DR. CARL WESLEY LEE II MD
NPI 1649273319
Otolaryngology in Swansea, IL

Q: What is Carl Lee's NPI number?

The NPI number for Carl Lee is 1649273319. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Q: What is Carl Lee's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Carl Lee was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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 May 24, 2005PECOS EnrolledAccepts Medicare Assignment

92.39/100

CMS Quality Rating

19 WOLF CREEK DR, DEPT OTOLARYNGOLOGY, SWANSEA, IL 62226(618) 235-3687(618) 239-9492 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 15, 2021, Apr 6, 2020 (2 updates tracked since 2020).

On this page

About Dr. Carl Wesley Lee Ii Md NPPES

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

DR. CARL WESLEY LEE II MD (NPI 1649273319) is an individual otolaryngology provider in Swansea, Illinois, licensed in Illinois (036095348) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (1992).

NPPES Registry Identity

NPI1649273319

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameDR. CARL WESLEY LEE IICredential: MD

Location Address19 WOLF CREEK DR, DEPT OTOLARYNGOLOGYSwansea, IL 62226-2355

Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (618) 235-3687 · Fax (618) 239-9492

Phone(618) 235-3687

Fax(618) 239-9492

Sole ProprietorNo

Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 1992

Enumeration DateMay 24, 2005

Last NPPES UpdateApril 21, 20252 updates tracked since enumeration

✔ NPI 1649273319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in IL · 036095348

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

19 WOLF CREEK DR, Swansea, IL 62226

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Other Identifiers 1

Medicaid200080460MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cox HealthPlans.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

Dr. Carl Wesley Lee Ii Md 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 ID5496828956

PECOS Enrollment IDI20100913000883

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 12

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.

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.

321 services213 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.

209 services167 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

204 services145 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

169 services169 patients

Diagnostic exam of nasal passages using an endoscope 31231

A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.

89 services67 patients

Diagnostic exam of voice box using a flexible endoscope 31575

This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.

72 services65 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

48 services48 patients

Simple control of nose bleed 30901

Simple control of a nose bleed involves leaning forward slightly to prevent blood from flowing down the throat. Pinch your nostrils together and breathe through your mouth. This pressure can help the blood clot and stop the bleeding. Avoid lying down or blowing your nose.

24 services18 patients

Incision of eardrum with insertion of eardrum tube under local or topical anesthesia 69433

This procedure, known as a Myringotomy with Tube Insertion, involves making a small incision in the eardrum to drain fluid and relieve pressure. A tiny tube is then placed in the eardrum to prevent future fluid buildup. It's done under local or topical anesthesia.

18 services18 patients

Ct scan of face without contrast 70486

A CT scan of the face without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your face, including bones, soft tissues, and blood vessels. It's often used to diagnose diseases, injuries, or abnormalities. No contrast dye is used in this procedure.

18 services18 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

15 services15 patients

3d radiographic procedure 76376

A 3D radiographic procedure is a non-invasive imaging test that helps doctors visualize the internal structures of your body in three dimensions. This advanced technology provides detailed images, aiding in accurate diagnosis and treatment planning. It involves exposure to minimal radiation.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Hospital

Acute Care Hospitals · Belleville, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140185

Location4500 Memorial DriveBelleville, IL 62226 · St. Clair County

Emergency services Birthing friendly

Hshs St Elizabeth's Hospital

Acute Care Hospitals · O Fallon, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140187

LocationOne St Elizabeth BoulevardO Fallon, IL 62269 · St. Clair County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62226 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

$131.14 typical visit price

range $56.28 – $173.35

Typical copayment $32.78 (range $14.07 – $43.33)

Most-billed visit code 99204

Established Patient

$70.42 typical visit price

range $17.51 – $139.99

Typical copayment $17.60 (range $4.37 – $34.99)

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.

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.

92.39/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

97.81

Promoting Interoperability

100

Improvement Activities

Cost

70.26

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.

DAWN MARIE ROULANAITIS MS CCC-A

Audiologist

19 WOLF CREEK DR
SWANSEA, IL 62226

St. Clair County (618) 235-3687

EAR, NOSE & THROAT INSTITUTE OF SOUTHERN ILLINOIS LTD.

Otolaryngology

19 WOLF CREEK DR
SWANSEA, IL 62226

St. Clair County (618) 235-3687

SUSAN D HAMILTON M.S.;CCC-A;AUD

Audiologist

19 WOLF CREEK DR
SWANSEA, IL 62226

St. Clair County (618) 235-3687

MS. SAMANTHA LYNN BRADEN AUD

Audiologist

19 WOLF CREEK DR, DEPT OTOLARYNGOLOGY
SWANSEA, IL 62226

St. Clair County (618) 235-3687

MS. ANGELA L LONG FNP

Nurse Practitioner (Family)

19 WOLF CREEK DR, DEPT OTOLARYNGOLOGY
SWANSEA, IL 62226

St. Clair County (618) 235-3687

MRS. BRANDY R WOJCIUCH MS, CCC-A

Audiologist

19 WOLF CREEK DR
SWANSEA, IL 62226

St. Clair County (618) 235-3687

MS. MELISSA MARKO AUD

Audiologist

19 WOLF CREEK DR, DEPT OTOLARYNGOLOGY
SWANSEA, IL 62226

St. Clair County (618) 235-3687

WASHINGTON UNIVERSITY PHYSICIANS IN ILLINOIS, INC

Clinic/Center (Multi-Specialty)

19 WOLF CREEK DR
SWANSEA, IL 62226

St. Clair County (618) 235-3687

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 Carl Lee's NPI number?

The NPI number for Carl Lee is 1649273319. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Where is Carl Lee located?

Carl Lee practices at 19 Wolf Creek Dr Dept Otolaryngology, Swansea, IL 62226. The listed phone number is (618) 235-3687.

What is Carl Lee's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Carl Lee enrolled in Medicare?

Yes. Carl 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 Carl Lee accept?

Health plans from Cox HealthPlans list Carl 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 Carl Lee affiliated with any hospitals?

According to CMS data, Carl Lee is affiliated with Memorial Hospital and Hshs St Elizabeth's Hospital.

When was this NPI record last updated?

The NPPES record for Carl Lee was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.