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KAREN E LEE M.D.
NPI 1477592467
Family Medicine in Scottsdale, AZ

Active since June 05, 2006PECOS EnrolledAccepts Medicare Assignment
85.86/100
CMS Quality Rating
8151 E INDIAN BEND RD STE 109, SCOTTSDALE, AZ 85250(480) 863-3507(520) 844-6100 Get Directions Write a Review

NPPES record last updated: August 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Karen E Lee M.d. NPPES

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

KAREN E LEE M.D. (NPI 1477592467) is an individual family medicine provider in Scottsdale, Arizona, licensed in Arizona (51203) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Tucson, and is a graduate of University Of Minnesota Medical School (1998).

NPPES Registry Identity

NPI1477592467
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKAREN E LEECredential: M.D.
Location Address8151 E INDIAN BEND RD STE 109Scottsdale, AZ 85250-4826
Mailing Address8151 E Indian Bend Rd Ste 109Scottsdale, AZ 85250-4826 · (480) 863-3507 · Fax (520) 844-6100
Phone(480) 863-3507
Fax(520) 844-6100
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1998
Enumeration DateJune 5, 2006
Last NPPES UpdateAugust 8, 2025
NPPES CertifiedAugust 8, 2025
✔ NPI 1477592467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in AZ · 51203✔ Licensed in MA · 216493✔ Licensed in MN · 43414
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
8151 E INDIAN BEND RD STE 109, Scottsdale, AZ 85250
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Secondary Practice Location 1

Location 17400 N Oracle Rd Ste 150-453Tucson, AZ 85704-6331 · Phone (520) 395-2200 · Fax (520) 844-6100

Other Identifiers 1

Medicaid564133100MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, UnitedHealthcare.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

Karen E Lee 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 ID1355398314
PECOS Enrollment IDI20151124002925
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.
462 services186 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
226 services150 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.
223 services123 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
173 services122 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
129 services129 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.
62 services62 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85250 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

85.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality76.12
Improvement Activities40
Cost84.71

Reported Quality Measures

Breast Cancer Screening
0%188 patients1/55-star benchmark: 93%
Cervical Cancer Screening
6%95 patients1/55-star benchmark: 98%
Colorectal Cancer Screening
0%327 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
59%200 patients3/55-star benchmark: 91%
Dementia: Cognitive Assessment
0%35 patients
Diabetes: Eye Exam
0%34 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
26%34 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
98%2,086 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
47%458 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
79%604 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%547 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
25%1,011 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 18% · 476 patients
17%476 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 472 patients
Patients totalRate: 4% · 472 patients
4%472 patients4/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers19 claims52 services$6.07 avg. paid by Medicare
Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each A4389
DME-Orthotic Devices · category DF010N
1 supplier11 claims330 services$5.83 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$4.31 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers14 claims14 services$62.53 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier16 claims16 services$193.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Karen Lee's NPI number?

The NPI number for Karen Lee is 1477592467. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is Karen Lee located?

Karen Lee practices at 8151 E Indian Bend Rd Ste 109, Scottsdale, AZ 85250. The listed phone number is (480) 863-3507.

What is Karen Lee's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Karen Lee enrolled in Medicare?

Yes. Karen 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 Karen Lee accept?

Health plans from Blue Cross Blue Shield of Arizona and UnitedHealthcare list Karen 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 Karen Lee was last updated on August 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.