1. Home
  2. Directory
  3. Washington
  4. Duvall
  5. Family Medicine
  6. NPI Profile

DR. SHERMAN LEE MD
NPI 1821070285
Family Medicine in Duvall, WA

Active since November 18, 2005PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
14720 MAIN ST NE, SUITE 109, DUVALL, WA 98019(425) 788-4889(425) 844-6116 Get Directions Write a Review

NPPES record last updated: June 17, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Sherman Lee Md NPPES

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

DR. SHERMAN LEE MD (NPI 1821070285) is an individual family medicine provider in Duvall, Washington, licensed in Washington (MD00036778) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Evergreenhealth Monroe, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1821070285
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SHERMAN LEECredential: MD
Location Address14720 MAIN ST NE, SUITE 109Duvall, WA 98019-8460
Mailing AddressPo Box 34036Seattle, WA 98124-1036 · (425) 899-3292 · Fax (425) 899-3269
Phone(425) 788-4889
Fax(425) 844-6116
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateNovember 18, 2005
Last NPPES UpdateJune 17, 2009
✔ NPI 1821070285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · MD00036778
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.
14720 MAIN ST NE, Duvall, WA 98019
Open in Google Maps ↗

Other Identifiers 5

Other184944WA · Labor & Industries
Other2955KIWA · Blue Shield
Medicaid8021107WA
Medicare UPINF88824WA
Medicare PING8806675WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Dr. Sherman 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 ID3870560220
PECOS Enrollment IDI20040914001254
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 9

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.
264 services155 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
98 services33 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.
66 services59 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
53 services53 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
17 services16 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.
17 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Evergreenhealth Monroe

Acute Care Hospitals · Monroe, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500084
Location14701 179th Ave SEMonroe, WA 98272 · Snohomish County
Emergency services

Evergreenhealth Medical Center

Acute Care Hospitals · Kirkland, WA
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500124
Location12040 NE 128th StreetKirkland, WA 98034 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98019 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality88.56
Promoting Interoperability100
Improvement Activities40
Cost36.45

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
0%31 patients
Appropriate Treatment for Upper Respiratory Infection (URI)
93%61 patients4/55-star benchmark: 100%
Breast Cancer Screening
66%229 patients3/55-star benchmark: 93%
Cervical Cancer Screening
39%314 patients2/55-star benchmark: 98%
Chlamydia Screening for Women
10%21 patients
Closing the Referral Loop: Receipt of Specialist Report
1%371 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
50%950 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
74%532 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
7%135 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
13%135 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
80%2,979 patients3/55-star benchmark: 100%
e-Prescribing
100%402 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
29%459 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
22%1,463 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
51%1,312 patients3/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
38%1,360 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 85% · 1,112 patients
Patients screened: 92% · 1,112 patients
17%93 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
99%652 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
71%393 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 5% · 511 patients
Patients totalRate: 13% · 511 patients
12%511 patients3/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers16 claims46 services$6.00 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$13.83 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$62.02 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

PUBLIC HOSPITAL DISTRICT NO 2
Family Medicine
14720 MAIN ST NE, STE 109
DUVALL, WA 98019
King County (425) 788-4889
MR. KYLE THOMAS KREKOW PA-C
Physician Assistant
14720 MAIN ST NE, SUITE 109
DUVALL, WA 98019
King County (425) 788-4889
KRISTI S. MOFFAT MD
Family Medicine
14720 MAIN ST NE, SUITE 109
DUVALL, WA 98019
King County (425) 788-4889

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 Sherman Lee's NPI number?

The NPI number for Sherman Lee is 1821070285. It was assigned to this individual provider in the NPPES registry on November 18, 2005.

Where is Sherman Lee located?

Sherman Lee practices at 14720 Main St NE Suite 109, Duvall, WA 98019. The listed phone number is (425) 788-4889.

What is Sherman Lee's specialty?

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

Is Sherman Lee enrolled in Medicare?

Yes. Sherman 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 Sherman Lee accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Sherman 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 Sherman Lee affiliated with any hospitals?

According to CMS data, Sherman Lee is affiliated with Evergreenhealth Monroe and Evergreenhealth Medical Center.

When was this NPI record last updated?

The NPPES record for Sherman Lee was last updated on June 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.