JOHN JONGHYUN LEE DO
NPI 1336599869
Family Medicine in Davenport, IA

Q: What is John Lee's NPI number?

The NPI number for John Lee is 1336599869. It was assigned to this individual provider in the NPPES registry on June 15, 2016. The provider is also known as Jong Hyun Lee D.O..

Q: What is John Lee's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for John Lee was last updated on June 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 15, 2016PECOS EnrolledAccepts Medicare Assignment

1345 W CENTRAL PARK AVE, DAVENPORT, IA 52804(563) 421-4409(563) 421-4449 Get Directions Write a Review

NPPES record last updated: June 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 28, 2021, Apr 29, 2021, Jul 5, 2018 and 1 more (4 updates tracked since 2016).

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About John Jonghyun Lee Do NPPES

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

JOHN JONGHYUN LEE DO (NPI 1336599869) is an individual family medicine provider in Davenport, Iowa, licensed in Iowa (DO-05051) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Genesis Hlth System Dba Genesis Mdl Ctr-illini, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1336599869

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJOHN JONGHYUN LEECredential: DO

Location Address1345 W CENTRAL PARK AVEDavenport, IA 52804

Mailing Address3200 W Kimberly Rd Ste 208Davenport, IA 52806-3059 · (563) 421-0280 · Fax (563) 421-0289

Phone(563) 421-4409

Fax(563) 421-4449

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJune 15, 2016

Last NPPES UpdateJune 28, 20214 updates tracked since enumeration

NPPES CertifiedJune 28, 2021

✔ NPI 1336599869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IA · DO-05051

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1345 W CENTRAL PARK AVE, Davenport, IA 52804

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Other Names 1

Professional Name (2)Jong Hyun Lee D.o.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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

John Jonghyun Lee Do 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 ID6305139429

PECOS Enrollment IDI20180723003159

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 9

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.

297 services163 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.

150 services89 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

130 services130 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

74 services72 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

63 services63 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

14 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Genesis Hlth System Dba Genesis Mdl Ctr-Illini

Acute Care Hospitals · Silvis, IL

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number140275

Location801 Illini DrSilvis, IL 61282 · Rock Island County

Emergency services Birthing friendly

Genesis Medical Center-Davenport

Acute Care Hospitals · Davenport, IA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160033

Location1227 East Rusholme StreetDavenport, IA 52803 · Scott County

Emergency services Birthing friendly

Genesis Medical Center-Dewitt

Critical Access Hospitals · Dewitt, IA

OwnershipVoluntary non-profit - Private

CMS Certification Number161313

Location1118 11th StreetDewitt, IA 52742 · Clinton County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52804 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

8 suppliers32 claims65 services$5.79 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

7 suppliers12 claims12 services$1.04 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

4 suppliers12 claims14 services$33.32 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

3 suppliers17 claims40 services$1.94 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers24 claims24 services$32.42 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier11 claims11 services$185.12 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.

DR. JESICAH ELISABETH AMBRISCO DO

Family Medicine