KYLE LEE DDS
NPI 1306299565
Dentist - Oral and Maxillofacial Surgery in Portsmouth, VA
About Kyle Lee Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KYLE LEE DDS (NPI 1306299565) is an individual oral and maxillofacial surgery provider in Portsmouth, Virginia, licensed in Virginia (0438000494) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kyle Lee Dds 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.
Medicare Billing Reassignment
Medicare enrollment records show Kyle Lee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Princeton, WV 24740
- Reassigned Medicare billing, West Virginia enrollment
- 12 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 23708 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTSMOUTH, VA 23708
PORTSMOUTH, VA 23708
PORTSMOUTH, VA 23708
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 Kyle Lee's NPI number?
The NPI number for Kyle Lee is 1306299565. It was assigned to this individual provider in the NPPES registry on July 22, 2016.
Where is Kyle Lee located?
Kyle Lee practices at 620 John Paul Jones Cir, Portsmouth, VA 23708. The listed phone number is (757) 953-2730.
What is Kyle Lee's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is Kyle Lee enrolled in Medicare?
Yes. Kyle 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.
Which organization bills Medicare for Kyle Lee's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Lee reassigns Medicare benefits to Drs Brock, Henderson, Di Prisco, Ravelo And Green Inc (Princeton, WV). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kyle Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kyle Lee accept?
Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list Kyle 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 Kyle Lee was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Kyle Lee, DDS · NPI 1306299565
Oral and Maxillofacial Surgery provider in Portsmouth, Virginia. Individual provider, active in the CMS NPPES registry since July 22, 2016.
## Identity
- **NPI:** 1306299565 (Entity type: Individual)
- **Enumerated:** July 22, 2016
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **State license:** 0438000494 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 620 JOHN PAUL JONES CIR, Portsmouth, VA 23708-2111
- **Phone:** (757) 953-2730
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Drs Brock, Henderson, Di Prisco, Ravelo And Green Inc (NPI 1801435003, Princeton, WV), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** May 7, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1306299565) · Data from the CMS NPPES public registry.