JONGSERK ROBERT LEE DO, MS
NPI 1861999005
Psychiatry & Neurology - Neurology in Modesto, CA
About Jongserk Robert Lee Do, Ms NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JONGSERK ROBERT LEE DO, MS (NPI 1861999005) is an individual neurology provider in Modesto, California, licensed in California (17556) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and is a graduate of Touro Un Col Of Osteopathic Medicine, Henderson (2018).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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
Jongserk Robert Lee Do, Ms 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jongserk Lee reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Modesto, CA 95350
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Golden Valley Health Centers
- 440 clinicians in this Medicare group
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
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 95356 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MODESTO, CA 95356
MODESTO, CA 95356
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 Jongserk Lee's NPI number?
The NPI number for Jongserk Lee is 1861999005. It was assigned to this individual provider in the NPPES registry on April 12, 2018.
Where is Jongserk Lee located?
Jongserk Lee practices at 4601 Dale Rd, Modesto, CA 95356. The listed phone number is (209) 735-5000.
What is Jongserk Lee's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Jongserk Lee enrolled in Medicare?
Yes. Jongserk 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 Jongserk Lee's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jongserk Lee reassigns Medicare benefits to 2 organizations: Golden Valley Health Center (Modesto, CA) and Permanente Medical Group Inc (Stockton, CA). 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 Jongserk Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jongserk Lee was last updated on September 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jongserk Robert Lee, DO, MS · NPI 1861999005
Neurology physician in Modesto, California. Individual provider, active in the CMS NPPES registry since April 12, 2018.
## Identity
- **NPI:** 1861999005 (Entity type: Individual)
- **Enumerated:** April 12, 2018
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** 17556 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4601 DALE RD, Modesto, CA 95356-9718
- **Phone:** (209) 735-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Golden Valley Health Center (NPI 1699332247, Modesto, CA); Permanente Medical Group Inc (NPI 1548343510, Stockton, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Touro Un Col Of Osteopathic Medicine, Henderson, class of 2018
## Record status
- **NPPES last updated:** September 25, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1861999005) · Data from the CMS NPPES public registry.