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RICHARD LEE MD
NPI 1376503458
Internal Medicine - Gastroenterology in Durham, NC

Active since March 24, 2006PECOS Enrolled
40 DUKE MEDICAL CIR # 3913, DURHAM, NC 27710(919) 681-1817 Get Directions Write a Review

NPPES record last updated: November 21, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 21, 2023, Oct 18, 2019 (2 updates tracked since 2019).

About Richard Lee Md NPPES

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

RICHARD LEE MD (NPI 1376503458) is an individual gastroenterology provider in Durham, North Carolina, licensed in North Carolina (NC28253) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376503458
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameRICHARD LEECredential: MD
Location Address40 DUKE MEDICAL CIR # 3913Durham, NC 27710-0068
Mailing Address40 Duke Medical Cir # 3913Durham, NC 27710-0068 · (919) 681-1817
Phone(919) 681-1817
Sole ProprietorYes
Enumeration DateMarch 24, 2006
Last NPPES UpdateNovember 21, 20232 updates tracked since enumeration
NPPES CertifiedNovember 21, 2023
✔ NPI 1376503458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NC · NC28253
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
40 DUKE MEDICAL CIR # 3913, Durham, NC 27710
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Richard Lee Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Richard Lee reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dlp Maria Parham Physician Practices LLC
25 mi
Medical Oncology
1209 SE INDUSTRY DR
Oxford, NC 27565
  • Reassigned Medicare billing, North Carolina enrollment
  • 178 clinicians in this Medicare group
NPI 1629447396 (919) 603-3275
Carolinas Physicians Network Inc
76 mi
Family Medicine
835 ALBEMARLE RD
Troy, NC 27371
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,057 clinicians in this Medicare group
NPI 1548664303 (910) 572-2309
Carolina East Physicians
109 mi
Family Medicine
620 FARMLIFE AVENUE
Vanceboro, NC 28586
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Carolinaeast Physicians
  • 320 clinicians in this Medicare group
NPI 1386934545 (252) 244-1785

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.

Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
74 services74 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
52 services52 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
51 services51 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
32 services32 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
32 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27710 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.

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 Richard Lee's NPI number?

The NPI number for Richard Lee is 1376503458. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Richard Lee located?

Richard Lee practices at 40 Duke Medical Cir # 3913, Durham, NC 27710. The listed phone number is (919) 681-1817.

What is Richard Lee's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Richard Lee enrolled in Medicare?

Yes. Richard Lee is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Richard Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Lee reassigns Medicare benefits to 3 organizations: Dlp Maria Parham Physician Practices LLC (Oxford, NC), Carolinas Physicians Network Inc (Troy, NC) and Carolina East Physicians (Vanceboro, NC). 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 Richard Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Richard Lee accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Cigna Healthcare list Richard 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.

When was this NPI record last updated?

The NPPES record for Richard Lee was last updated on November 21, 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.