MR. MATTHEW LEE NP-C
NPI 1730536368
Nurse Practitioner - Family in Dothan, AL

Active since May 24, 2016PECOS EnrolledAccepts Medicare Assignment
57.88/100
CMS Quality Rating
4370 W MAIN ST, DOTHAN, AL 36305(334) 794-5000 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Matthew Lee Np-c NPPES

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

MR. MATTHEW LEE NP-C (NPI 1730536368) is an individual family provider in Dothan, Alabama, licensed in Alabama (CRNP-1-116206) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1730536368
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. MATTHEW LEECredential: NP-C
Location Address4370 W MAIN STDothan, AL 36305-1056
Mailing Address450 Larned LoopCary, NC 27513-4652 · (334) 714-1047
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 24, 2016
Last NPPES UpdateAugust 22, 2023
NPPES CertifiedFebruary 24, 2021
✔ NPI 1730536368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AL · CRNP-1-116206
4370 W MAIN ST, Dothan, AL 36305

Accepted Insurance

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

Mr. Matthew Lee Np-c 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 ID6406148774
PECOS Enrollment IDI20210226002146, I20210820000687, I20211109000086, I20221027002934, I20240531003842
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 Reassignments

8

Medicare enrollment records show Matthew Lee reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
4370 W MAIN ST
Dothan, AL 36305
  • Reassigned Medicare billing, Alabama enrollment
  • 111 clinicians in this Medicare group
Emergency Medicine
849 S THREE NOTCH ST
Andalusia, AL 36420
  • Reassigned Medicare billing, Alabama enrollment
  • 40 clinicians in this Medicare group
Emergency Medicine
5885 GLENRIDGE DR STE 100
Atlanta, GA 30328
  • Reassigned Medicare billing, Georgia, Oklahoma, District of Columbia and Virginia enrollments
  • Also billed through NPI 1164920252 (Oklahoma), NPI 1740622133 (Virginia)
  • 69 clinicians in this Medicare group
Emergency Medicine
15155 HIGHWAY 43
Russellville, AL 35653
  • Reassigned Medicare billing, Alabama enrollment
  • 286 clinicians in this Medicare group
Emergency Medicine
5421 BEAUMONT CENTER BLVD STE 660
Tampa, FL 33634
  • Reassigned Medicare billing, Florida enrollment
  • 132 clinicians in this Medicare group
Emergency Medicine
1616 E MILLBROOK RD STE 140
Raleigh, NC 27609
  • Reassigned Medicare billing, North Carolina enrollment
  • 43 clinicians in this Medicare group
Emergency Medicine
2 PARKWAY # 1B
Upper Saddle River, NJ 07458
  • Reassigned Medicare billing, New Jersey enrollment
  • 48 clinicians in this Medicare group
Emergency Medicine
567 SOUTHBRIDGE ST STE 10
Auburn, MA 01501
  • Reassigned Medicare billing, Massachusetts enrollment
  • 42 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 4

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.

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
60 services60 patients
Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes 99342
A new patient home visit is a 30-minute appointment where a healthcare provider comes to your home to assess your health needs. This can include discussing your medical history, current conditions, and treatment plans. It's a convenient way to receive care in your own environment.
57 services56 patients
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344
A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.
17 services17 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36305 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

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.

57.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality54.49
Improvement Activities40
Cost18.91

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.

Radiology (Diagnostic Radiology)
4370 W MAIN ST
DOTHAN, AL 36305
Anesthesiology
4370 W MAIN ST, ANESTHESIA DEPT
DOTHAN, AL 36305
Nurse Anesthetist, Certified Registered
4370 W MAIN ST
DOTHAN, AL 36305
Anesthesiology
4370 W MAIN ST, ANESTHESIA DEPT
DOTHAN, AL 36305
Urology
4370 W MAIN ST
DOTHAN, AL 36305
Nurse Anesthetist, Certified Registered
4370 W MAIN ST
DOTHAN, AL 36305
Nurse Practitioner (Family)
4370 W MAIN ST
DOTHAN, AL 36305
Student in an Organized Health Care Education/Training Program
4370 W MAIN ST
DOTHAN, AL 36305

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 Matthew Lee's NPI number?

The NPI number for Matthew Lee is 1730536368. It was assigned to this individual provider in the NPPES registry on May 24, 2016.

Where is Matthew Lee located?

Matthew Lee practices at 4370 W Main St, Dothan, AL 36305. The listed phone number is (334) 794-5000.

What is Matthew Lee's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Matthew Lee enrolled in Medicare?

Yes. Matthew 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.

Which organizations bill Medicare for Matthew Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Lee reassigns Medicare benefits to 8 organizations: Southern Alabama Physicians LLP (Dothan, AL), Moore Emergency Group, LLC (Andalusia, AL), True North Health Navigation LLC (Atlanta, GA), App Of Alabama Ed PLLC (Russellville, AL), Dispatchhealth-Florida Inc. (Tampa, FL) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Matthew Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Lee accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Oscar Insurance Company and PacificSource Health Plans list Matthew 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 Matthew Lee was last updated on August 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.