JUNG SUP LEE DMD
NPI 1508384298
Dentist - General Practice in Lexington, KY

Active since September 02, 2017PECOS Enrolled
2250 LEESTOWN RD, LEXINGTON, KY 40511(859) 233-4511 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 9, 2024, Jul 21, 2022, Sep 16, 2020 and 2 more (5 updates tracked since 2017).

About Jung Sup Lee Dmd NPPES

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

JUNG SUP LEE DMD (NPI 1508384298) is an individual general practice provider in Lexington, Kentucky, licensed in Kentucky (10026) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508384298
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJUNG SUP LEECredential: DMD
Location Address2250 LEESTOWN RDLexington, KY 40511-1052
Mailing Address2480 Pascoli PlLexington, KY 40509-4537 · (859) 420-8706
Sole ProprietorYes
Enumeration DateSeptember 2, 2017
Last NPPES UpdateApril 9, 20245 updates tracked since enumeration
NPPES CertifiedApril 9, 2024
NPI 1508384298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in KY · 10026
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X · License 10026 (KY)
2250 LEESTOWN RD, Lexington, KY 40511

Accepted 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)

Jung Sup Lee Dmd 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 40511 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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 20

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

Optometrist
2250 LEESTOWN RD
LEXINGTON, KY 40511
Social Worker (Clinical)
2250 LEESTOWN RD
LEXINGTON, KY 40511
Dietitian, Registered
2250 LEESTOWN RD
LEXINGTON, KY 40511
Registered Nurse
2250 LEESTOWN RD
LEXINGTON, KY 40511
Optometrist
2250 LEESTOWN RD
LEXINGTON, KY 40511
Occupational Therapist
2250 LEESTOWN RD
LEXINGTON, KY 40511
Psychologist (Clinical)
2250 LEESTOWN RD
LEXINGTON, KY 40511
Optometrist
2250 LEESTOWN RD
LEXINGTON, KY 40511

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 Jung Sup Lee's NPI number?

The NPI number for Jung Sup Lee is 1508384298. It was assigned to this individual provider in the NPPES registry on September 2, 2017.

Where is Jung Sup Lee located?

Jung Sup Lee practices at 2250 Leestown Rd, Lexington, KY 40511. The listed phone number is (859) 233-4511.

What is Jung Sup Lee's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jung Sup Lee enrolled in Medicare?

Yes. Jung Sup Lee is registered in the Medicare PECOS enrollment system.

What insurance does Jung Sup Lee accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Jung Sup 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 Jung Sup Lee was last updated on April 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.