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LEE THEODORE BOTTEM D.O.
NPI 1679745418
Ophthalmology in Broken Arrow, OK

Active since April 01, 2008PECOS Enrolled
72.57/100
CMS Quality Rating
4700 W URBANA ST, BROKEN ARROW, OK 74012(918) 290-2300(918) 290-2310 Get Directions Write a Review

NPPES record last updated: September 6, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 6, 2019, May 16, 2016 (2 updates tracked since 2016).

About Lee Theodore Bottem D.o. NPPES

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

LEE THEODORE BOTTEM D.O. (NPI 1679745418) is an individual ophthalmology provider in Broken Arrow, Oklahoma, licensed in Oklahoma (4175) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679745418
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameLEE THEODORE BOTTEMCredential: D.O.
Location Address4700 W URBANA STBroken Arrow, OK 74012-5997
Mailing Address4700 W Urbana StBroken Arrow, OK 74012-5997 · (918) 290-2300 · Fax (918) 290-2310
Phone(918) 290-2300
Fax(918) 290-2310
Sole ProprietorYes
Enumeration DateApril 1, 2008
Last NPPES UpdateSeptember 6, 20192 updates tracked since enumeration
✔ NPI 1679745418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in OK · 4175
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

4700 W URBANA ST, Broken Arrow, OK 74012
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Mending Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lee Theodore Bottem D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.
83 services83 patients
Exam of visual field with limited testing 92081
An exam of the visual field with limited testing is a quick check of your peripheral vision. It involves identifying objects or movements at the edge of your sight, helping to detect any vision loss that isn't obvious, such as blind spots or areas of reduced vision.
61 services61 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
61 services61 patients
Repair of tendon of upper eyelid 67904
Repair of the tendon of the upper eyelid is a surgical procedure aimed at fixing a droopy eyelid. This condition can affect your vision and appearance. The procedure involves tightening the tendon to lift the eyelid to its normal position, improving both function and aesthetics.
38 services38 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.
28 services28 patients
Removal of growth of eyelid 67840
The removal of an eyelid growth is a procedure performed to eliminate abnormal tissue from your eyelid. It's generally a quick, outpatient treatment. The doctor numbs your eyelid, carefully removes the growth, and may stitch the area if necessary. This can help maintain eye health and vision.
22 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74012 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

72.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality45.15
Improvement Activities40

Reported Quality Measures

Colorectal Cancer Screening
1%584 patients1/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
90%990 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 64% · 76 patients
54%76 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 601 patients
Patients totalRate: 0% · 601 patients
0%601 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

ALLURE MEDICAL SPA OF OKLAHOMA, LLC
Radiology (Vascular & Interventional Radiology)
4700 W URBANA ST
BROKEN ARROW, OK 74012
Tulsa County (918) 237-8346
OSU CENTER FOR HEALTH SCIENCES
Clinic/Center
4700 W URBANA ST
BROKEN ARROW, OK 74012
Tulsa County (918) 561-8306
SUSAN B. YOUNG DO PLC
Surgery
4700 W URBANA ST
BROKEN ARROW, OK 74012
Tulsa County (918) 290-2300
LEE BOTTEM, D.O., PLC
Ophthalmology
4700 W URBANA ST
BROKEN ARROW, OK 74012
Tulsa County (918) 290-2300

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 Lee Bottem's NPI number?

The NPI number for Lee Bottem is 1679745418. It was assigned to this individual provider in the NPPES registry on April 1, 2008.

Where is Lee Bottem located?

Lee Bottem practices at 4700 W Urbana St, Broken Arrow, OK 74012. The listed phone number is (918) 290-2300.

What is Lee Bottem's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Lee Bottem enrolled in Medicare?

Yes. Lee Bottem is registered in the Medicare PECOS enrollment system.

What insurance does Lee Bottem accept?

Health plans from Medica and Mending Health list Lee Bottem 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.

When was this NPI record last updated?

The NPPES record for Lee Bottem was last updated on September 6, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.