MICHAEL LEE M.D.
NPI 1285619734
Internal Medicine - Gastroenterology in Helena, MT

NPI Status: Active since December 07, 2005

Contact Information

3330 PTARMIGAN LN
HELENA, MT
ZIP 59602
Phone: (406) 457-4180

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  • Individual
  • Male
  • Internal Medicine
  • Gastroenterology
  • PECOS Enrolled

About MICHAEL LEE

This page provides the complete NPI Profile along with additional information for Michael Lee, an internist established in Helena, Montana with a medical specialization in Internal Medicine, focusing in gastroenterology . The healthcare provider is registered in the NPI registry with number 1285619734 assigned on December 2005. The practitioner's primary taxonomy code is 207RG0100X with license number 11843 (MT). The provider is registered as an individual and his NPI record was last updated 10 years ago.

NPI
1285619734
Provider Name
MICHAEL LEE M.D.
Gender
Male
Entity Type
Individual
Location Address
3330 PTARMIGAN LN HELENA, MT 59602
Location Phone
(406) 457-4180
Mailing Address
PO BOX 6369 HELENA, MT 59604
Mailing Phone
(406) 447-2823
Is Sole Proprietor?
No
Enumeration Date
12-07-2005
Last Update Date
07-27-2016
Code Navigator

An internist like Michael Lee is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Gastroenterology

Taxonomy Code
207RG0100X
Type
Allopathic & Osteopathic Physicians
License No.
11843
License State
MT
Taxonomy Description
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Medicare Participation & PECOS Enrollment Status

Michael Lee is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

This service was performed 60 times for 60 patients

Biopsy of large bowel using a flexible endoscope

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

This service was performed 51 times for 51 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

This service was performed 15 times for 15 patients

Diagnostic exam of large bowel using a flexible endoscope

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

This service was performed 17 times for 17 patients

Dilation of stomach outlet using a flexible endoscope

This procedure involves expanding the opening of the stomach using a flexible tube with a light, called an endoscope. It helps improve food passage from the stomach to the small intestine. It's performed under sedation for patient comfort.

This service was performed 15 times for 14 patients

Initial hospital inpatient care per day, typically 50 minutes

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

This service was performed 30 times for 30 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

This service was performed 50 times for 50 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 59602 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $130.52
  • Minimum New Patient Price $56.81
  • Maximum New Patient Price $172.26
  • Average New Patient Copayment $32.63
  • Minimum New Patient Copayment $14.2
  • Maximum New Patient Copayment $43.06

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $100.16
  • Minimum Established Patient Price $18.24
  • Maximum Established Patient Price $140.32
  • Average Established Patient Copayment $25.04
  • Minimum Established Patient Copayment $4.56
  • Maximum Established Patient Copayment $35.08

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1285619734, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
5
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
1
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
7
Unchanged
Pos 9
3
Doubled → 6
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 6 → 12 → 3 9 → 18 → 9 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 6 + 5 + 1 + 2 + 1 + 1 + 8 + 7 + 6 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1285619734.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Family Medicine
3330 PTARMIGAN LN
HELENA, MT 59602
Internal Medicine
3330 PTARMIGAN LN
HELENA, MT 59602
Family Medicine
3330 PTARMIGAN LN
HELENA, MT 59602
Nurse Practitioner (Family)
3330 PTARMIGAN LN
HELENA, MT 59602
Family Medicine
3330 PTARMIGAN LN
HELENA, MT 59602
Internal Medicine
3330 PTARMIGAN LN
HELENA, MT 59602
Family Medicine
3330 PTARMIGAN LN
HELENA, MT 59602
Family Medicine
3330 PTARMIGAN LN
HELENA, MT 59602
Physician Assistant (Medical)
3330 PTARMIGAN LN
HELENA, MT 59602
Family Medicine
3330 PTARMIGAN LN
HELENA, MT 59602
Family Medicine
3330 PTARMIGAN LN
HELENA, MT 59602
Internal Medicine (Gastroenterology)
3330 PTARMIGAN LN
HELENA, MT 59602
Family Medicine
3330 PTARMIGAN LN
HELENA, MT 59602
Physician Assistant
3330 PTARMIGAN LN
HELENA, MT 59602
Family Medicine
3330 PTARMIGAN LN
HELENA, MT 59602
Physician Assistant
3330 PTARMIGAN LN
HELENA, MT 59602
Family Medicine
3330 PTARMIGAN LN
HELENA, MT 59602
Nurse Practitioner
3330 PTARMIGAN LN
HELENA, MT 59602
Nurse Practitioner
3330 PTARMIGAN LN
HELENA, MT 59602
Social Worker (Clinical)
3330 PTARMIGAN LN
HELENA, MT 59602

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285619734, enumerated as an "individual" on December 07, 2005.

The provider is located at 3330 PTARMIGAN LN HELENA, MT 59602 and the phone number is (406) 457-4180.

Internal Medicine with taxonomy code 207RG0100X and a focus in Gastroenterology.