STACEY LEE MD
NPI 1770110504
Ophthalmology in San Diego, CA

Q: 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.

Q: What is Stacey Lee's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: 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 10 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.

Active since March 23, 2020PECOS EnrolledAccepts Medicare Assignment

4405 VANDEVER AVE, SAN DIEGO, CA 92120(833) 574-2273 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 15, 2024, May 12, 2024, Jul 12, 2021 and 1 more (4 updates tracked since 2020).

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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

NPI1770110504

Entity TypeIndividualFemale

Primary Taxonomy207W00000X

Provider Legal NameSTACEY LEECredential: MD

Location Address4405 VANDEVER AVESan Diego, CA 92120-3315

Mailing Address4405 Vandever AveSan Diego, CA 92120-3315

Phone(833) 574-2273

Sole ProprietorNo

Medical School CMSUniv Of Central Florida, College Of MedicineGraduated 2020

Enumeration DateMarch 23, 2020

Last NPPES UpdateSeptember 30, 20254 updates tracked since enumeration

NPPES CertifiedSeptember 30, 2025

✔ NPI 1770110504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in CA · A194715

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedOphthalmology · Cornea and External Diseases SpecialistTaxonomy 207WX0120X · License A194715 (CA)

4405 VANDEVER AVE, San Diego, CA 92120

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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

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.

PECOS PAC ID1759825235

PECOS Enrollment IDI20240626002063

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 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.

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.

58 services54 patients

Transplantation of outer layer of corneal tissue 65756

The transplantation of the outer layer of corneal tissue is a procedure to replace damaged or diseased corneal tissue with healthy tissue from a donor. This can improve vision and alleviate pain or discomfort.

16 services14 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

16 services16 patients

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.

New Patient

$140.22 typical visit price

range $62.10 – $184.71

Typical copayment $35.05 (range $15.52 – $46.17)

Most-billed visit code 99204

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MADELINE C SERAFINE CNM

Advanced Practice Midwife

4405 VANDEVER AVE
SAN DIEGO, CA 92120

San Diego County (619) 528-5000

MICHAEL L. BONIN MD

Pathology (Blood Banking & Transfusion Medicine)

4405 VANDEVER AVE
SAN DIEGO, CA 92120

San Diego County (619) 528-5000

HEIDEMARIE DREGER CRNA

Nurse Anesthetist, Certified Registered

4405 VANDEVER AVE
SAN DIEGO, CA 92120

San Diego County (619) 528-5000

GILBERT B. GREEN MD

Psychiatry & Neurology (Psychiatry)

4405 VANDEVER AVE
SAN DIEGO, CA 92120

San Diego County (619) 528-5000

THOMAS LOHNER MD

Pediatrics

4405 VANDEVER AVE
SAN DIEGO, CA 92120

San Diego County (619) 528-5000

DR. PHILIP HYUNWOO KIM M.D.

Urology

4405 VANDEVER AVE, UROLOGIC SURGERY
SAN DIEGO, CA 92120

San Diego County (619) 528-5000

JOANNE HAY-LING WONG M.D.

Pediatrics

4405 VANDEVER AVE
SAN DIEGO, CA 92120

San Diego County (833) 574-2273

JAMES MICHAEL KELLY MD

Family Medicine

4405 VANDEVER AVE
SAN DIEGO, CA 92120

San Diego County (619) 528-5000

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.

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 10 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.