DR. JOON LEE D.M.D.
NPI 1558577304
Dentist - General Practice in Worcester, MA

Active since May 15, 2007PECOS Enrolled
11 TOBIAS BOLAND WAY # 105, WORCESTER, MA 01607(508) 752-1111(508) 752-4111 Get Directions Write a Review

NPPES record last updated: February 10, 2015. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Joon Lee D.m.d. NPPES

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

DR. JOON LEE D.M.D. (NPI 1558577304) is an individual general practice provider in Worcester, Massachusetts, licensed in Massachusetts (21597) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558577304
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JOON LEECredential: D.M.D.
Location Address11 TOBIAS BOLAND WAY # 105Worcester, MA 01607-2108
Mailing Address11 Tobias Boland Way # 105Worcester, MA 01607-2108 · (508) 752-1111 · Fax (508) 752-4111
Fax(508) 752-4111
Sole ProprietorYes
Enumeration DateMay 15, 2007
Last NPPES UpdateFebruary 10, 2015
✔ NPI 1558577304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MA · 21597
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.
11 TOBIAS BOLAND WAY # 105, Worcester, MA 01607

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)

Dr. Joon Lee D.m.d. 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 01607 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

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 Joon Lee's NPI number?

The NPI number for Joon Lee is 1558577304. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Where is Joon Lee located?

Joon Lee practices at 11 Tobias Boland Way # 105, Worcester, MA 01607. The listed phone number is (508) 752-1111.

What is Joon Lee's specialty?

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

Is Joon Lee enrolled in Medicare?

Yes. Joon Lee is registered in the Medicare PECOS enrollment system.

What insurance does Joon Lee accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Joon 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 Joon Lee was last updated on February 10, 2015. 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.