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PAUL LEE MD
NPI 1508165796
Pathology - Anatomic Pathology & Clinical Pathology in Cincinnati, OH

Active since March 28, 2011PECOS EnrolledAccepts Medicare Assignment
78.78/100
CMS Quality Rating
234 GOODMAN ST, CINCINNATI, OH 45219(513) 584-7284(513) 584-3807 Get Directions Write a Review

NPPES record last updated: July 9, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Paul Lee Md NPPES

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

PAUL LEE MD (NPI 1508165796) is an individual anatomic pathology & clinical pathology provider in Cincinnati, Ohio, licensed in Ohio (35134190) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Edgewood, and is a graduate of Rush Medical College Of Rush University (2011).

NPPES Registry Identity

NPI1508165796
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NamePAUL LEECredential: MD
Location Address234 GOODMAN STCincinnati, OH 45219
Mailing AddressPo Box 636256Cincinnati, OH 45263-6256 · (513) 245-3600 · Fax (513) 245-3672
Phone(513) 584-7284
Fax(513) 584-3807
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 2011
Enumeration DateMarch 28, 2011
Last NPPES UpdateJuly 9, 2018
✔ NPI 1508165796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in OH · 35134190
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
234 GOODMAN ST, Cincinnati, OH 45219
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Oscar Health Insurance.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

Paul 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 ID1355614439
PECOS Enrollment IDI20180723002396
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 13

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.

Antibody evaluation, each additional single antibody stain procedure 88350
An antibody evaluation involves testing a sample of your body fluid (like blood) to identify specific antibodies. Each additional single antibody stain procedure is a separate test for another specific antibody. This helps in diagnosing various health conditions by understanding your body's immune response.
311 services32 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
222 services42 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
141 services76 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
123 services35 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
81 services57 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
47 services14 patients

Hospital Affiliations CMS Care Compare 3

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

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

University Of Cincinnati Medical Center, LLC

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360003
Location3188 Bellevue AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

West Chester Hospital

Acute Care Hospitals · West Chester, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360354
Location7700 University DriveWest Chester, OH 45069 · Butler County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45219 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

78.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.42
Promoting Interoperability100
Improvement Activities40
Cost58.86

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.

ALEXANDER TOPALA MD
Anesthesiology
234 GOODMAN ST, MAIL LOCATION 0796
CINCINNATI, OH 45219
Hamilton County (513) 584-1000
MELISSA T WESLEY CRNA
Nurse Anesthetist, Certified Registered
234 GOODMAN ST
CINCINNATI, OH 45219
Hamilton County (513) 558-4194
DR. SAURABH CHANDRA MD
Internal Medicine (Critical Care Medicine)
234 GOODMAN ST
CINCINNATI, OH 45219
Hamilton County (513) 558-1000
JOSEPH D PANDISCIA PA-C
Physician Assistant
234 GOODMAN ST
CINCINNATI, OH 45219
Hamilton County (513) 475-8690
RACHEL BEAUPRE
Student in an Organized Health Care Education/Training Program
234 GOODMAN ST, THORACIC SURGERY
CINCINNATI, OH 45219
Hamilton County (513) 584-1387
KATIE DEAN
Nurse Anesthetist, Certified Registered
234 GOODMAN ST
CINCINNATI, OH 45219
Hamilton County (513) 558-4194
MICHELLE CHAPMAN
Anesthesiology
234 GOODMAN ST
CINCINNATI, OH 45219
Hamilton County (513) 558-6356
KAYLA BERTKE
Pharmacist
234 GOODMAN ST
CINCINNATI, OH 45219
Hamilton County (513) 584-3468

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 Paul Lee's NPI number?

The NPI number for Paul Lee is 1508165796. It was assigned to this individual provider in the NPPES registry on March 28, 2011.

Where is Paul Lee located?

Paul Lee practices at 234 Goodman St, Cincinnati, OH 45219. The listed phone number is (513) 584-7284.

What is Paul Lee's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Paul Lee enrolled in Medicare?

Yes. Paul 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 Paul Lee accept?

Health plans from CareSource and Oscar Health Insurance list Paul 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 Paul Lee affiliated with any hospitals?

According to CMS data, Paul Lee is affiliated with St Elizabeth Edgewood, University Of Cincinnati Medical Center, LLC and West Chester Hospital.

When was this NPI record last updated?

The NPPES record for Paul Lee was last updated on July 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.