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HERBERT LEE MD
NPI 1740206689
Internal Medicine - Gastroenterology in Irvine, CA

Active since July 14, 2006PECOS EnrolledAccepts Medicare Assignment
60.28/100
CMS Quality Rating
113 WATERWORKS WAY, SUITE 315A, IRVINE, CA 92618(949) 552-9628(949) 552-3758 Get Directions Write a Review

NPPES record last updated: February 20, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Herbert Lee Md NPPES

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

HERBERT LEE MD (NPI 1740206689) is an individual gastroenterology provider in Irvine, California, licensed in California (A41465) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1980).

NPPES Registry Identity

NPI1740206689
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameHERBERT LEECredential: MD
Location Address113 WATERWORKS WAY, SUITE 315AIrvine, CA 92618-3167
Mailing Address4870 Barranca Pkwy, Suite 300Irvine, CA 92604-4709 · (949) 552-9628 · Fax (949) 552-3758
Phone(949) 552-9628
Fax(949) 552-3758
Sole ProprietorYes
Medical School CMSOtherGraduated 1980
Enumeration DateJuly 14, 2006
Last NPPES UpdateFebruary 20, 2013
✔ NPI 1740206689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in CA · A41465
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
113 WATERWORKS WAY, Irvine, CA 92618
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINA79383CA

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

Herbert 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 ID6204804958
PECOS Enrollment IDI20120315000601
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 11

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
1,273 services211 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
159 services105 patients
Complete ultrasound scan of abdomen 76700
A complete ultrasound scan of the abdomen is a non-invasive imaging procedure. It uses sound waves to produce images of the organs in your abdomen, such as the liver, gallbladder, spleen, pancreas, and kidneys. It helps in diagnosing, monitoring, and planning treatments.
156 services138 patients
Complete ultrasound scan behind abdominal cavity 76770
A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.
155 services137 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
114 services109 patients
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.
36 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92618 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

60.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality49.08
Promoting Interoperability88
Improvement Activities0
Cost74.25

Reported Quality Measures

Colorectal Cancer Screening
81%633 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
44%2,900 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
14%693 patients1/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
8%1,592 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
35%425 patients1/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
33%33 patients1/55-star benchmark: 100%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
94%202 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.

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.

ADRIAN ACOSTA DDS A PROFESSIONAL DENTAL CORP
Dentist (General Practice)
113 WATERWORKS WAY, 355
IRVINE, CA 92618
Orange County (562) 356-0948
DIANE BOVAL DDS A COMMUNITY DENTAL CORP.
Dentist (General Practice)
113 WATERWORKS WAY, SUITE 355
IRVINE, CA 92618
Orange County (949) 284-2913
AMIR B RAFIZAD M.D.
Anesthesiology (Pain Medicine)
113 WATERWORKS WAY, SUITE 345
IRVINE, CA 92618
Orange County (949) 872-2400
ZEN CARE CHIROPRACTIC WELLNESS CENTER
Chiropractor (Rehabilitation)
113 WATERWORKS WAY, #115
IRVINE, CA 92618
Orange County (949) 727-1772
MR. WASSIEM ABDELMALEK PHYSICAL THERAPIST
Physical Therapist
113 WATERWORKS WAY, #230
IRVINE, CA 92618
Orange County (949) 770-1911
SOGOL J SAGHARI MD A PROFESSIONAL CORPORATION
Dermatology
113 WATERWORKS WAY, SUITE 235
IRVINE, CA 92618
Orange County (310) 493-6649
KANG CHIROPRACTIC INC.
Chiropractor
113 WATERWORKS WAY, 115
IRVINE, CA 92618
Orange County (949) 727-1772
DEAN F ARIAEE DDS
Dentist (General Practice)
113 WATERWORKS WAY, 310
IRVINE, CA 92618
Orange County (949) 558-7988

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 Herbert Lee's NPI number?

The NPI number for Herbert Lee is 1740206689. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Herbert Lee located?

Herbert Lee practices at 113 Waterworks Way Suite 315A, Irvine, CA 92618. The listed phone number is (949) 552-9628.

What is Herbert Lee's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Herbert Lee enrolled in Medicare?

Yes. Herbert 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.

When was this NPI record last updated?

The NPPES record for Herbert Lee was last updated on February 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.