DR. MARY GRAY LEE D.M.D, M.S.D
NPI 1558610444
Dentist - Periodontics in Baltimore, MD

Q: What is Mary Lee's NPI number?

The NPI number for Mary Lee is 1558610444. It was assigned to this individual provider in the NPPES registry on September 6, 2012.

Q: What is Mary Lee's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: Is Mary Lee enrolled in Medicare?

No. Mary Lee has opted out of Medicare through March 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Mary Lee was last updated on September 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since September 06, 2012Opted out of Medicare · through Mar 16, 2028

6080 FALLS ROAD, SUITE 202, BALTIMORE, MD 21209(410) 372-0202 Get Directions Write a Review

NPPES record last updated: September 6, 2012. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Dr. Mary Gray Lee D.m.d, M.s.d NPPES

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

DR. MARY GRAY LEE D.M.D, M.S.D (NPI 1558610444) is an individual periodontics provider in Baltimore, Maryland, licensed in Maryland (15078) and active in the NPI registry since September 2012. She has opted out of Medicare through March 16, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1558610444

Entity TypeIndividualFemale

Primary Taxonomy1223P0300X

Provider Legal NameDR. MARY GRAY LEECredential: D.M.D, M.S.D

Location Address6080 FALLS ROAD, SUITE 202Baltimore, MD 21209

Mailing Address1504 Dulaney Valley RoadLutherville Timonium, MD 21093 · (859) 333-2304

Phone(410) 372-0202

Sole ProprietorYes

Enumeration DateSeptember 6, 2012

✔ NPI 1558610444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in MD · 15078

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

6080 FALLS ROAD, Baltimore, MD 21209

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Mary Gray Lee D.m.d, M.s.d has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 16, 2016 through March 16, 2028.

Opt-Out Effective DateMarch 16, 2016

Opt-Out In Effect ThroughMarch 16, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21209 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

$94.08 typical visit price

range $60.73 – $183.44

Typical copayment $23.52 (range $15.18 – $45.86)

Most-billed visit code 99203

Established Patient

$75.47 typical visit price

range $19.60 – $149.17

Typical copayment $18.86 (range $4.90 – $37.29)

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 Mary Lee's NPI number?

The NPI number for Mary Lee is 1558610444. It was assigned to this individual provider in the NPPES registry on September 6, 2012.

Where is Mary Lee located?

Mary Lee practices at 6080 Falls Road Suite 202, Baltimore, MD 21209. The listed phone number is (410) 372-0202.

What is Mary Lee's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Mary Lee enrolled in Medicare?

No. Mary Lee has opted out of Medicare through March 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Mary Lee was last updated on September 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.