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KYOUNG YUN LEE D.D.S
NPI 1508127135
Dentist in Decatur, IL

Active since May 30, 2012PECOS Enrolled
141 E PERSHING RD, DECATUR, IL 62526(217) 877-6559 Get Directions Write a Review

NPPES record last updated: November 10, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kyoung Yun Lee D.d.s NPPES

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

KYOUNG YUN LEE D.D.S (NPI 1508127135) is an individual dentist in Decatur, Illinois, licensed in Illinois (019029708) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508127135
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameKYOUNG YUN LEECredential: D.D.S
Location Address141 E PERSHING RDDecatur, IL 62526-3213
Mailing Address651 E 14th St, 6eNew York, NY 10009-3119 · (917) 543-9132
Phone(217) 877-6559
Sole ProprietorYes
Enumeration DateMay 30, 2012
Last NPPES UpdateNovember 10, 2014
✔ NPI 1508127135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in IL · 019029708✔ Licensed in CT · 010747✔ Licensed in NJ · 22DI02568700
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
141 E PERSHING RD, Decatur, IL 62526
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, 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 (PECOS)

Kyoung Yun Lee D.d.s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62526 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

Other Providers at the Same Location NPPES 8

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

DECATUR 2014
Dentist (General Practice)
141 E PERSHING RD, SUITE 610
DECATUR, IL 62526
Macon County (888) 988-4066
YOUNGTAK CHI DDS
Dentist (General Practice)
141 E PERSHING RD
DECATUR, IL 62526
Macon County (888) 988-4066
DECATUR 2012 LLC
Clinic/Center (Dental)
141 E PERSHING RD
DECATUR, IL 62526
Macon County (888) 988-4066
DECATUR 2015 LLC
Dentist (General Practice)
141 E PERSHING RD
DECATUR, IL 62526
Macon County (888) 988-4066
YASHVI FALGUNI DESAI
Student in an Organized Health Care Education/Training Program
141 E PERSHING RD
DECATUR, IL 62526
Macon County (424) 407-6732
DECATUR 2013 LLC
Dentist (General Practice)
141 E PERSHING RD
DECATUR, IL 62526
Macon County (888) 988-4066
ISSA SAHOURI
Dentist
141 E PERSHING RD
DECATUR, IL 62526
Macon County (217) 877-6559
ELIZABETH MOORE DMD
Dentist
141 E PERSHING RD
DECATUR, IL 62526
Macon County (888) 988-4066

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 Kyoung Yun Lee's NPI number?

The NPI number for Kyoung Yun Lee is 1508127135. It was assigned to this individual provider in the NPPES registry on May 30, 2012.

Where is Kyoung Yun Lee located?

Kyoung Yun Lee practices at 141 E Pershing Rd, Decatur, IL 62526. The listed phone number is (217) 877-6559.

What is Kyoung Yun Lee's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Kyoung Yun Lee enrolled in Medicare?

Yes. Kyoung Yun Lee is registered in the Medicare PECOS enrollment system.

What insurance does Kyoung Yun Lee accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 3 other insurers list Kyoung Yun 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 Kyoung Yun Lee was last updated on November 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.