MARY HYO-SOON LEE-HENDERSON MD
NPI 1649424276
Family Medicine in Rochester, MN

Q: What is Mary Lee-henderson's NPI number?

The NPI number for Mary Lee-henderson is 1649424276. It was assigned to this individual provider in the NPPES registry on November 10, 2008.

Q: What is Mary Lee-henderson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since November 10, 2008PECOS EnrolledAccepts Medicare Assignment

200 1ST ST SW, ROCHESTER, MN 55905(507) 284-2511 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Mary Hyo-soon Lee-henderson Md NPPES

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

MARY HYO-SOON LEE-HENDERSON MD (NPI 1649424276) is an individual family medicine provider in Rochester, Minnesota, licensed in Minnesota (53070) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (2005).

NPPES Registry Identity

NPI1649424276

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMARY HYO-SOON LEE-HENDERSONCredential: MD

Location Address200 1ST ST SWRochester, MN 55905-0001

Mailing Address200 1st St SwRochester, MN 55905-0001 · (507) 284-2511

Phone(507) 284-2511

Sole ProprietorNo

Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2005

Enumeration DateNovember 10, 2008

Last NPPES UpdateDecember 3, 2021

✔ NPI 1649424276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in MN · 53070✔ Licensed in CA · A97639

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

200 1ST ST SW, Rochester, MN 55905

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Other Identifiers 2

MedicaidENROLLEDIA

MedicaidENROLLEDMN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Hyo-soon Lee-henderson 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 ID7517010598

PECOS Enrollment IDI20090810000174

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.

Medicare Billing Reassignment

Medicare enrollment records show Mary Lee-henderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group

1,511 mi

Health Maintenance Organization

43112 N 15TH ST
Lancaster, CA 93534

Reassigned Medicare billing, California enrollment
13,921 clinicians in this Medicare group

NPI 1982863783 (661) 726-2279

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55905 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

Other Providers at the Same Location NPPES 20

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

EMILY LEASURE MD

Internal Medicine