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TSUNGJU O-LEE MD
NPI 1265479745
Otolaryngology in Loma Linda, CA

Active since June 01, 2006PECOS EnrolledAccepts Medicare Assignment
11234 ANDERSON ST RM 2586, LOMA LINDA, CA 92354(909) 558-7884(909) 558-4819 Get Directions Write a Review

NPPES record last updated: December 19, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Tsungju O-lee Md NPPES

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

TSUNGJU O-LEE MD (NPI 1265479745) is an individual otolaryngology provider in Loma Linda, California, licensed in Nevada (12715) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, Irvine, California College Of Medicine (2000).

NPPES Registry Identity

NPI1265479745
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameTSUNGJU O-LEECredential: MD
Location Address11234 ANDERSON ST RM 2586Loma Linda, CA 92354-2804
Mailing Address2040 W Charleston Blvd, Suite 601Las Vegas, NV 89102-2227 · (702) 671-2298 · Fax (702) 384-7506
Phone(909) 558-7884
Fax(909) 558-4819
Sole ProprietorNo
Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 2000
Enumeration DateJune 1, 2006
Last NPPES UpdateDecember 19, 2019
✔ NPI 1265479745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in NV · 12715✔ Licensed in CA · A77684
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
11234 ANDERSON ST RM 2586, Loma Linda, CA 92354
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tsungju O-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 ID4284670936
PECOS Enrollment IDI20050701000917
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

4

Medicare enrollment records show Tsungju O-lee reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Faculty Physicians And Surgeons Of Llusm
Same address
Anatomic Pathology & Clinical Pathology
11234 ANDERSON ST
Loma Linda, CA 92354
  • Reassigned Medicare billing, California enrollment
  • 2,584 clinicians in this Medicare group
NPI 1245605781 (909) 558-6122
Sac Health System
3.7 mi
Federally Qualified Health Center (FQHC)
1454 E 2ND ST
San Bernardino, CA 92408
  • Reassigned Medicare billing, California enrollment
  • 455 clinicians in this Medicare group
NPI 1013935915 (909) 382-7100
Beaver Medical Group P C
4.3 mi
Family Medicine
2 WEST FERN AVENUE
Redlands, CA 92373
  • Reassigned Medicare billing, California enrollment
  • 635 clinicians in this Medicare group
NPI 1649503319 (909) 793-3311
Unlv Medicine
187 mi
Internal Medicine
3016 W CHARLESTON BLVD STE 100
Las Vegas, NV 89102
  • Reassigned Medicare billing, Nevada enrollment
  • 286 clinicians in this Medicare group
NPI 1407397235 (702) 895-0497

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92354 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.

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 Tsungju O-lee's NPI number?

The NPI number for Tsungju O-lee is 1265479745. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is Tsungju O-lee located?

Tsungju O-lee practices at 11234 Anderson St Rm 2586, Loma Linda, CA 92354. The listed phone number is (909) 558-7884.

What is Tsungju O-lee's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Tsungju O-lee enrolled in Medicare?

Yes. Tsungju O-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.

Which organizations bill Medicare for Tsungju O-lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tsungju O-lee reassigns Medicare benefits to 4 organizations: Faculty Physicians And Surgeons Of Llusm (Loma Linda, CA), Sac Health System (San Bernardino, CA), Beaver Medical Group P C (Redlands, CA) and Unlv Medicine (Las Vegas, NV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tsungju O-lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tsungju O-lee was last updated on December 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.