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SCOTT FREDERICK LEE O.D.
NPI 1407289259
Optometrist in Newport Beach, CA

Active since August 15, 2013PECOS EnrolledAccepts Medicare Assignment
361 HOSPITAL RD, SUITE 327, NEWPORT BEACH, CA 92663(949) 642-3100(949) 642-4900 Get Directions Write a Review

NPPES record last updated: August 15, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Scott Frederick Lee O.d. NPPES

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

SCOTT FREDERICK LEE O.D. (NPI 1407289259) is an individual optometrist in Newport Beach, California, licensed in California (11911T) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1407289259
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameSCOTT FREDERICK LEECredential: O.D.
Location Address361 HOSPITAL RD, SUITE 327Newport Beach, CA 92663-3522
Mailing Address15555 Huntington Village Ln, Apt 191Huntington Beach, CA 92647-3054 · (714) 893-5979 · Fax (949) 642-4900
Phone(949) 642-3100
Fax(949) 642-4900
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateAugust 15, 2013
✔ NPI 1407289259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · 11911T
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
361 HOSPITAL RD, Newport Beach, CA 92663
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Accepted Insurance

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

Scott Frederick Lee O.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 ID4284878448
PECOS Enrollment IDI20130910000650
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 2

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.
36 services36 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92663 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%299 patients5/55-star benchmark: 100%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
30%92 patients2/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
24%2,215 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
67%842 patients3/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
27%459 patients2/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 66% · 722 patients
65%722 patients3/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
2%1,834 patients1/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
2%1,834 patients1/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

ATEF KHOUZAM M.D
Family Medicine
361 HOSPITAL RD, 322
NEWPORT BEACH, CA 92663
Orange County (949) 574-0777
ROBERT EVAN ANDERSON M.D.
Obstetrics & Gynecology (Reproductive Endocrinology)
361 HOSPITAL RD, SUITE 333
NEWPORT BEACH, CA 92663
Orange County (949) 642-8727
MISS PHUONG MY LE M.S
Genetic Counselor, MS
361 HOSPITAL RD, SUITE 224
NEWPORT BEACH, CA 92663
Orange County (949) 515-5171
ROBERT E. ANDERSON, M.D.
Obstetrics & Gynecology (Reproductive Endocrinology)
361 HOSPITAL RD, SUITE 333
NEWPORT BEACH, CA 92663
Orange County (949) 642-8727
DR. EHSAN SADRI M.D.
Ophthalmology
361 HOSPITAL RD, SUITE 327
NEWPORT BEACH, CA 92663
Orange County (949) 642-3100
SOUTHERN CALIFORNIA INSTITUTE FOR REPRODUCTIVE SCIENCES
Clinical Medical Laboratory
361 HOSPITAL RD, SUITE 433
NEWPORT BEACH, CA 92663
Orange County (949) 642-8727
ALEX FONG M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
361 HOSPITAL RD, STE 229
NEWPORT BEACH, CA 92663
Orange County (949) 515-7861
BRENT C. NORMAN MD
Ophthalmology
361 HOSPITAL RD, SUITE 126
NEWPORT BEACH, CA 92663
Orange County (949) 722-3980

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 Scott Lee's NPI number?

The NPI number for Scott Lee is 1407289259. It was assigned to this individual provider in the NPPES registry on August 15, 2013.

Where is Scott Lee located?

Scott Lee practices at 361 Hospital Rd Suite 327, Newport Beach, CA 92663. The listed phone number is (949) 642-3100.

What is Scott Lee's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Scott Lee enrolled in Medicare?

Yes. Scott 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 Scott Lee accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Scott 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 Scott Lee was last updated on August 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.