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ANDREW JOHN LEE MD
NPI 1285611657
Internal Medicine in Crestline, OH

Active since December 28, 2005PECOS EnrolledAccepts Medicare Assignment
73.97/100
CMS Quality Rating
385 N SELTZER ST, SUITE 3, CRESTLINE, OH 44827(419) 468-0449(419) 468-0634 Get Directions Write a Review

NPPES record last updated: January 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andrew John Lee Md NPPES

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

ANDREW JOHN LEE MD (NPI 1285611657) is an individual internal medicine provider in Crestline, Ohio, licensed in Ohio (35.068404) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Avita Ontario, and is a graduate of University Of Texas Medical Branch At Galveston (1991).

NPPES Registry Identity

NPI1285611657
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameANDREW JOHN LEECredential: MD
Location Address385 N SELTZER ST, SUITE 3Crestline, OH 44827-1400
Mailing Address385 N Seltzer St, Suite3Crestline, OH 44827-1400 · (419) 468-0449 · Fax (419) 468-0634
Phone(419) 468-0449
Fax(419) 468-0634
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1991
Enumeration DateDecember 28, 2005
Last NPPES UpdateJanuary 7, 2021
NPPES CertifiedJanuary 7, 2021
✔ NPI 1285611657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in OH · 35.068404✔ Licensed in OH · 68404
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License 35.068404 (OH)
385 N SELTZER ST, Crestline, OH 44827
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Other Identifiers 1

Medicaid0159135OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Molina Healthcare.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

Andrew John 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 ID5890721542
PECOS Enrollment IDI20050713000888
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.

Hospital Affiliations CMS Care Compare 2

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

Avita Ontario

Acute Care Hospitals · Ontario, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360365
Location715 Richland MallOntario, OH 44906 · Richland County
Emergency services Birthing friendly

Galion Community Hospital

Critical Access Hospitals · Galion, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number361325
Location269 Portland Way SouthGalion, OH 44833 · Crawford County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44827 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

73.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.9
Promoting Interoperability99
Improvement Activities40
Cost39.16

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers22 claims22 services$6.29 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers11 claims33 services$2.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

MRS. JENNA MAE MILLER CNP
Nurse Practitioner (Family)
385 N SELTZER ST
CRESTLINE, OH 44827
Crawford County (419) 468-0449

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 Andrew Lee's NPI number?

The NPI number for Andrew Lee is 1285611657. It was assigned to this individual provider in the NPPES registry on December 28, 2005.

Where is Andrew Lee located?

Andrew Lee practices at 385 N Seltzer St Suite 3, Crestline, OH 44827. The listed phone number is (419) 468-0449.

What is Andrew Lee's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Andrew Lee enrolled in Medicare?

Yes. Andrew 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 Andrew Lee accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and Molina Healthcare list Andrew 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 Andrew Lee affiliated with any hospitals?

According to CMS data, Andrew Lee is affiliated with Avita Ontario and Galion Community Hospital.

When was this NPI record last updated?

The NPPES record for Andrew Lee was last updated on January 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.