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YONG HWA LEE M.D.
NPI 1295849198
Internal Medicine in Somerville, MA

Active since August 18, 2006PECOS EnrolledAccepts Medicare Assignment
90.85/100
CMS Quality Rating
280 HIGHLAND AVE, SOMERVILLE, MA 02143(617) 591-4700 Get Directions Write a Review

NPPES record last updated: October 30, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Yong Hwa Lee M.d. NPPES

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

YONG HWA LEE M.D. (NPI 1295849198) is an individual internal medicine provider in Somerville, Massachusetts, licensed in Massachusetts (81554) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1295849198
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameYONG HWA LEECredential: M.D.
Location Address280 HIGHLAND AVESomerville, MA 02143-1324
Mailing Address650 Woburn StWilmington, MA 01887-2963 · (617) 591-4700
Phone(617) 591-4700
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateAugust 18, 2006
Last NPPES UpdateOctober 30, 2012
✔ NPI 1295849198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MA · 81554
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 ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License 15837 (NH)
280 HIGHLAND AVE, Somerville, MA 02143
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Other Identifiers 2

Medicaid32001633NH
Medicare PINA3049302NH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families.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

Yong Hwa Lee M.d. 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 ID2668403882
PECOS Enrollment IDI20121003000666
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 5

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 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.
194 services180 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
110 services108 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
64 services26 patients
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.
39 services34 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
37 services37 patients

Hospital Affiliations CMS Care Compare

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

St Joseph Hospital

Acute Care Hospitals · Nashua, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number300011
Location172 Kinsley StNashua, NH 03060 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02143 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

90.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.14
Promoting Interoperability100
Improvement Activities40

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 Yong Hwa Lee's NPI number?

The NPI number for Yong Hwa Lee is 1295849198. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Where is Yong Hwa Lee located?

Yong Hwa Lee practices at 280 Highland Ave, Somerville, MA 02143. The listed phone number is (617) 591-4700.

What is Yong Hwa Lee's specialty?

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

Is Yong Hwa Lee enrolled in Medicare?

Yes. Yong Hwa 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 Yong Hwa Lee accept?

Health plans from Ambetter from NH Healthy Families list Yong Hwa 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 Yong Hwa Lee affiliated with any hospitals?

According to CMS data, Yong Hwa Lee is affiliated with St Joseph Hospital.

When was this NPI record last updated?

The NPPES record for Yong Hwa Lee was last updated on October 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.