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NICOLE ERICA LEE MD
NPI 1790246833
Family Medicine in Columbus, OH

Active since March 29, 2019PECOS EnrolledAccepts Medicare Assignment
81.3/100
CMS Quality Rating
500 E MAIN ST STE 100, COLUMBUS, OH 43215(614) 566-9933 Get Directions Write a Review

NPPES record last updated: October 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 6, 2023, Aug 9, 2023 (2 updates tracked since 2023).

About Nicole Erica Lee Md NPPES

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

NICOLE ERICA LEE MD (NPI 1790246833) is an individual family medicine provider in Columbus, Ohio, licensed in Ohio (35.143603) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1790246833
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameNICOLE ERICA LEECredential: MD
Location Address500 E MAIN ST STE 100Columbus, OH 43215-5369
Mailing AddressPo Box 7527Dublin, OH 43017-0727
Phone(614) 566-9933
Sole ProprietorNo
Medical School CMSJc Edwards School Of Medicine, Marshall UniversityGraduated 2019
Enumeration DateMarch 29, 2019
Last NPPES UpdateOctober 6, 20232 updates tracked since enumeration
NPPES CertifiedOctober 6, 2023
✔ NPI 1790246833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35.143603
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.
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X · License 35.143603 (OH)
500 E MAIN ST STE 100, Columbus, OH 43215
Open in Google Maps ↗

Secondary Practice Location 1

Location 1290 E Town StColumbus, OH 43215-4602 · Phone (614) 566-8270

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Oscar Health Insurance and more.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

Nicole Erica 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 ID3678809530
PECOS Enrollment IDI20230717002819
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

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.
26 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Grant Medical Center

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360017
Location111 South Grant AvenueColumbus, OH 43215 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43215 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

81.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.58
Promoting Interoperability98
Improvement Activities40
Cost65.77

Other Providers at the Same Location NPPES 3

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

CORY DOUGLAS MEHL CNP
Nurse Practitioner (Family)
500 E MAIN ST STE 100
COLUMBUS, OH 43215
Franklin County (614) 566-9933
MARGARET JOAN WATT DO
Family Medicine
500 E MAIN ST STE 100
COLUMBUS, OH 43215
Franklin County (614) 566-9933
DR. GEORGE W BARNETT JR. M.D.
Family Medicine
500 E MAIN ST STE 100
COLUMBUS, OH 43215
Franklin County (614) 566-9933

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 Nicole Lee's NPI number?

The NPI number for Nicole Lee is 1790246833. It was assigned to this individual provider in the NPPES registry on March 29, 2019.

Where is Nicole Lee located?

Nicole Lee practices at 500 E Main St Ste 100, Columbus, OH 43215. The listed phone number is (614) 566-9933.

What is Nicole Lee's specialty?

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

Is Nicole Lee enrolled in Medicare?

Yes. Nicole 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 Nicole Lee accept?

Health plans from CareSource, MedMutual, Oscar Health Insurance and Oscar Insurance Corporation of Ohio list Nicole 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.

Is Nicole Lee affiliated with any hospitals?

According to CMS data, Nicole Lee is affiliated with Riverside Methodist Hospital and Grant Medical Center.

When was this NPI record last updated?

The NPPES record for Nicole Lee was last updated on October 6, 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.