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LEI SUN M.D.
NPI 1386172054
Pathology - Anatomic Pathology & Clinical Pathology in Houston, TX

Active since May 25, 2017PECOS EnrolledAccepts Medicare Assignment
74.39/100
CMS Quality Rating
6431 FANNIN STREET, MSB 2.136, HOUSTON, TX 77030(713) 500-5301(713) 500-0695 Get Directions Write a Review

NPPES record last updated: September 11, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 19, 2022, Jul 21, 2022, May 25, 2017 (3 updates tracked since 2017).

About Lei Sun M.d. NPPES

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

LEI SUN M.D. (NPI 1386172054) is an individual anatomic pathology & clinical pathology provider in Houston, Texas, licensed in Texas (U6353) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and maintains a secondary practice location in Columbia.

NPPES Registry Identity

NPI1386172054
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameLEI SUNCredential: M.D.
Location Address6431 FANNIN STREET, MSB 2.136Houston, TX 77030-1501
Mailing Address6431 Fannin Street, Msb 2.136Houston, TX 77030-1501 · (713) 500-5301 · Fax (713) 500-0695
Phone(713) 500-5301
Fax(713) 500-0695
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateMay 25, 2017
Last NPPES UpdateSeptember 11, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2022
✔ NPI 1386172054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Licenses✔ Licensed in TX · U6353✔ Licensed in MD · D94287
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
6431 FANNIN STREET, Houston, TX 77030
Open in Google Maps ↗

Secondary Practice Location 1

Location 11 Hospital DrColumbia, MO 65212-1000 · Phone (573) 882-3014

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Lei Sun 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 ID3072998889
PECOS Enrollment IDI20230928000718
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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
335 services128 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
65 services15 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
57 services43 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
18 services12 patients

Hospital Affiliations CMS Care Compare

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

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450068
Location6411 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

74.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.71
Promoting Interoperability97
Improvement Activities40
Cost52.43

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.

SANDHYA AVULA MD
Student in an Organized Health Care Education/Training Program
6431 FANNIN STREET, SUITE NUMBER MSB 3
HOUSTON, TX 77030
Harris County (713) 500-6397
MR. TOMOKI KINOSHITA M.D.
Student in an Organized Health Care Education/Training Program
6431 FANNIN STREET, SUITE 1014
HOUSTON, TX 77030
Harris County (713) 500-7722
KEVIN PRAFUL PATEL DO
Emergency Medicine
6431 FANNIN STREET, JJL270
HOUSTON, TX 77030
Harris County (346) 262-8158
CHRISTINA ROLANDELLI MD
Anesthesiology
6431 FANNIN STREET, SUITE MSB 5.196
HOUSTON, TX 77030
Harris County (713) 500-6223
HASAAN SIDDIQUI
Radiology (Diagnostic Radiology)
6431 FANNIN STREET, MSB 2.010A
HOUSTON, TX 77030
Harris County (713) 500-7488
SHARON R PAN MD
Student in an Organized Health Care Education/Training Program
6431 FANNIN STREET, MSB 1.134
HOUSTON, TX 77030
Harris County (713) 500-6526
OMAR SHAIKH
Student in an Organized Health Care Education/Training Program
6431 FANNIN STREET, MSB 1.134
HOUSTON, TX 77030
Harris County (214) 648-5617
DR. STEPHANIE CHIDINMA ASSIMONYE MD
Student in an Organized Health Care Education/Training Program
6431 FANNIN STREET, MSB 2.116
HOUSTON, TX 77030
Harris County (713) 500-7614

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 Lei Sun's NPI number?

The NPI number for Lei Sun is 1386172054. It was assigned to this individual provider in the NPPES registry on May 25, 2017.

Where is Lei Sun located?

Lei Sun practices at 6431 Fannin Street Msb 2.136, Houston, TX 77030. The listed phone number is (713) 500-5301.

What is Lei Sun's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Lei Sun enrolled in Medicare?

Yes. Lei Sun 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.

What insurance does Lei Sun accept?

Health plans from Blue Cross and Blue Shield of Texas list Lei Sun 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 Lei Sun affiliated with any hospitals?

According to CMS data, Lei Sun is affiliated with Memorial Hermann - Texas Medical Center.

When was this NPI record last updated?

The NPPES record for Lei Sun was last updated on September 11, 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.