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ANDREW LEE M.D.
NPI 1619904216
Internal Medicine - Infectious Disease in Oakhurst, NJ

Active since June 27, 2006PECOS EnrolledAccepts Medicare Assignment
82.56/100
CMS Quality Rating
1912 STATE ROUTE 35, SUITE 101, OAKHURST, NJ 07755(732) 222-4762(732) 222-4764 Get Directions Write a Review

NPPES record last updated: May 6, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Andrew Lee M.d. NPPES

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

ANDREW LEE M.D. (NPI 1619904216) is an individual infectious disease provider in Oakhurst, New Jersey, licensed in New Jersey (25MA07993200) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Ocean Medical Center, and is a graduate of Icahn School Of Medicine At Mount Sinai (2001).

NPPES Registry Identity

NPI1619904216
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameANDREW LEECredential: M.D.
Location Address1912 STATE ROUTE 35, SUITE 101Oakhurst, NJ 07755-2715
Mailing Address105 Raider Blvd, Suite 101Hillsborough, NJ 08844-1528 · (908) 281-0221 · Fax (908) 281-0940
Phone(732) 222-4762
Fax(732) 222-4764
Sole ProprietorNo
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 2001
Enumeration DateJune 27, 2006
Last NPPES UpdateMay 6, 2015
✔ NPI 1619904216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in NJ · 25MA07993200
Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

1912 STATE ROUTE 35, Oakhurst, NJ 07755
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Accepted Insurance

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

Andrew 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 ID9032112156
PECOS Enrollment IDI20060810000261
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 8

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 hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
1,317 services824 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
1,267 services673 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
386 services369 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
278 services269 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
89 services54 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
56 services42 patients

Hospital Affiliations CMS Care Compare 5

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

Ocean Medical Center

Acute Care Hospitals · Brick, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number310052
Location425 Jack Martin BlvdBrick, NJ 08724 · Ocean County
Emergency services Birthing friendly

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310073
Location1945 State Route 33Neptune, NJ 07753 · Monmouth County
Emergency services Birthing friendly

Monmouth Medical Center

Acute Care Hospitals · Long Branch, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310075
Location300 Second AvenueLong Branch, NJ 07740 · Monmouth County
Emergency services Birthing friendly

Monmouth Medical Center-Southern Campus

Acute Care Hospitals · Lakewood, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310084
Location600 River AveLakewood, NJ 08701 · Ocean County
Emergency services

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07755 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

82.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.4
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

DR. SUKRUT DWIVEDI D.O.
Internal Medicine (Infectious Disease)
1912 STATE ROUTE 35, SUITE 101
OAKHURST, NJ 07755
Monmouth County (732) 222-4762
AJAY N MATHUR M.D.
Internal Medicine (Infectious Disease)
1912 STATE ROUTE 35, SUITE 101
OAKHURST, NJ 07755
Monmouth County (732) 222-4762
MS. INNA BELENSON MSN, RN, APN-C
Nurse Practitioner (Adult Health)
1912 STATE ROUTE 35, SUITE 101
OAKHURST, NJ 07755
Monmouth County (732) 222-4762
ELIZABETH CIRLINCIONE NP
Nurse Practitioner (Adult Health)
1912 STATE ROUTE 35, SUITE 101
OAKHURST, NJ 07755
Monmouth County (732) 222-4762
ANDREW KRUGER DO
Internal Medicine (Gastroenterology)
1912 STATE ROUTE 35
OAKHURST, NJ 07755
Monmouth County (732) 389-5004
DR. APURVA PATEL MD
Internal Medicine (Infectious Disease)
1912 STATE ROUTE 35, SUITE 101
OAKHURST, NJ 07755
Monmouth County (732) 222-4762

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 Andrew Lee's NPI number?

The NPI number for Andrew Lee is 1619904216. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Andrew Lee located?

Andrew Lee practices at 1912 State Route 35 Suite 101, Oakhurst, NJ 07755. The listed phone number is (732) 222-4762.

What is Andrew Lee's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Andrew Lee enrolled in Medicare?

Yes. Andrew 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 Andrew Lee accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Andrew 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 Andrew Lee affiliated with any hospitals?

According to CMS data, Andrew Lee is affiliated with Ocean Medical Center, Jersey Shore University Medical Center, Monmouth Medical Center, Monmouth Medical Center-Southern Campus and Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Andrew Lee was last updated on May 6, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.