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DR. CYNTHIA LEE MD
NPI 1336191808
Surgery - Surgical Oncology in Somerville, NJ

Active since May 16, 2006PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
30 REHILL AVENUE, SUITE 3400, SOMERVILLE, NJ 08876(908) 725-2400(908) 927-8990 Get Directions Write a Review

NPPES record last updated: January 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 28, 2022, Apr 7, 2021, Jul 8, 2020 and 1 more (4 updates tracked since 2019).

About Dr. Cynthia Lee Md NPPES

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

DR. CYNTHIA LEE MD (NPI 1336191808) is an individual surgical oncology provider in Somerville, New Jersey, licensed in New Jersey (25MA06938100) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital - Somerset, and is a graduate of Rutgers New Jersey Medical School (1993).

NPPES Registry Identity

NPI1336191808
Entity TypeIndividualFemale
Primary Taxonomy2086X0206X
Provider Legal NameDR. CYNTHIA LEECredential: MD
Location Address30 REHILL AVENUE, SUITE 3400Somerville, NJ 08876-2500
Mailing Address30 Rehill Ave Ste 3300Somerville, NJ 08876-2548 · (908) 203-5980 · Fax (908) 685-2832
Phone(908) 725-2400
Fax(908) 927-8990
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1993
Enumeration DateMay 16, 2006
Last NPPES UpdateJanuary 28, 20224 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2022
✔ NPI 1336191808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
License✔ Licensed in NJ · 25MA06938100
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
Also ListedSurgeryTaxonomy 208600000X · License 25MA06938100 (NJ), MAO69381 (NJ)
30 REHILL AVENUE, Somerville, NJ 08876
Open in Google Maps ↗

Other Identifiers 1

Medicaid7979509NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Dr. Cynthia Lee Md 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 ID2860419025
PECOS Enrollment IDI20051027000062
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 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
60 services49 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
42 services40 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
32 services32 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
29 services14 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
21 services17 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
16 services15 patients

Hospital Affiliations CMS Care Compare

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

Robert Wood Johnson University Hospital - Somerset

Acute Care Hospitals · Somerville, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310048
Location110 Rehill AveSomerville, NJ 08876 · Somerset County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08876 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
$190.92 typical visit price
range $63.84 – $190.92
Typical copayment $47.73 (range $15.96 – $47.73)
Most-billed visit code 99205
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

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.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.79
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
43%187 patients2/55-star benchmark: 92%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
98%1,028 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
92%228 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
17%167 patients1/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
36%466 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 97% · 154 patients
99%154 patients
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
97%167 patients4/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 143 patients
0%143 patients5/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
7%167 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

OBI J IMEGWU MD
Surgery (Vascular Surgery)
30 REHILL AVENUE, SUITE 3400
SOMERVILLE, NJ 08876
Somerset County (908) 725-2400
THANGAMANI SEENIVASAN MD
Surgery (Surgical Oncology)
30 REHILL AVENUE, SUITE 3400
SOMERVILLE, NJ 08876
Somerset County (908) 725-2400
SOMERSET HEMATOLOGY-ONCOLOGY ASSOCIATES, P.A.
Internal Medicine (Hematology & Oncology)
30 REHILL AVENUE, SUITE 2500
SOMERVILLE, NJ 08876
Somerset County (908) 927-8700

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 Cynthia Lee's NPI number?

The NPI number for Cynthia Lee is 1336191808. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Cynthia Lee located?

Cynthia Lee practices at 30 Rehill Avenue Suite 3400, Somerville, NJ 08876. The listed phone number is (908) 725-2400.

What is Cynthia Lee's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Cynthia Lee enrolled in Medicare?

Yes. Cynthia 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 Cynthia Lee accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Cynthia 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 Cynthia Lee affiliated with any hospitals?

According to CMS data, Cynthia Lee is affiliated with Robert Wood Johnson University Hospital - Somerset.

When was this NPI record last updated?

The NPPES record for Cynthia Lee was last updated on January 28, 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.