LEE THOMAS COLAIANNI MD
NPI 1801165378
Emergency Medicine in Dover, DE

Active since December 29, 2011PECOS EnrolledAccepts Medicare Assignment
98.03/100
CMS Quality Rating
640 S STATE ST, DOVER, DE 19901(302) 674-4700(302) 735-3845 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 20, 2022, Feb 10, 2020 (2 updates tracked since 2020).

About Lee Thomas Colaianni Md NPPES

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

LEE THOMAS COLAIANNI MD (NPI 1801165378) is an individual emergency medicine provider in Dover, Delaware, licensed in Delaware (C1-0026054) and active in the NPI registry since December 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1801165378
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameLEE THOMAS COLAIANNICredential: MD
Location Address640 S STATE STDover, DE 19901-3530
Mailing Address640 S State St # Mc3055Dover, DE 19901-3530 · (302) 480-1688 · Fax (302) 480-9807
Fax(302) 735-3845
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 29, 2011
Last NPPES UpdateJune 29, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2023
NPI 1801165378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in DE · C1-0026054
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

640 S STATE ST, Dover, DE 19901

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

Lee Thomas Colaianni 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 ID1153581384
PECOS Enrollment IDI20230731000584
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 8

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 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.
406 services392 patients
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.
189 services180 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
41 services40 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
27 services27 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.
21 services21 patients
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.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19901 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

98.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.52
Promoting Interoperability100
Improvement Activities40

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.

Pharmacist
640 S STATE ST
DOVER, DE 19901
Internal Medicine
640 S STATE ST
DOVER, DE 19901
Internal Medicine (Hematology & Oncology)
640 S STATE ST
DOVER, DE 19901
Nurse Practitioner (Acute Care)
640 S STATE ST
DOVER, DE 19901
Internal Medicine
640 S STATE ST
DOVER, DE 19901
Physician Assistant
640 S STATE ST
DOVER, DE 19901
Pharmacist
640 S STATE ST, PHARMACY
DOVER, DE 19901
Registered Nurse (Critical Care Medicine)
640 S STATE ST
DOVER, DE 19901

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 Lee Colaianni's NPI number?

The NPI number for Lee Colaianni is 1801165378. It was assigned to this individual provider in the NPPES registry on December 29, 2011.

Where is Lee Colaianni located?

Lee Colaianni practices at 640 S State St, Dover, DE 19901. The listed phone number is (302) 674-4700.

What is Lee Colaianni's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Lee Colaianni enrolled in Medicare?

Yes. Lee Colaianni 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 Lee Colaianni was last updated on June 29, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.