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SAMUEL C LEE DO
NPI 1770508376
Family Medicine in Fort Worth, TX

Active since July 13, 2006PECOS EnrolledAccepts Medicare Assignment
1412 MAY ST, FORT WORTH, TX 76104(817) 625-8818(817) 625-7850 Get Directions Write a Review

NPPES record last updated: December 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 14, 2023, Sep 29, 2020 (2 updates tracked since 2020).

About Samuel C Lee Do NPPES

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

SAMUEL C LEE DO (NPI 1770508376) is an individual family medicine provider in Fort Worth, Texas, licensed in Texas (K0107) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1770508376
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSAMUEL C LEECredential: DO
Location Address1412 MAY STFort Worth, TX 76104-7639
Mailing Address1412 May StFort Worth, TX 76104-7639 · (817) 625-8818 · Fax (817) 625-7850
Phone(817) 625-8818
Fax(817) 625-7850
Sole ProprietorYes
Medical School CMSOtherGraduated 1994
Enumeration DateJuly 13, 2006
Last NPPES UpdateDecember 19, 20232 updates tracked since enumeration
NPPES CertifiedDecember 19, 2023
✔ NPI 1770508376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · K0107
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1412 MAY ST, Fort Worth, TX 76104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

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

Samuel C Lee Do 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 ID7012903495
PECOS Enrollment IDI20101012001296
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 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.

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.
69 services35 patients
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.
37 services22 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
15 services13 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

Other Providers at the Same Location NPPES 4

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

MELANIE EBRU SCOTT PA-C
Physician Assistant
1412 MAY ST
FORT WORTH, TX 76104
Tarrant County (817) 625-8818
MRS. JENNIFER ANDREA JAMES FNP, APRN
Nurse Practitioner (Family)
1412 MAY ST
FORT WORTH, TX 76104
Tarrant County (817) 625-8818
MARIA ESTER RAMIREZ FNP-C
Nurse Practitioner (Family)
1412 MAY ST
FORT WORTH, TX 76104
Tarrant County (817) 625-8818
DR. MOHAMMAD IQBAL MUGHAL M.D.
Internal Medicine
1412 MAY ST
FORT WORTH, TX 76104
Tarrant County (817) 625-8818

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 Samuel Lee's NPI number?

The NPI number for Samuel Lee is 1770508376. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Samuel Lee located?

Samuel Lee practices at 1412 May St, Fort Worth, TX 76104. The listed phone number is (817) 625-8818.

What is Samuel Lee's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Samuel Lee enrolled in Medicare?

Yes. Samuel 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.

What insurance does Samuel Lee accept?

Health plans from Blue Cross and Blue Shield of Texas list Samuel 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 Samuel Lee was last updated on December 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.