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KRISTEN LEE M.D.
NPI 1316049125
Internal Medicine in Hendersonville, NC

Active since September 02, 2006PECOS EnrolledAccepts Medicare Assignment
93.51/100
CMS Quality Rating
800 N JUSTICE ST, HENDERSONVILLE, NC 28791(828) 696-1000 Get Directions Write a Review

NPPES record last updated: September 25, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 7, 2020, Jan 9, 2020 (2 updates tracked since 2020).

About Kristen Lee M.d. NPPES

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

KRISTEN LEE M.D. (NPI 1316049125) is an individual internal medicine provider in Hendersonville, North Carolina, licensed in North Carolina (2011-01790) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Margaret R Pardee Memorial Hospital, and is a graduate of University Of Minnesota Medical School (1999).

NPPES Registry Identity

NPI1316049125
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKRISTEN LEECredential: M.D.
Location Address800 N JUSTICE STHendersonville, NC 28791-3410
Mailing Address712 Fleming StHendersonville, NC 28791-3502 · (828) 694-7630 · Fax (828) 694-7631
Phone(828) 696-1000
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1999
Enumeration DateSeptember 2, 2006
Last NPPES UpdateSeptember 25, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2023
✔ NPI 1316049125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NC · 2011-01790✔ Licensed in WI · 45102
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.
800 N JUSTICE ST, Hendersonville, NC 28791
Open in Google Maps ↗

Other Identifiers 10

Other067K6STMN · Blue Cross Mn Pro Fee
Medicaid34374300WI
Medicaid560645400MN
Other0405620Medica
Other067K5STMN · Blue Cross Mn Facility
OtherNC3973BNC · Medicare
OtherP00017814Railroad
Other583781299Champus Tricare
OtherHP38557Healthpartners
OtherNA9031034591Preferredone

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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

Kristen 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 ID8527198712
PECOS Enrollment IDI20120111000533
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 3

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

Margaret R Pardee Memorial Hospital

Acute Care Hospitals · Hendersonville, NC
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340017
Location800 N Justice StHendersonville, NC 28791 · Henderson County
Emergency services Birthing friendly

Adventhealth Hendersonville

Acute Care Hospitals · Hendersonville, NC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340023
Location100 Hospital DriveHendersonville, NC 28792 · Henderson County
Emergency services Birthing friendly

St Lukes Hospital

Critical Access Hospitals · Columbus, NC
OwnershipVoluntary non-profit - Private
CMS Certification Number341322
Location101 Hospital DriveColumbus, NC 28722 · Polk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28791 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

93.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.23
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers22 claims22 services$15.23 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
4 suppliers15 claims15 services$4.99 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers33 claims33 services$76.46 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 20

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

BARTLETT DAVID STEEN MD
Family Medicine
800 N JUSTICE ST
HENDERSONVILLE, NC 28791
Henderson County (828) 694-4548
ANNA QUINN HARRELSON MD
Family Medicine
800 N JUSTICE ST
HENDERSONVILLE, NC 28791
Henderson County (828) 696-1000
MARTIN S. LEMYRE MD
Internal Medicine
800 N JUSTICE ST
HENDERSONVILLE, NC 28791
Henderson County (828) 696-1000
JOHN M THERIOT CRNA
Nurse Anesthetist, Certified Registered
800 N JUSTICE ST, ANESTHESIA DEPT
HENDERSONVILLE, NC 28791
Henderson County (828) 696-1000
EDWARD ALAN LEWIS MD
Anesthesiology
800 N JUSTICE ST
HENDERSONVILLE, NC 28791
Henderson County (828) 694-4548
JEFFREY WAYNE YOUNGER CRNA
Nurse Anesthetist, Certified Registered
800 N JUSTICE ST, ANESTHESIA DEPT
HENDERSONVILLE, NC 28791
Henderson County (828) 696-1000
PATHS OUTPATIENT SERVICES
Psychiatry & Neurology (Psychiatry)
800 N JUSTICE ST, BOX 38
HENDERSONVILLE, NC 28791
Henderson County (828) 696-4545
PIEDMONT HENDERSONVILLE ANESTHESIA CONSULTANTS PLLC
Anesthesiology
800 N JUSTICE ST, ANESTHESIA DEPT
HENDERSONVILLE, NC 28791
Henderson County (828) 696-1000

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 Kristen Lee's NPI number?

The NPI number for Kristen Lee is 1316049125. It was assigned to this individual provider in the NPPES registry on September 2, 2006.

Where is Kristen Lee located?

Kristen Lee practices at 800 N Justice St, Hendersonville, NC 28791. The listed phone number is (828) 696-1000.

What is Kristen Lee's specialty?

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

Is Kristen Lee enrolled in Medicare?

Yes. Kristen 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 Kristen Lee accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Kristen 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 Kristen Lee affiliated with any hospitals?

According to CMS data, Kristen Lee is affiliated with Margaret R Pardee Memorial Hospital, Adventhealth Hendersonville and St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Kristen Lee was last updated on September 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.