EMMET LEE M.D.
NPI 1558326801
Internal Medicine in Escondido, CA

Active since April 19, 2006PECOS EnrolledAccepts Medicare Assignment
80.15/100
CMS Quality Rating
225 EAST SECOND AVENUE, ESCONDIDO, CA 92025(760) 291-6700 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 10, 2024, Nov 18, 2020, Feb 15, 2016 (3 updates tracked since 2016).

About Emmet Lee M.d. NPPES

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

EMMET LEE M.D. (NPI 1558326801) is an individual internal medicine provider in Escondido, California, licensed in California (A50563) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At Houston (1988).

NPPES Registry Identity

NPI1558326801
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameEMMET LEECredential: M.D.
Location Address225 EAST SECOND AVENUEEscondido, CA 92025-4249
Mailing Address225 East Second AvenueEscondido, CA 92025-4249 · (760) 291-6700 · Fax (760) 737-7324
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1988
Enumeration DateApril 19, 2006
Last NPPES UpdateDecember 10, 20243 updates tracked since enumeration
NPPES CertifiedDecember 10, 2024
NPI 1558326801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · A50563
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
225 EAST SECOND AVENUE, Escondido, CA 92025

Other Identifiers 1

OtherWA50563ACA · Ptan

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

Emmet 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 ID143329565
PECOS Enrollment IDI20100420000913
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 5

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
283 services85 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
133 services32 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
130 services115 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
109 services98 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
87 services54 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92025 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

80.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality69.01
Promoting Interoperability76
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 12

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

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims372 services$3.98 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
2 suppliers17 claims6,516 services$0.34 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers18 claims19 services$13.29 avg. paid by Medicare
Manual wheelchair accessory, anti-tipping device, each E0971
DME-Wheelchairs · category DD021N
2 suppliers17 claims34 services$40.47 avg. paid by Medicare
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each E0973
DME-Wheelchairs · category DD021N
2 suppliers17 claims34 services$52.57 avg. paid by Medicare
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each E0978
DME-Wheelchairs · category DD021N
2 suppliers17 claims17 services$20.95 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.

Nurse Practitioner
225 EAST SECOND AVENUE, 225 EAST SECOND AVENUE
ESCONDIDO, CA 92025
Nurse Practitioner (Family)
225 EAST SECOND AVENUE
ESCONDIDO, CA 92025
Nurse Practitioner (Family)
225 EAST SECOND AVENUE
ESCONDIDO, CA 92025
Internal Medicine
225 EAST SECOND AVENUE
ESCONDIDO, CA 92025
Urology
225 EAST SECOND AVENUE
ESCONDIDO, CA 92025
Nurse Practitioner
225 EAST SECOND AVENUE
ESCONDIDO, CA 92025
Internal Medicine
225 EAST SECOND AVENUE
ESCONDIDO, CA 92025
Family Medicine
225 EAST SECOND AVENUE
ESCONDIDO, CA 92025

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 Emmet Lee's NPI number?

The NPI number for Emmet Lee is 1558326801. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Where is Emmet Lee located?

Emmet Lee practices at 225 East Second Avenue, Escondido, CA 92025. The listed phone number is (760) 291-6700.

What is Emmet Lee's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Emmet Lee enrolled in Medicare?

Yes. Emmet 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.

When was this NPI record last updated?

The NPPES record for Emmet Lee was last updated on December 10, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.