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DR. JAMES ROBERT LEE MD
NPI 1205397882
Emergency Medicine in Gainesville, FL

Active since March 27, 2019PECOS EnrolledAccepts Medicare Assignment
84.26/100
CMS Quality Rating
6500 W NEWBERRY RD, GAINESVILLE, FL 32605(352) 333-5168 Get Directions Write a Review

NPPES record last updated: September 18, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. James Robert Lee Md NPPES

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

DR. JAMES ROBERT LEE MD (NPI 1205397882) is an individual emergency medicine provider in Gainesville, Florida, licensed in Florida (ME150362) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Martin North Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1205397882
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JAMES ROBERT LEECredential: MD
Location Address6500 W NEWBERRY RDGainesville, FL 32605-4309
Mailing Address1147 Nw 64th TerGainesville, FL 32605-4218 · (352) 333-5168
Phone(352) 333-5168
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 27, 2019
Last NPPES UpdateSeptember 18, 2021
NPPES CertifiedSeptember 18, 2021
✔ NPI 1205397882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in FL · ME150362
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
6500 W NEWBERRY RD, Gainesville, FL 32605
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.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

Dr. James Robert 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 ID5991102972
PECOS Enrollment IDI20210916003439
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 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
320 services313 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
120 services120 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
87 services87 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
70 services65 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
23 services23 patients

Hospital Affiliations CMS Care Compare

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

Cleveland Clinic Martin North Hospital

Acute Care Hospitals · Stuart, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100044
Location200 SE Hospital AveStuart, FL 34994 · Martin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32605 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

84.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.66
Improvement Activities40

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.

MISS SABRINA MICHELLE LOZIER BSN, RN
Registered Nurse
6500 W NEWBERRY RD
GAINESVILLE, FL 32605
Alachua County (352) 333-4000
MRS. VICTORIA CHYVONE MEJIA CRNA
Nurse Anesthetist, Certified Registered
6500 W NEWBERRY RD
GAINESVILLE, FL 32605
Alachua County (352) 333-4000
HARINI REDDY CHOULA MD
Student in an Organized Health Care Education/Training Program
6500 W NEWBERRY RD
GAINESVILLE, FL 32605
Alachua County (352) 333-5980
MAULIK JITESH JANI M.D.
Family Medicine
6500 W NEWBERRY RD
GAINESVILLE, FL 32605
Alachua County (412) 439-4915
JENNIFER CARLY BLAIRE
Registered Nurse (Critical Care Medicine)
6500 W NEWBERRY RD
GAINESVILLE, FL 32605
Alachua County (352) 333-4611
MR. DANIEL SHAWN PITTS APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
6500 W NEWBERRY RD
GAINESVILLE, FL 32605
Alachua County (386) 546-3908
ALI ABBAS AALAM MBBS, MS
Student in an Organized Health Care Education/Training Program
6500 W NEWBERRY RD
GAINESVILLE, FL 32605
Alachua County (352) 333-5173
HOSPITAL MEDICINE GROUP, PL
Hospitalist
6500 W NEWBERRY RD
GAINESVILLE, FL 32605
Alachua County (352) 333-4900

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 James Lee's NPI number?

The NPI number for James Lee is 1205397882. It was assigned to this individual provider in the NPPES registry on March 27, 2019.

Where is James Lee located?

James Lee practices at 6500 W Newberry Rd, Gainesville, FL 32605. The listed phone number is (352) 333-5168.

What is James Lee's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is James Lee enrolled in Medicare?

Yes. James 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 James Lee accept?

Health plans from Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list James 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 James Lee affiliated with any hospitals?

According to CMS data, James Lee is affiliated with Cleveland Clinic Martin North Hospital.

When was this NPI record last updated?

The NPPES record for James Lee was last updated on September 18, 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.