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DR. BRIAN LEE D.O.
NPI 1467681619
Otolaryngology in Biddeford, ME

Active since July 09, 2009PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
30 W COLE RD, BIDDEFORD, ME 04005(207) 284-6673(207) 294-7365 Get Directions Write a Review

NPPES record last updated: August 26, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 26, 2020, Jan 15, 2019 (2 updates tracked since 2019).

About Dr. Brian Lee D.o. NPPES

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

DR. BRIAN LEE D.O. (NPI 1467681619) is an individual otolaryngology provider in Biddeford, Maine, licensed in Maine (DO2863) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2009).

NPPES Registry Identity

NPI1467681619
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. BRIAN LEECredential: D.O.
Location Address30 W COLE RDBiddeford, ME 04005-9453
Mailing Address30 W Cole RdBiddeford, ME 04005-9453 · (207) 284-6673 · Fax (207) 294-7365
Phone(207) 284-6673
Fax(207) 294-7365
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2009
Enumeration DateJuly 9, 2009
Last NPPES UpdateAugust 26, 20202 updates tracked since enumeration
NPPES CertifiedAugust 26, 2020
✔ NPI 1467681619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in ME · DO2863
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
30 W COLE RD, Biddeford, ME 04005
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.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

Dr. Brian Lee D.o. 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 ID4789827932
PECOS Enrollment IDI20190130002416
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 8

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 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.
65 services58 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.
60 services53 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
44 services34 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
44 services44 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
40 services33 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.
30 services30 patients

Hospital Affiliations CMS Care Compare

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

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04005 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
$128.83 typical visit price
range $56.28 – $169.96
Typical copayment $32.20 (range $14.07 – $42.49)
Most-billed visit code 99204
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

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.

JENNIFER CUTONE M.D.
Internal Medicine
30 W COLE RD
BIDDEFORD, ME 04005
York County (207) 282-3349
HANNAH CATHERINE TERRAZZINO PA
Physician Assistant (Surgical)
30 W COLE RD
BIDDEFORD, ME 04005
York County (207) 284-6673
STEPHEN DOANE M.D.
Internal Medicine
30 W COLE RD
BIDDEFORD, ME 04005
York County (207) 282-3349
NATHAN E WILSON M.D.
Internal Medicine
30 W COLE RD
BIDDEFORD, ME 04005
York County (207) 282-3349
MICHAEL N ALBAUM M.D.
Internal Medicine
30 W COLE RD
BIDDEFORD, ME 04005
York County (207) 282-3349
ALISANDE B SPARKS M.D.
Internal Medicine
30 W COLE RD
BIDDEFORD, ME 04005
York County (207) 282-9080
PAUL LAPRISE M.D.
Internal Medicine
30 W COLE RD
BIDDEFORD, ME 04005
York County (207) 282-3349
MERLE H WESTBROOK ANP
Nurse Practitioner (Adult Health)
30 W COLE RD
BIDDEFORD, ME 04005
York County (207) 282-3349

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 Brian Lee's NPI number?

The NPI number for Brian Lee is 1467681619. It was assigned to this individual provider in the NPPES registry on July 9, 2009.

Where is Brian Lee located?

Brian Lee practices at 30 W Cole Rd, Biddeford, ME 04005. The listed phone number is (207) 284-6673.

What is Brian Lee's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Brian Lee enrolled in Medicare?

Yes. Brian 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 Brian Lee accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Brian 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.

Is Brian Lee affiliated with any hospitals?

According to CMS data, Brian Lee is affiliated with Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Brian Lee was last updated on August 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.