DR. SUN IK LEE MD
NPI 1376804757
Neurological Surgery in Modesto, CA

Active since June 01, 2012PECOS EnrolledAccepts Medicare Assignment
91.04/100
CMS Quality Rating
4016 DALE RD, MODESTO, CA 95356(209) 571-0288(209) 571-0327 Get Directions Write a Review

NPPES record last updated: November 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 8, 2023, Jan 25, 2023 (2 updates tracked since 2023).

About Dr. Sun Ik Lee Md NPPES

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

DR. SUN IK LEE MD (NPI 1376804757) is an individual neurological surgery provider in Modesto, California, licensed in California (A140655) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2007).

NPPES Registry Identity

NPI1376804757
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. SUN IK LEECredential: MD
Location Address4016 DALE RDModesto, CA 95356-9268
Mailing AddressPo Box 36833Belfast, ME 04915-1210 · (209) 571-0288 · Fax (209) 571-0327
Fax(209) 571-0327
Sole ProprietorYes
Medical School CMSLoma Linda University School Of MedicineGraduated 2007
Enumeration DateJune 1, 2012
Last NPPES UpdateNovember 8, 20232 updates tracked since enumeration
NPPES CertifiedNovember 8, 2023
NPI 1376804757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Licenses Licensed in CA · A140655 Licensed in NE · 27123
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X · License MD. 203337 (LA)
4016 DALE RD, Modesto, CA 95356

Other Names 1

Other Name (5)Sun Ik Lee M.d.

Other Identifiers 1

Medicaid1437184652NE

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. Sun Ik 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 ID2062654346
PECOS Enrollment IDI20160922001992
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 4

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 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.
156 services89 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.
132 services129 patients
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.
111 services77 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.
83 services83 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95356 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

91.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.13
Promoting Interoperability100
Improvement Activities40
Cost64.1

Other Providers at the Same Location NPPES 12

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

Neurological Surgery
4016 DALE RD
MODESTO, CA 95356
Clinic/Center (Ambulatory Surgical)
4016 DALE RD
MODESTO, CA 95356
Neurological Surgery
4016 DALE RD
MODESTO, CA 95356
Pain Medicine (Interventional Pain Medicine)
4016 DALE RD
MODESTO, CA 95356
Neurological Surgery
4016 DALE RD
MODESTO, CA 95356
Neurological Surgery
4016 DALE RD
MODESTO, CA 95356
Neurological Surgery
4016 DALE RD
MODESTO, CA 95356
Anesthesiology (Pain Medicine)
4016 DALE RD
MODESTO, CA 95356

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 Sun Ik Lee's NPI number?

The NPI number for Sun Ik Lee is 1376804757. It was assigned to this individual provider in the NPPES registry on June 1, 2012. The provider is also known as Sun Ik Lee M.D..

Where is Sun Ik Lee located?

Sun Ik Lee practices at 4016 Dale Rd, Modesto, CA 95356. The listed phone number is (209) 571-0288.

What is Sun Ik Lee's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Sun Ik Lee enrolled in Medicare?

Yes. Sun Ik 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.

When was this NPI record last updated?

The NPPES record for Sun Ik Lee was last updated on November 8, 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.