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JOHNATHAN TYREE DIETRICH LEE PA-C
NPI 1790165686
Physician Assistant - Medical in Norfolk, VA

Active since June 04, 2015PECOS EnrolledAccepts Medicare Assignment
6333 CENTER DR, INTERSTATE CORPORATE CENTER # 16, NORFOLK, VA 23502(540) 448-0719 Get Directions Write a Review

NPPES record last updated: March 12, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Johnathan Tyree Dietrich Lee Pa-c NPPES

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

JOHNATHAN TYREE DIETRICH LEE PA-C (NPI 1790165686) is an individual medical provider in Norfolk, Virginia, licensed in Virginia (0110005004) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Sentara Princess Anne Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1790165686
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJOHNATHAN TYREE DIETRICH LEECredential: PA-C
Location Address6333 CENTER DR, INTERSTATE CORPORATE CENTER # 16Norfolk, VA 23502-4126
Mailing Address6333 Center Dr, Interstate Corporate Center # 16Norfolk, VA 23502-4126 · (540) 448-0719
Phone(540) 448-0719
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 4, 2015
Last NPPES UpdateMarch 12, 2021
NPPES CertifiedMarch 12, 2021
✔ NPI 1790165686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in VA · 0110005004
6333 CENTER DR, Norfolk, VA 23502
Open in Google Maps ↗

Other Identifiers 1

Other0110005004VA · Virginia Medical License

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

Johnathan Tyree Dietrich Lee Pa-c 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 ID1254647415
PECOS Enrollment IDI20150902001508
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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
59 services57 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
53 services51 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
38 services38 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
16 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sentara Princess Anne Hospital

Acute Care Hospitals · Virginia Beach, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490119
Location2025 Glenn Mitchell DriveVirginia Beach, VA 23456 · Virginia Beach City County
Birthing friendly

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.

Reported Quality Measures

Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use
Percentage of patients aged 2 years and older with a diagnosis of AOE who were not prescribed systemic antimicrobial therapy
95%21 patients
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 8

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

SENTARA MEDICAL GROUP
Urology
6333 CENTER DR, BLDG 16
NORFOLK, VA 23502
Norfolk City (757) 457-5100
SENTARA MEDICAL GROUP
Surgery
6333 CENTER DR, ICC BLDG 16
NORFOLK, VA 23502
Norfolk City (757) 252-9500
UROLOGY OF VIRGINIA, PC
Urology
6333 CENTER DR, BLDG. 16
NORFOLK, VA 23502
Norfolk City (757) 466-0800
MS. HEIDI K ROSS PTA
Physical Therapy Assistant
6333 CENTER DR
NORFOLK, VA 23502
Norfolk City (757) 457-5100
REBEKAH A. PARKER M.S.P.T.
Physical Therapist
6333 CENTER DR, BLDG. 16
NORFOLK, VA 23502
Norfolk City (757) 466-3413
STEVEN M. SCHLOSSBERG M.D.
Urology
6333 CENTER DR, BLDG. 16
NORFOLK, VA 23502
Norfolk City (757) 466-3413
KATHRYN KELLY ABBOTT RD
Dietitian, Registered
6333 CENTER DR, BLDG #16
NORFOLK, VA 23502
Norfolk City (757) 252-9500
MARY ALLAN F. MARTINEZ FNP
Nurse Practitioner
6333 CENTER DR, BLDG. 16
NORFOLK, VA 23502
Norfolk City (757) 466-3429

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 Johnathan Lee's NPI number?

The NPI number for Johnathan Lee is 1790165686. It was assigned to this individual provider in the NPPES registry on June 4, 2015.

Where is Johnathan Lee located?

Johnathan Lee practices at 6333 Center Dr Interstate Corporate Center # 16, Norfolk, VA 23502. The listed phone number is (540) 448-0719.

What is Johnathan Lee's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Johnathan Lee enrolled in Medicare?

Yes. Johnathan 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.

Is Johnathan Lee affiliated with any hospitals?

According to CMS data, Johnathan Lee is affiliated with Sentara Princess Anne Hospital.

When was this NPI record last updated?

The NPPES record for Johnathan Lee was last updated on March 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.