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DR. MICHAEL B LEE DDS. MS
NPI 1306063250
Dentist - Periodontics in Prescott, AZ

Active since April 20, 2007Opted out of Medicare · through Jun 24, 2028
1000 WILLOW CREEK RD STE H, PRESCOTT, AZ 86301(928) 693-7000(928) 693-7005 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 8, 2017 (2 updates tracked since 2017).

About Dr. Michael B Lee Dds. Ms NPPES

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

DR. MICHAEL B LEE DDS. MS (NPI 1306063250) is an individual periodontics provider in Prescott, Arizona, licensed in Arizona (9599) and active in the NPI registry since April 2007. He has opted out of Medicare through June 24, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1306063250
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. MICHAEL B LEECredential: DDS. MS
Location Address1000 WILLOW CREEK RD STE HPrescott, AZ 86301-1645
Mailing Address1000 Willow Creek Rd Ste HPrescott, AZ 86301-1645 · (928) 693-7000 · Fax (928) 693-7005
Phone(928) 693-7000
Fax(928) 693-7005
Sole ProprietorYes
Enumeration DateApril 20, 2007
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1306063250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in AZ · 9599
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
1000 WILLOW CREEK RD STE H, Prescott, AZ 86301
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Michael B Lee Dds. Ms has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 24, 2016 through June 24, 2028.

Opt-Out Effective DateJune 24, 2016
Opt-Out In Effect ThroughJune 24, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86301 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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 Michael Lee's NPI number?

The NPI number for Michael Lee is 1306063250. It was assigned to this individual provider in the NPPES registry on April 20, 2007.

Where is Michael Lee located?

Michael Lee practices at 1000 Willow Creek Rd Ste H, Prescott, AZ 86301. The listed phone number is (928) 693-7000.

What is Michael Lee's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Michael Lee enrolled in Medicare?

No. Michael Lee has opted out of Medicare through June 24, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Michael Lee accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 2 other insurers list Michael 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.

When was this NPI record last updated?

The NPPES record for Michael Lee was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.