TESSA LEE MD
NPI 1285260232
Family Medicine in South Jordan, UT

Q: What is Tessa Lee's NPI number?

The NPI number for Tessa Lee is 1285260232. It was assigned to this individual provider in the NPPES registry on March 20, 2020.

Q: What is Tessa Lee's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tessa Lee was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 March 20, 2020PECOS EnrolledAccepts Medicare Assignment

1868 W 9800 S STE 100, SOUTH JORDAN, UT 84095(801) 433-2873(801) 433-5734 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 28, 2026, May 10, 2024, Apr 30, 2021 and 1 more (4 updates tracked since 2020).

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About Tessa Lee Md NPPES

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

TESSA LEE MD (NPI 1285260232) is an individual family medicine provider in South Jordan, Utah, licensed in Utah (12412053-1205) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Intermountain Health Alta View Hospital, and is a graduate of University Of Utah School Of Medicine (2020).

NPPES Registry Identity

NPI1285260232

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameTESSA LEECredential: MD

Location Address1868 W 9800 S STE 100South Jordan, UT 84095-4713

Mailing Address6009 W Autumn Vistas DrWest Valley City, UT 84128-5510 · (801) 824-7018 · Fax (801) 433-5734

Phone(801) 433-2873

Fax(801) 433-5734

Sole ProprietorNo

Medical School CMSUniversity Of Utah School Of MedicineGraduated 2020

Enumeration DateMarch 20, 2020

Last NPPES UpdateApril 28, 20264 updates tracked since enumeration

NPPES CertifiedApril 28, 2026

✔ NPI 1285260232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in UT · 12412053-1205

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1868 W 9800 S STE 100, South Jordan, UT 84095

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and more.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

Tessa 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 ID4587039227

PECOS Enrollment IDI20230411000450

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 2

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 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.

35 services31 patients

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.

12 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Intermountain Health Alta View Hospital

Acute Care Hospitals · Sandy, UT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460044

Location9660 South 1300 EastSandy, UT 84094 · Salt Lake County

Emergency services Birthing friendly

Holy Cross Hospital-Jordan Valley

Acute Care Hospitals · West Jordan, UT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460051

Location3580 West 9000 SouthWest Jordan, UT 84088 · Salt Lake County

Emergency services Birthing friendly

Riverton Hospital

Acute Care Hospitals · Riverton, UT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460058

Location3741 West 12600 SouthRiverton, UT 84065 · Salt Lake County

Emergency services Birthing friendly

Lone Peak Hospital

Acute Care Hospitals · Draper, UT

5/5 CMS rating

OwnershipProprietary

CMS Certification Number460060

Location11925 South State StreetDraper, UT 84020 · Salt Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84095 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

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

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.

Other Providers at the Same Location NPPES 10

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

C HUNG GEE PA-C

Family Medicine