STACEY LEE MD
NPI 1770110504
Ophthalmology in San Diego, CA
About Stacey Lee Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACEY LEE MD (NPI 1770110504) is an individual ophthalmology provider in San Diego, California, licensed in California (A194715) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Univ Of Central Florida, College Of Medicine (2020).
NPPES Registry Identity
Specialties & Licenses 2
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
Stacey 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.
Medicare Billing Reassignments
2Medicare enrollment records show Stacey Lee reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Diego, CA 92120
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Orange, CA 92868
- Reassigned Medicare billing, California enrollment
- 113 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 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92120 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SAN DIEGO, CA 92120
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 Stacey Lee's NPI number?
The NPI number for Stacey Lee is 1770110504. It was assigned to this individual provider in the NPPES registry on March 23, 2020.
Where is Stacey Lee located?
Stacey Lee practices at 4405 Vandever Ave, San Diego, CA 92120. The listed phone number is (833) 574-2273.
What is Stacey Lee's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Stacey Lee enrolled in Medicare?
Yes. Stacey 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 Stacey Lee's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Lee reassigns Medicare benefits to 2 organizations: Southern California Permanente Medical Group (San Diego, CA) and Regents Of The University Of California (Orange, CA). 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 Stacey Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Stacey Lee was last updated on September 30, 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.
# Stacey Lee, MD · NPI 1770110504
Ophthalmology physician in San Diego, California. Individual provider, active in the CMS NPPES registry since March 23, 2020.
## Identity
- **NPI:** 1770110504 (Entity type: Individual)
- **Enumerated:** March 23, 2020
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** A194715 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4405 VANDEVER AVE, San Diego, CA 92120-3315
- **Phone:** (833) 574-2273
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Southern California Permanente Medical Group (NPI 1225060742, San Diego, CA); Regents Of The University Of California (NPI 1871541953, Orange, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Univ Of Central Florida, College Of Medicine, class of 2020
## Record status
- **NPPES last updated:** September 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1770110504) · Data from the CMS NPPES public registry.