 15, 2012
NPI 1194772418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses Licensed in CA · A49819 Licensed in MO · 110101 Licensed in GA · 060213
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
18400 US HIGHWAY 18, Apple Valley, CA 92307

Other Identifiers 3

Other785000022MO · Medicare Part B
Medicare PINDL652YCA
Medicare PINDL652ZCA

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. Samuel Shin Kwon 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 ID5496828485
PECOS Enrollment IDI20100910000977
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 30

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.

Injection, testosterone cypionate, 1 mg J1071
Testosterone cypionate is a medication given via injection to help balance hormone levels in your body. It's typically used when your body doesn't produce enough of this hormone naturally. The 1 mg dose refers to the amount of medication in each injection.
16,600 services13 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.
565 services371 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
266 services221 patients
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.
214 services82 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
190 services157 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.
158 services158 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92307 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

97.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.66
Improvement Activities40

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
15%34 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
4 suppliers18 claims2,685 services$1.37 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

Nurse Practitioner
18400 US HIGHWAY 18
APPLE VALLEY, CA 92307
Urology
18400 US HIGHWAY 18, SUITE A
APPLE VALLEY, CA 92307
Urology
18400 US HIGHWAY 18, SUITE A
APPLE VALLEY, CA 92307
Pain Medicine (Interventional Pain Medicine)
18400 US HIGHWAY 18, SUITE A
APPLE VALLEY, CA 92307
Urology
18400 US HIGHWAY 18, SUITE A
APPLE VALLEY, CA 92307
Clinic/Center (Ambulatory Surgical)
18400 US HIGHWAY 18, SUITE B
APPLE VALLEY, CA 92307
Urology
18400 US HIGHWAY 18, SUITE A
APPLE VALLEY, CA 92307
Anesthesiology (Pain Medicine)
18400 US HIGHWAY 18, SUITE A
APPLE VALLEY, CA 92307

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 Samuel Lee's NPI number?

The NPI number for Samuel Lee is 1194772418. It was assigned to this individual provider in the NPPES registry on May 30, 2006.

Where is Samuel Lee located?

Samuel Lee practices at 18400 Us Highway 18, Apple Valley, CA 92307. The listed phone number is (760) 242-3939.

What is Samuel Lee's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Samuel Lee enrolled in Medicare?

Yes. Samuel 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 Samuel Lee was last updated on June 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.