MOON JEONG LEE M.D.
NPI 1235674458
Ophthalmology - Glaucoma Specialist in Philadelphia, PA

Q: What is Moon Jeong Lee's NPI number?

The NPI number for Moon Jeong Lee is 1235674458. It was assigned to this individual provider in the NPPES registry on December 24, 2016.

Q: What is Moon Jeong Lee's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Glaucoma Specialist, with taxonomy code 207WX0009X.

Q: When was this NPI record last updated?

The NPPES record for Moon Jeong Lee was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since December 24, 2016PECOS Enrolled

840 WALNUT ST STE 1110, PHILADELPHIA, PA 19107(215) 928-3197(215) 928-0166 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 3, 2025, Jun 27, 2024, Dec 24, 2016 (3 updates tracked since 2016).

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About Moon Jeong Lee M.d. NPPES

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

MOON JEONG LEE M.D. (NPI 1235674458) is an individual glaucoma specialist in Philadelphia, Pennsylvania, licensed in Maryland (D0104769) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Hospital, The, and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1235674458

Entity TypeIndividualFemale

Primary Taxonomy207WX0009X

Provider Legal NameMOON JEONG LEECredential: M.D.

Location Address840 WALNUT ST STE 1110Philadelphia, PA 19107-5109

Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 955-5000 · Fax (410) 500-4266

Phone(215) 928-3197

Fax(215) 928-0166

Sole ProprietorNo

Medical School CMSJohns Hopkins University School Of MedicineGraduated 2020

Enumeration DateDecember 24, 2016

Last NPPES UpdateSeptember 3, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 3, 2025

✔ NPI 1235674458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Glaucoma SpecialistAllopathic & Osteopathic Physicians

Taxonomy Code207WX0009X

Licenses✔ Licensed in MD · D0104769✔ Licensed in PA · MD484290

Definition

An ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions.

Also ListedOphthalmologyTaxonomy 207W00000X · License MD484290 (PA)

840 WALNUT ST STE 1110, Philadelphia, PA 19107

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Secondary Practice Location 1

Location 11800 Orleans StBaltimore, MD 21287-0010 · Phone (410) 502-2037 · Fax (410) 955-0737

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Moon Jeong Lee M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133575319

PECOS Enrollment IDI20250925001094

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 Reassignments

Medicare enrollment records show Moon Jeong Lee reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wills Eye Ophthalmology Clinic, Inc

Same address

Ophthalmology

840 WALNUT ST, SUITE 1230
Philadelphia, PA 19107

Reassigned Medicare billing, Pennsylvania enrollment
230 clinicians in this Medicare group

NPI 1184624009 (215) 928-3041

Ophthalmic Partners PC

5.4 mi

Ophthalmology

100 PRESIDENTIAL BLVD STE 200
Bala Cynwyd, PA 19004

Reassigned Medicare billing, Pennsylvania enrollment
37 clinicians in this Medicare group

NPI 1114531688 (484) 434-2700

Johns Hopkins University

67 mi

Ophthalmology

4692 MILLENNIUM DRIVE, SUITE 200
Belcamp, MD 21017

Reassigned Medicare billing, Maryland enrollment
4,483 clinicians in this Medicare group

NPI 1376342774 (410) 000-0000

Johns Hopkins University

89 mi

Optometrist

600 N WOLFE ST
Baltimore, MD 21287

Reassigned Medicare billing, District of Columbia enrollment
67 clinicians in this Medicare group

NPI 1588638878 (410) 955-5080

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 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.

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.

35 services35 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.

28 services25 patients

Creation of shunt to improve eye fluid flow using tissue graft 66180

This procedure involves creating a new pathway for fluid to flow out of your eye using a tissue graft. It helps to lower eye pressure and prevent damage to your optic nerve, improving eye health and vision.

17 services16 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.

17 services17 patients

Hospital Affiliations CMS Care Compare

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

Johns Hopkins Hospital, The

Acute Care Hospitals · Baltimore, MD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210009

Location600 North Wolfe StreetBaltimore, MD 21287 · Baltimore City County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

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.

Other Providers at the Same Location NPPES 12

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

DR. JONATHAN S MYERS M.D.

Ophthalmology