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DR. KEVIN J LEE MD
NPI 1194952978
Family Medicine in Herndon, VA

Active since June 18, 2009PECOS EnrolledAccepts Medicare Assignment
555 HERNDON PARKWAY, SUITE 100, HERNDON, VA 20170(703) 481-1505(703) 742-8793 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kevin J Lee Md NPPES

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

DR. KEVIN J LEE MD (NPI 1194952978) is an individual family medicine provider in Herndon, Virginia, licensed in Virginia (0101248162) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Inova Loudoun Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1194952978
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KEVIN J LEECredential: MD
Location Address555 HERNDON PARKWAY, SUITE 100Herndon, VA 20170
Mailing AddressPo Box 791128Baltimore, MD 21279 · (703) 391-2030 · Fax (703) 273-3943
Phone(703) 481-1505
Fax(703) 742-8793
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 18, 2009
Last NPPES UpdateNovember 27, 2023
NPPES CertifiedOctober 16, 2020
✔ NPI 1194952978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in VA · 0101248162✔ Licensed in VA · 0116021285
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.

555 HERNDON PARKWAY, Herndon, VA 20170
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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. Kevin J 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 ID648469114
PECOS Enrollment IDI20110114000005
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 4

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 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.
207 services134 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.
34 services29 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
12 services12 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Inova Loudoun Hospital

Acute Care Hospitals · Leesburg, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490043
Location44045 Riverside ParkwayLeesburg, VA 20176 · Loudoun County
Emergency services Birthing friendly

Reston Hospital Center

Acute Care Hospitals · Reston, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490107
Location1850 Town Center ParkwayReston, VA 20190 · Fairfax County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20170 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
92%6,286 patients3/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
28%242 patients2/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%1,437 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
57%6,913 patients3/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%6,694 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
62%6,694 patients3/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
62%6,694 patients
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.

Other Providers at the Same Location NPPES 4

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

DR. JASON A. COOPER MD
Family Medicine
555 HERNDON PARKWAY, STE 100
HERNDON, VA 20170
Fairfax County (703) 481-1505
FAIRFAX FAMILY PRACTICE CENTERS PC
Family Medicine
555 HERNDON PARKWAY, SUITE 100
HERNDON, VA 20170
Fairfax County (703) 481-1505
PO STORRS CFNP
Nurse Practitioner (Family)
555 HERNDON PARKWAY, SUITE 100
HERNDON, VA 20170
Fairfax County (703) 481-1505
DR. EDWIN HO-WING WONG MD
Family Medicine
555 HERNDON PARKWAY, SUITE 100
HERNDON, VA 20170
Fairfax County (703) 481-1505

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 Kevin Lee's NPI number?

The NPI number for Kevin Lee is 1194952978. It was assigned to this individual provider in the NPPES registry on June 18, 2009.

Where is Kevin Lee located?

Kevin Lee practices at 555 Herndon Parkway Suite 100, Herndon, VA 20170. The listed phone number is (703) 481-1505.

What is Kevin Lee's specialty?

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

Is Kevin Lee enrolled in Medicare?

Yes. Kevin 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.

Is Kevin Lee affiliated with any hospitals?

According to CMS data, Kevin Lee is affiliated with Inova Loudoun Hospital and Reston Hospital Center.

When was this NPI record last updated?

The NPPES record for Kevin Lee was last updated on November 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.