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CLARA LEE D.O.
NPI 1639437353
Internal Medicine in Locust Valley, NY

Active since May 01, 2012PECOS EnrolledAccepts Medicare Assignment
18 PERSHING AVE, LOCUST VALLEY, NY 11560(516) 662-0445 Get Directions Write a Review

NPPES record last updated: January 30, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Clara Lee D.o. NPPES

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

CLARA LEE D.O. (NPI 1639437353) is an individual internal medicine provider in Locust Valley, New York, licensed in New York (278097) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital, and is a graduate of Touro Un Col Of Osteopathic Medicine, New York (2012).

NPPES Registry Identity

NPI1639437353
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameCLARA LEECredential: D.O.
Location Address18 PERSHING AVELocust Valley, NY 11560-2330
Mailing Address18 Pershing AveLocust Valley, NY 11560-2330
Phone(516) 662-0445
Sole ProprietorYes
Medical School CMSTouro Un Col Of Osteopathic Medicine, New YorkGraduated 2012
Enumeration DateMay 1, 2012
Last NPPES UpdateJanuary 30, 2015
✔ NPI 1639437353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 278097
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
18 PERSHING AVE, Locust Valley, NY 11560
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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

Clara Lee D.o. 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 ID9436465713
PECOS Enrollment IDI20150901002015, I20171130002140
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 6

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
533 services236 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.
96 services58 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
37 services37 patients
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.
35 services24 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.
22 services22 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310038
LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Robert Wood Johnson University Hospital - Somerset

Acute Care Hospitals · Somerville, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310048
Location110 Rehill AveSomerville, NJ 08876 · Somerset County
Emergency services Birthing friendly

Northwestern Medical Center Inc

Acute Care Hospitals · Saint Albans, VT
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470024
Location133 Fairfield StreetSaint Albans, VT 05478 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11560 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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 Clara Lee's NPI number?

The NPI number for Clara Lee is 1639437353. It was assigned to this individual provider in the NPPES registry on May 1, 2012.

Where is Clara Lee located?

Clara Lee practices at 18 Pershing Ave, Locust Valley, NY 11560. The listed phone number is (516) 662-0445.

What is Clara Lee's specialty?

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

Is Clara Lee enrolled in Medicare?

Yes. Clara 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 Clara Lee accept?

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

According to CMS data, Clara Lee is affiliated with Robert Wood Johnson University Hospital, Robert Wood Johnson University Hospital - Somerset and Northwestern Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Clara Lee was last updated on January 30, 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.