THOMAS MARTIN LEE MD
NPI 1487606083
Family Medicine in Hartford City, IN

Active since May 16, 2006PECOS EnrolledAccepts Medicare Assignment
400 PILGRIM BLVD, HARTFORD CITY, IN 47348(765) 348-5776(765) 348-3088 Get Directions Write a Review

NPPES record last updated: February 22, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 22, 2021, Feb 19, 2020, Aug 20, 2018 (3 updates tracked since 2018).

About Thomas Martin Lee Md NPPES

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

THOMAS MARTIN LEE MD (NPI 1487606083) is an individual family medicine provider in Hartford City, Indiana, licensed in Indiana (01030229A) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health Ball Memorial Hospital, and is a graduate of Indiana University School Of Medicine (1980).

NPPES Registry Identity

NPI1487606083
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTHOMAS MARTIN LEECredential: MD
Location Address400 PILGRIM BLVDHartford City, IN 47348-1382
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Fax(765) 348-3088
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1980
Enumeration DateMay 16, 2006
Last NPPES UpdateFebruary 22, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2021
✔ NPI 1487606083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IN · 01030229A✔ Licensed in IN · 01030229
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 01030229A (IN)
400 PILGRIM BLVD, Hartford City, IN 47348

Other Identifiers 3

Medicaid100059570IN
OtherP00049764IN · Rr Medicare
OtherP00968556IN · Rr Medicare

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Thomas Martin 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 ID648174052
PECOS Enrollment IDI20031126000116
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Thomas Lee reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapist
410 PILGRIM BLVD
Hartford City, IN 47348
  • Reassigned Medicare billing, Indiana enrollment
  • 24 clinicians in this Medicare group
Family Medicine
400 PILGRIM BLVD
Hartford City, IN 47348
  • Reassigned Medicare billing, Indiana enrollment
  • 635 clinicians in this Medicare group
Dietitian, Registered
1800 N CAPITOL AVE, B445
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 1,781 clinicians in this Medicare group
General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Indiana University Health Ball Memorial Hospital

Acute Care Hospitals · Muncie, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150089
Location2401 University AveMuncie, IN 47303 · Delaware County
Emergency services Birthing friendly

Indiana University Health Jay, Inc.

Critical Access Hospitals · Portland, IN
OwnershipGovernment - Local
CMS Certification Number151320
Location500 W Votaw StPortland, IN 47371 · Jay County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47348 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Referred Medical Equipment & Supplies CMS DME claims 27

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
16 suppliers98 claims209 services$5.33 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
11 suppliers39 claims43 services$0.89 avg. paid by Medicare
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier15 claims15 services$22.79 avg. paid by Medicare
Urinary catheter anchoring device, leg strap, each A4334
DME-Orthotic Devices · category DF000N
1 supplier19 claims19 services$4.01 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier16 claims30 services$7.53 avg. paid by Medicare
Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
3 suppliers16 claims1,101 services$0.36 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Family Medicine
400 PILGRIM BLVD
HARTFORD CITY, IN 47348
Pharmacy (Community/Retail Pharmacy)
400 PILGRIM BLVD
HARTFORD CITY, IN 47348
Clinic/Center (Primary Care)
400 PILGRIM BLVD
HARTFORD CITY, IN 47348
Internal Medicine
400 PILGRIM BLVD
HARTFORD CITY, IN 47348
Registered Nurse
400 PILGRIM BLVD
HARTFORD CITY, IN 47348
Clinic/Center (Rural Health)
400 PILGRIM BLVD
HARTFORD CITY, IN 47348
Nurse Practitioner
400 PILGRIM BLVD
HARTFORD CITY, IN 47348
Pharmacist
400 PILGRIM BLVD
HARTFORD CITY, IN 47348

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 Thomas Lee's NPI number?

The NPI number for Thomas Lee is 1487606083. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Thomas Lee located?

Thomas Lee practices at 400 Pilgrim Blvd, Hartford City, IN 47348. The listed phone number is (765) 348-5776.

What is Thomas Lee's specialty?

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

Is Thomas Lee enrolled in Medicare?

Yes. Thomas 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.

Which organizations bill Medicare for Thomas Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Lee reassigns Medicare benefits to 4 organizations: Indiana University Health Blackford Hospital Inc (Hartford City, IN), Indiana University Health Ball Memorial Physicians, Inc. (Hartford City, IN), Indiana University Health Care Associates, Inc. (Indianapolis, IN) and Iu Health Medical Group, LLC (Indianapolis, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thomas Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Lee accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Cigna Healthcare and UnitedHealthcare list Thomas 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 Thomas Lee affiliated with any hospitals?

According to CMS data, Thomas Lee is affiliated with Indiana University Health Ball Memorial Hospital and Indiana University Health Jay, Inc..

When was this NPI record last updated?

The NPPES record for Thomas Lee was last updated on February 22, 2021. 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.