ROBERT LEE M.D.
NPI 1356769491
Radiology - Diagnostic Radiology in Worcester, MA

Active since April 05, 2014PECOS EnrolledAccepts Medicare Assignment
96.34/100
CMS Quality Rating
55 LAKE AVE N, WORCESTER, MA 01655(508) 334-1000 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 25, 2025, Mar 13, 2025 (2 updates tracked since 2025).

About Robert Lee M.d. NPPES

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

ROBERT LEE M.D. (NPI 1356769491) is an individual diagnostic radiology provider in Worcester, Massachusetts, licensed in Massachusetts (264529) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Saint Agnes Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1356769491
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameROBERT LEECredential: M.D.
Location Address55 LAKE AVE NWorcester, MA 01655-0002
Mailing Address55 Lake Ave NWorcester, MA 01655-0002 · (508) 334-1000
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 2014
Enumeration DateApril 5, 2014
Last NPPES UpdateMarch 25, 20252 updates tracked since enumeration
NPPES CertifiedMarch 25, 2025
✔ NPI 1356769491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in MA · 264529✔ Licensed in VA · 0101284886
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
55 LAKE AVE N, Worcester, MA 01655

Secondary Practice Locations 3

Location 13300 Gallows RdFalls Church, VA 22042-3307 · Phone (703) 698-4444
Location 23299 Woodburn Rd Ste 110Annandale, VA 22003-7310 · Phone (703) 849-9050
Location 36211 Centreville Rd # 400MCentreville, VA 20121-2641 · Phone (703) 204-4411

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

Robert 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 ID3870891658
PECOS Enrollment IDI20190603000611, I20190808001094, I20210616003534, I20250819004804
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.

Medicare Billing Reassignments

9

Medicare enrollment records show Robert Lee reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmology
4692 MILLENNIUM DRIVE, SUITE 200
Belcamp, MD 21017
  • Reassigned Medicare billing, Maryland enrollment
  • 4,483 clinicians in this Medicare group
Body Imaging
600 N WOLFE ST
Baltimore, MD 21205
  • Reassigned Medicare billing, District of Columbia enrollment
  • 190 clinicians in this Medicare group
Internal Medicine
900 CATON AVE
Baltimore, MD 21229
  • Reassigned Medicare billing, Maryland enrollment
  • 372 clinicians in this Medicare group
Radiology
11110 MEDICAL CAMPUS RD, SUITE 204
Hagerstown, MD 21742
  • Reassigned Medicare billing, Maryland enrollment
  • 24 clinicians in this Medicare group
Specialist
11116 MEDICAL CAMPUS RD
Hagerstown, MD 21742
  • Reassigned Medicare billing, Maryland enrollment
  • 19 clinicians in this Medicare group
Diagnostic Radiology
214 PEACH ORCHARD RD
Mc Connellsburg, PA 17233
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 17 clinicians in this Medicare group
Radiology
7799 LEESBURG PIKE, SUITE 104S
Falls Church, VA 22043
  • Reassigned Medicare billing, District of Columbia enrollment
  • 178 clinicians in this Medicare group
371 mi
Radiology
2722 MERRILEE DR STE 230
Fairfax, VA 22031
  • Reassigned Medicare billing, District of Columbia, Maryland and Virginia enrollments
  • 183 clinicians in this Medicare group
Specialist
3300 GALLOWS RD
Falls Church, VA 22042
  • Reassigned Medicare billing, District of Columbia, Maryland and Virginia enrollments
  • 183 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.

Areas of Expertise CMS Part B claims 92

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
20,700 services222 patients
Injection, gadoterate meglumine, 0.1 ml A9575
Gadoterate meglumine is a contrast agent used in MRI scans to help visualize certain areas of your body more clearly. It's injected into your bloodstream, typically through a vein in your arm, and helps doctors get more detailed images.
13,580 services74 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
678 services593 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
394 services394 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
392 services392 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
345 services333 patients

Hospital Affiliations CMS Care Compare 5

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

Saint Agnes Hospital

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number210011
Location900 Caton AvenueBaltimore, MD 21229 · Baltimore City County
Emergency services Birthing friendly

Fulton County Medical Center

Critical Access Hospitals · Mcconnellsburg, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number391303
Location214 Peach Orchard RoadMcconnellsburg, PA 17233 · Fulton County
Emergency services

Inova Loudoun Hospital

Acute Care Hospitals · Leesburg, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490043
Location44045 Riverside ParkwayLeesburg, VA 20176 · Loudoun County
Emergency services Birthing friendly

Inova Fair Oaks Hospital

Acute Care Hospitals · Fairfax, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490101
Location3600 Joseph Siewick DriveFairfax, VA 22033 · Fairfax County
Birthing friendly

Inova Mount Vernon Hospital

Acute Care Hospitals · Alexandria, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490122
Location2501 Parkers LaneAlexandria, VA 22306 · Fairfax County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01655 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

96.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.7
Improvement Activities40

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.

Emergency Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Nurse Practitioner
55 LAKE AVE N
WORCESTER, MA 01655
Nurse Practitioner
55 LAKE AVE N, DEPARTMENT OF RADIOLOGY
WORCESTER, MA 01655
Nurse Anesthetist, Certified Registered
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655
Physician Assistant
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine (Hematology & Oncology)
55 LAKE AVE N
WORCESTER, MA 01655
Anesthesiology
55 LAKE AVE N, ANESTHESIOLOGY
WORCESTER, MA 01655

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 Robert Lee's NPI number?

The NPI number for Robert Lee is 1356769491. It was assigned to this individual provider in the NPPES registry on April 5, 2014.

Where is Robert Lee located?

Robert Lee practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (508) 334-1000.

What is Robert Lee's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Robert Lee enrolled in Medicare?

Yes. Robert 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 organizations bill Medicare for Robert Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Lee reassigns Medicare benefits to 9 organizations: Johns Hopkins University (Belcamp, MD), Johns Hopkins University (Baltimore, MD), St Agnes Healthcare Inc (Baltimore, MD), Diagnostic Imaging Services, LLC (Hagerstown, MD), Associated Radiologists, PA (Hagerstown, MD) and 4 more organizations, listed in the Medicare section above. Each 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 Robert Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Lee accept?

Health plans from Oscar Health list Robert 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 Robert Lee affiliated with any hospitals?

According to CMS data, Robert Lee is affiliated with Saint Agnes Hospital, Fulton County Medical Center, Inova Loudoun Hospital, Inova Fair Oaks Hospital and Inova Mount Vernon Hospital.

When was this NPI record last updated?

The NPPES record for Robert Lee was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.