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YOUNG JU LEE MD
NPI 1376037457
Internal Medicine in Montclair, NJ

Active since June 21, 2018PECOS EnrolledAccepts Medicare Assignment
76.7/100
CMS Quality Rating
1 BAY AVE, MONTCLAIR, NJ 07042(973) 429-6000 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 10, 2025, Jun 21, 2018 (2 updates tracked since 2018).

About Young Ju Lee Md NPPES

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

YOUNG JU LEE MD (NPI 1376037457) is an individual internal medicine provider in Montclair, New Jersey, licensed in New Jersey (25MA11854100) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Hackensack Meridian Health, Mountainside Medical, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1376037457
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameYOUNG JU LEECredential: MD
Location Address1 BAY AVEMontclair, NJ 07042-4837
Mailing Address154 Hawthorne AveSpringfield, NJ 07081-2102 · (723) 476-9040
Phone(973) 429-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 21, 2018
Last NPPES UpdateJanuary 13, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2025
✔ NPI 1376037457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NJ · 25MA11854100✔ Licensed in PA · MD473797
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.
1 BAY AVE, Montclair, NJ 07042
Open in Google Maps ↗

Accepted Insurance

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

Young Ju 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 ID7416207444
PECOS Enrollment IDI20230602001610
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

2

Medicare enrollment records show Young Ju Lee reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Montclair Hospital LLC
Same address
Primary Care
1 BAY AVE
Montclair, NJ 07042
  • Reassigned Medicare billing, New Jersey enrollment
  • 9 clinicians in this Medicare group
NPI 1487802930 (973) 429-6196
Plover Inpatient Services LLC
0.2 mi
Emergency Medicine
1 BAY AVE
Montclair, NJ 07042
  • Reassigned Medicare billing, New Jersey enrollment
  • 252 clinicians in this Medicare group
NPI 1134534688 (954) 939-5000

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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
265 services69 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
199 services64 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
35 services35 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
30 services28 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.
19 services13 patients

Hospital Affiliations CMS Care Compare

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

Hackensack Meridian Health, Mountainside Medical

Acute Care Hospitals · Montclair, NJ
2/5 CMS rating
OwnershipProprietary
CMS Certification Number310054
Location1 Bay AvenueMontclair, NJ 07042 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07042 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

76.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality55.19
Promoting Interoperability98
Improvement Activities40
Cost54.93

Referred Medical Equipment & Supplies CMS DME claims 2

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
1 supplier15 claims15 services$14.11 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
1 supplier15 claims15 services$67.72 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.

SAMRAH GHANI MD
Student in an Organized Health Care Education/Training Program
1 BAY AVE
MONTCLAIR, NJ 07042
Essex County (862) 333-4700
JACLYN TAYLOR SCHMITZ
Student in an Organized Health Care Education/Training Program
1 BAY AVE
MONTCLAIR, NJ 07042
Essex County (973) 429-6888
MYINT KYI M.D.
Anesthesiology
1 BAY AVE
MONTCLAIR, NJ 07042
Essex County (973) 429-6219
EDWARD PETRARCA LCSW
Social Worker (Clinical)
1 BAY AVE, MOUNTAINSIDE HOSPITAL
MONTCLAIR, NJ 07042
Essex County (973) 429-6813
ANN FRANCES VALLONE NURSE PRACTITIONER
Nurse Practitioner (Adult Health)
1 BAY AVE
MONTCLAIR, NJ 07042
Essex County (973) 429-6272
ANN SAMIR YASIN IBRAHIM
Student in an Organized Health Care Education/Training Program
1 BAY AVE
MONTCLAIR, NJ 07042
Essex County (862) 333-4700
GEORGE JAMES ZACH
Dentist
1 BAY AVE
MONTCLAIR, NJ 07042
Essex County (973) 429-6888
MRS. ESTHER D. BAXAM-SPENCE RN, MSN, CNNP
Nurse Practitioner (Neonatal)
1 BAY AVE
MONTCLAIR, NJ 07042
Essex County (973) 429-6991

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 Young Ju Lee's NPI number?

The NPI number for Young Ju Lee is 1376037457. It was assigned to this individual provider in the NPPES registry on June 21, 2018.

Where is Young Ju Lee located?

Young Ju Lee practices at 1 Bay Ave, Montclair, NJ 07042. The listed phone number is (973) 429-6000.

What is Young Ju Lee's specialty?

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

Is Young Ju Lee enrolled in Medicare?

Yes. Young Ju 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 Young Ju Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Young Ju Lee reassigns Medicare benefits to 2 organizations: Montclair Hospital LLC (Montclair, NJ) and Plover Inpatient Services LLC (Montclair, NJ). 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 Young Ju Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Young Ju Lee accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Young Ju 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 Young Ju Lee affiliated with any hospitals?

According to CMS data, Young Ju Lee is affiliated with Hackensack Meridian Health, Mountainside Medical.

When was this NPI record last updated?

The NPPES record for Young Ju Lee was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.