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GAVIN LEE
NPI 1760978290
Podiatrist - Foot & Ankle Surgery in Fresno, CA

Active since July 09, 2018PECOS Enrolled
0/100
CMS Quality Rating
7210 N MILBURN AVE STE 101, FRESNO, CA 93722(559) 224-5101 Get Directions Write a Review

NPPES record last updated: August 12, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 12, 2020, Aug 8, 2020, Jul 9, 2018 (3 updates tracked since 2018).

About Gavin Lee NPPES

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

GAVIN LEE (NPI 1760978290) is an individual foot & ankle surgery provider in Fresno, California, licensed in California (E5623) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Vallejo.

NPPES Registry Identity

NPI1760978290
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameGAVIN LEE
Location Address7210 N MILBURN AVE STE 101Fresno, CA 93722-8449
Mailing Address4773 Hazelnut AveSeal Beach, CA 90740-3016 · (562) 296-3015
Phone(559) 224-5101
Sole ProprietorNo
Enumeration DateJuly 9, 2018
Last NPPES UpdateAugust 12, 20203 updates tracked since enumeration
NPPES CertifiedAugust 12, 2020
✔ NPI 1760978290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in CA · E5623
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
7210 N MILBURN AVE STE 101, Fresno, CA 93722
Open in Google Maps ↗

Secondary Practice Location 1

Location 1975 Sereno DrVallejo, CA 94589-2441 · Phone (707) 651-4071

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gavin Lee 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.

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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Referred Medical Equipment & Supplies CMS DME claims 2

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

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
2 suppliers20 claims40 services$61.40 avg. paid by Medicare
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512
DME-Orthotic Devices · category DF000N
2 suppliers19 claims114 services$25.04 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

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

DR. JAGPREET MUKKER DPM
Podiatrist (Foot & Ankle Surgery)
7210 N MILBURN AVE STE 101
FRESNO, CA 93722
Fresno County (559) 224-5101

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 Gavin Lee's NPI number?

The NPI number for Gavin Lee is 1760978290. It was assigned to this individual provider in the NPPES registry on July 9, 2018.

Where is Gavin Lee located?

Gavin Lee practices at 7210 N Milburn Ave Ste 101, Fresno, CA 93722. The listed phone number is (559) 224-5101.

What is Gavin Lee's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Gavin Lee enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Gavin Lee was last updated on August 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.