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JONATHAN LEE M.D.
NPI 1679935530
Pediatrics in Pullman, WA

Active since March 22, 2016PECOS Enrolled
1205 SE PROFESSIONAL MALL BLVD STE 104, PULLMAN, WA 99163(509) 332-2605 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 24, 2019, Jun 14, 2016, Mar 22, 2016 (3 updates tracked since 2016).

About Jonathan Lee M.d. NPPES

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

JONATHAN LEE M.D. (NPI 1679935530) is an individual pediatrics provider in Pullman, Washington, licensed in Washington (MD60947065) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Moscow.

NPPES Registry Identity

NPI1679935530
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJONATHAN LEECredential: M.D.
Location Address1205 SE PROFESSIONAL MALL BLVD STE 104Pullman, WA 99163-5423
Mailing Address1205 Se Professional Mall Blvd Ste 104Pullman, WA 99163-5423 · (509) 332-2605
Phone(509) 332-2605
Sole ProprietorNo
Enumeration DateMarch 22, 2016
Last NPPES UpdateJuly 14, 20253 updates tracked since enumeration
NPPES CertifiedJuly 14, 2025
✔ NPI 1679935530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in WA · MD60947065✔ Licensed in WA · ML60657369
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1205 SE PROFESSIONAL MALL BLVD STE 104, Pullman, WA 99163
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Secondary Practice Location 1

Location 11420 S Blaine St Ste 5Moscow, ID 83843-3973 · Phone (208) 882-2247

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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)

Jonathan Lee M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99163 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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 4

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

KATHRYN HRYNIEWICZ
Pediatrics
1205 SE PROFESSIONAL MALL BLVD STE 104
PULLMAN, WA 99163
Whitman County (509) 332-2605
MACKENZIE CLAIRE RINALDI MD
Pediatrics
1205 SE PROFESSIONAL MALL BLVD STE 104
PULLMAN, WA 99163
Whitman County (509) 332-2605
MARICARMEN STOUT SHIELDS M.D.
Pediatrics
1205 SE PROFESSIONAL MALL BLVD STE 104
PULLMAN, WA 99163
Whitman County (509) 332-2605
ERIK BAYONA M.D.
Psychiatry & Neurology (Psychiatry)
1205 SE PROFESSIONAL MALL BLVD STE 104
PULLMAN, WA 99163
Whitman County (509) 332-2605

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 Jonathan Lee's NPI number?

The NPI number for Jonathan Lee is 1679935530. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Where is Jonathan Lee located?

Jonathan Lee practices at 1205 SE Professional Mall Blvd Ste 104, Pullman, WA 99163. The listed phone number is (509) 332-2605.

What is Jonathan Lee's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jonathan Lee enrolled in Medicare?

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

What insurance does Jonathan Lee accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jonathan 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.

When was this NPI record last updated?

The NPPES record for Jonathan Lee was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.