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DR. MARK ROBERT LEE M.D.
NPI 1861413536
Neurological Surgery in Wheeling, WV

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment
40 MEDICAL PARK STE 508, WHEELING, WV 26003(304) 243-8916(304) 243-7194 Get Directions Write a Review

NPPES record last updated: February 9, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 9, 2022, Oct 8, 2018 (2 updates tracked since 2018).

About Dr. Mark Robert Lee M.d. NPPES

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

DR. MARK ROBERT LEE M.D. (NPI 1861413536) is an individual neurological surgery provider in Wheeling, West Virginia, licensed in Texas (N2167) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Chicago, Pritzker School Of Medicine (1986).

NPPES Registry Identity

NPI1861413536
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. MARK ROBERT LEECredential: M.D.
Location Address40 MEDICAL PARK STE 508Wheeling, WV 26003
Mailing Address333 N Santa RosaSan Antonio, TX 78207-3108 · (210) 704-4100
Phone(304) 243-8916
Fax(304) 243-7194
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 1986
Enumeration DateJuly 21, 2006
Last NPPES UpdateFebruary 9, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2022
✔ NPI 1861413536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Licenses✔ Licensed in TX · N2167✔ Licensed in WV · 28512✔ Licensed in GA · 039151✔ Licensed in SC · 27496
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Also ListedSurgery · Pediatric SurgeryTaxonomy 2086S0120X · License N2167 (TX)
40 MEDICAL PARK STE 508, Wheeling, WV 26003
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Secondary Practice Locations 2

Location 11301 Barbara Jordan Blvd, Suite 307Austin, TX 78723-3077 · Phone (512) 324-0910 · Fax (512) 324-0643
Location 2333 N Santa RosaSan Antonio, TX 78207-3108 · Phone (210) 704-4100

Other Identifiers 2

Medicaid000618032EGA
OtherGRP8134GA · Medicare Group#

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mark Robert Lee M.d. 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 ID4587626726
PECOS Enrollment IDI20090420000099
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 Reassignments

3

Medicare enrollment records show Mark Lee reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dell Children's Medical Group
1,163 mi
Pediatrics
1000 HESTERS CROSSING RD
Round Rock, TX 78681
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Dell Childrens Medical Group
  • 576 clinicians in this Medicare group
NPI 1790103869 (512) 628-1800
Seton Family Of Doctors
1,168 mi
Family Medicine
3001 PALM WAY, D1 : 134-138
Austin, TX 78758
  • Reassigned Medicare billing, Texas enrollment
  • 1,188 clinicians in this Medicare group
NPI 1225644065 (512) 324-5938
Baylor College Of Medicine
1,247 mi
Pediatrics
333 N SANTA ROSA
San Antonio, TX 78207
  • Reassigned Medicare billing, Texas enrollment
  • 453 clinicians in this Medicare group
NPI 1285079764 (210) 704-3030

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 26003 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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.

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

Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%78 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
44%224 patients2/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
65%23 patients3/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
18%120 patients1/55-star benchmark: 88%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
91%224 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
17%224 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
36%224 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

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

DR. AZEDINE MEDHKOUR M.D.
Neurological Surgery
40 MEDICAL PARK STE 508
WHEELING, WV 26003
Ohio County (304) 243-8916

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 Mark Lee's NPI number?

The NPI number for Mark Lee is 1861413536. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Mark Lee located?

Mark Lee practices at 40 Medical Park Ste 508, Wheeling, WV 26003. The listed phone number is (304) 243-8916.

What is Mark Lee's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Mark Lee enrolled in Medicare?

Yes. Mark 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.

Which organizations bill Medicare for Mark Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Lee reassigns Medicare benefits to 3 organizations: Dell Children's Medical Group (Round Rock, TX), Seton Family Of Doctors (Austin, TX) and Baylor College Of Medicine (San Antonio, TX). Each 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 Mark Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Lee accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and Oscar Insurance Company list Mark 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 Mark Lee was last updated on February 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.