DR. MI SOOK LEE DMD, PHD
NPI 1821578758
Dentist - Pediatric Dentistry in Gainesville, FL

Q: What is Mi Sook Lee's NPI number?

The NPI number for Mi Sook Lee is 1821578758. It was assigned to this individual provider in the NPPES registry on August 20, 2018.

Q: What is Mi Sook Lee's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: When was this NPI record last updated?

The NPPES record for Mi Sook Lee was last updated on January 19, 2024. 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.

Active since August 20, 2018PECOS Enrolled

1600 SW ARCHER RD, GAINESVILLE, FL 32610(352) 273-7643(352) 273-6765 Get Directions Write a Review

NPPES record last updated: January 19, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 8, 2023, Sep 11, 2022, Aug 3, 2021 and 3 more (6 updates tracked since 2018).

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About Dr. Mi Sook Lee Dmd, Phd NPPES

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

DR. MI SOOK LEE DMD, PHD (NPI 1821578758) is an individual pediatric dentistry provider in Gainesville, Florida, licensed in Florida (DTP802) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821578758

Entity TypeIndividualFemale

Primary Taxonomy1223P0221X

Provider Legal NameDR. MI SOOK LEECredential: DMD, PHD

Location Address1600 SW ARCHER RDGainesville, FL 32610-0426

Mailing AddressPo Box 100426, 1395 Center Drive Room 11-6Gainesville, FL 32610-0426 · (352) 273-7643 · Fax (352) 273-6765

Phone(352) 273-7643

Fax(352) 273-6765

Sole ProprietorNo

Enumeration DateAugust 20, 2018

Last NPPES UpdateJanuary 19, 20246 updates tracked since enumeration

NPPES CertifiedJanuary 19, 2024

✔ NPI 1821578758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

Licenses✔ Licensed in FL · DTP802✔ Licensed in CA · 102494✔ Licensed in NE · 7866

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 102494 (CA)

1600 SW ARCHER RD, Gainesville, FL 32610

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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 Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mi Sook Lee Dmd, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Mi Sook Lee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Florida Clinical Practice Association Inc

Same address

Surgery

1600 SW ARCHER RD
Gainesville, FL 32610

Reassigned Medicare billing, Florida enrollment
3,324 clinicians in this Medicare group

NPI 1063463768 (352) 265-7922

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32610 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

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 20

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

DR. BAHAREH EBADIFAR KEITH DO

Pediatrics

1600 SW ARCHER RD
GAINESVILLE, FL 32610

Alachua County (352) 273-0462

AFRASYAB KHAN

Surgery

1600 SW ARCHER RD
GAINESVILLE, FL 32610

Alachua County (352) 265-0680

GULSUN ERDAG MD

Pathology (Anatomic Pathology & Clinical Pathology)

1600 SW ARCHER RD
GAINESVILLE, FL 32610

Alachua County (352) 265-9900

DR. ALBERT H. MATTIA D.D.S.

Dentist (Prosthodontics)

1600 SW ARCHER RD, D4-4
GAINESVILLE, FL 32610

Alachua County (352) 273-5801

JOANNA CHAFFIN

Pathology (Anatomic Pathology & Clinical Pathology)

1600 SW ARCHER RD
GAINESVILLE, FL 32610

Alachua County (352) 627-9272

DR. CASEY JUSTIN BEAL MD

Ophthalmology

1600 SW ARCHER RD, BOX 100284
GAINESVILLE, FL 32610

Alachua County (352) 273-8778

WILLIAM CRAIG HICKS CRNA

Nurse Anesthetist, Certified Registered

1600 SW ARCHER RD
GAINESVILLE, FL 32610

Alachua County (352) 273-6438

HENRY FONTILLAS PATALINGHUG CRNA

Nurse Anesthetist, Certified Registered

1600 SW ARCHER RD
GAINESVILLE, FL 32610

Alachua County (352) 273-6438

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 Mi Sook Lee's NPI number?

The NPI number for Mi Sook Lee is 1821578758. It was assigned to this individual provider in the NPPES registry on August 20, 2018.

Where is Mi Sook Lee located?

Mi Sook Lee practices at 1600 SW Archer Rd, Gainesville, FL 32610. The listed phone number is (352) 273-7643.

What is Mi Sook Lee's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Mi Sook Lee enrolled in Medicare?

Yes. Mi Sook Lee is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mi Sook Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mi Sook Lee reassigns Medicare benefits to Florida Clinical Practice Association Inc (Gainesville, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mi Sook Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mi Sook Lee accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Cigna Healthcare and Humana list Mi Sook 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 Mi Sook Lee was last updated on January 19, 2024. 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.