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JAMES H LEE MD
NPI 1396772372
Ophthalmology in Colorado Springs, CO

Active since June 27, 2006PECOS EnrolledAccepts Medicare Assignment
83.88/100
CMS Quality Rating
8580 SCARBOROUGH DR, SUITE 125, COLORADO SPRINGS, CO 80920(719) 282-1211(719) 282-1247 Get Directions Write a Review

NPPES record last updated: April 14, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About James H Lee Md NPPES

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

JAMES H LEE MD (NPI 1396772372) is an individual ophthalmology provider in Colorado Springs, Colorado, licensed in Colorado (45206) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Illinois Medical College (1994).

NPPES Registry Identity

NPI1396772372
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameJAMES H LEECredential: MD
Location Address8580 SCARBOROUGH DR, SUITE 125Colorado Springs, CO 80920-7502
Mailing Address8580 Scarborough Dr, Suite 125Colorado Springs, CO 80920-7502 · (719) 282-1211 · Fax (719) 282-1247
Phone(719) 282-1211
Fax(719) 282-1247
Sole ProprietorNo
Medical School CMSIllinois Medical CollegeGraduated 1994
Enumeration DateJune 27, 2006
Last NPPES UpdateApril 14, 2010
✔ NPI 1396772372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in CO · 45206
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
8580 SCARBOROUGH DR, Colorado Springs, CO 80920
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Other Identifiers 4

Other808899Ptan
Medicare UPIND43213CO
Medicare UPINH52939
OtherLE45206Blue Cross

Accepted Insurance

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

James H 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 ID143243758
PECOS Enrollment IDI20070524000626
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 16

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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
823 services624 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.
575 services280 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
504 services336 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
400 services323 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.
376 services219 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
282 services246 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80920 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

83.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.19
Promoting Interoperability96
Improvement Activities40
Cost60.5

Other Providers at the Same Location NPPES 10

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

JAMES LEE MD PC
Ophthalmology
8580 SCARBOROUGH DR, SUITE 125
COLORADO SPRINGS, CO 80920
El Paso County (719) 282-1211
MR. REAGAN B ANDERSON D.O.
Dermatology
8580 SCARBOROUGH DR, SUITE 225
COLORADO SPRINGS, CO 80920
El Paso County (719) 531-5400
ROBERT CORR, PC
Clinic/Center (Dental)
8580 SCARBOROUGH DR, SUITE 201
COLORADO SPRINGS, CO 80920
El Paso County (909) 528-8416
DR. RYAN MICHAEL JACK D.D.S., M.S.
Dentist (Endodontics)
8580 SCARBOROUGH DR, #200
COLORADO SPRINGS, CO 80920
El Paso County (719) 282-6600
BRIKLIN NIELSEN DDS, MS
Dentist (Pediatric Dentistry)
8580 SCARBOROUGH DR, SUITE 220
COLORADO SPRINGS, CO 80920
El Paso County (719) 282-6666
RATIONAL DERMATOLOGY, PC
Dermatology
8580 SCARBOROUGH DR, SUITE 225
COLORADO SPRINGS, CO 80920
El Paso County (719) 531-5400
JACK W TUBBS JR. M.D.
Obstetrics & Gynecology
8580 SCARBOROUGH DR, SUITE 100
COLORADO SPRINGS, CO 80920
El Paso County (719) 596-3344
MELINDA ANN RICHEY PA
Physician Assistant
8580 SCARBOROUGH DR, SUITE 225
COLORADO SPRINGS, CO 80920
El Paso County (719) 359-9669

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 James Lee's NPI number?

The NPI number for James Lee is 1396772372. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is James Lee located?

James Lee practices at 8580 Scarborough Dr Suite 125, Colorado Springs, CO 80920. The listed phone number is (719) 282-1211.

What is James Lee's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is James Lee enrolled in Medicare?

Yes. James 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.

What insurance does James Lee accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list James 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 James Lee was last updated on April 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.