THEODORE MARK LEE MD
NPI 1689606881
Allergy & Immunology - Allergy in Atlanta, GA

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
79.61/100
CMS Quality Rating
1800 PEACHTREE ST. NW, SUITE 720, ATLANTA, GA 30309(404) 351-7520(404) 355-2048 Get Directions Write a Review

NPPES record last updated: April 6, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Theodore Mark Lee Md NPPES

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

THEODORE MARK LEE MD (NPI 1689606881) is an individual allergy provider in Atlanta, Georgia, licensed in Georgia (024014) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Northwestern University Feinberg Medical School (1980).

NPPES Registry Identity

NPI1689606881
Entity TypeIndividualMale
Primary Taxonomy207KA0200X
Provider Legal NameTHEODORE MARK LEECredential: MD
Location Address1800 PEACHTREE ST. NW, SUITE 720Atlanta, GA 30309-2511
Mailing Address1800 Peachtree St. Nw, Suite 720Atlanta, GA 30309-2511 · (404) 351-7520 · Fax (404) 355-2048
Fax(404) 355-2048
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1980
Enumeration DateJuly 7, 2006
Last NPPES UpdateApril 6, 2012
NPI 1689606881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAllergy & Immunology · AllergyAllopathic & Osteopathic Physicians
Taxonomy Code207KA0200X
License Licensed in GA · 024014
Definition
A physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee
1800 PEACHTREE ST. NW, Atlanta, GA 30309

Other Identifiers 10

Other480827Bcbs
Other2754388008Cigna
Other1950Coventry
Other8791Kaiser Pos
Other00278649KGA · Medicade
Other0481981Aetna
Medicare UPIND40428
OtherP00162933GA · Railroad Medicare
Medicare ID-Type Unspecified03BDBDVGA
Medicaid00278649HGA

Accepted 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

Theodore Mark Lee 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 ID7315071123
PECOS Enrollment IDI20100816000792
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 13

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.

Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
2,017 services74 patients
Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
1,388 services27 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
832 services70 patients
Test for allergy using allergenic extract injected into skin 95024
An allergy skin test involves injecting a small amount of allergenic extract into your skin. This test helps determine if you're allergic to specific substances. If allergic, a small red bump appears at the test site. It's safe and quick.
241 services24 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
220 services20 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
206 services18 patients

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.

79.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost32.06

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
88%179 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
5 suppliers80 claims287 services$18.96 avg. paid by Medicare
Injection, immune globulin (cuvitru), 100 mg J1555
Treatment-Injections and Infusions (nononcologic) · category RI008N
1 supplier11 claims5,720 services$11.72 avg. paid by Medicare
Injection, immune globulin (bivigam), 500 mg J1556
Treatment-Injections and Infusions (nononcologic) · category RI008N
1 supplier12 claims1,200 services$55.68 avg. paid by Medicare
Injection, immune globulin (xembify), 100 mg J1558
Treatment-Injections and Infusions (nononcologic) · category RI008N
1 supplier13 claims3,120 services$10.66 avg. paid by Medicare
Injection, immune globulin (hizentra), 100 mg J1559
Treatment-Injections and Infusions (nononcologic) · category RI008N
5 suppliers49 claims17,100 services$9.46 avg. paid by Medicare
Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg J1569
Treatment-Injections and Infusions (nononcologic) · category RI008N
4 suppliers24 claims1,032 services$35.53 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

Allergy & Immunology (Allergy)
1800 PEACHTREE ST. NW, SUITE 720
ATLANTA, GA 30309
Allergy & Immunology (Allergy)
1800 PEACHTREE ST. NW, SUITE 720
ATLANTA, GA 30309

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 Theodore Lee's NPI number?

The NPI number for Theodore Lee is 1689606881. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Theodore Lee located?

Theodore Lee practices at 1800 Peachtree St. NW Suite 720, Atlanta, GA 30309. The listed phone number is (404) 351-7520.

What is Theodore Lee's specialty?

The primary specialty registered for this NPI is Allergy & Immunology, specializing in Allergy, with taxonomy code 207KA0200X.

Is Theodore Lee enrolled in Medicare?

Yes. Theodore 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 Theodore Lee accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Theodore 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 Theodore Lee was last updated on April 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.