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GEUN DONG LEE M.D.
NPI 1871767335
Pediatrics in Modesto, CA

Active since April 16, 2008PECOS Enrolled
4125 BANGS AVE, MODESTO, CA 95356(858) 472-0182 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Geun Dong Lee M.d. NPPES

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

GEUN DONG LEE M.D. (NPI 1871767335) is an individual pediatrics provider in Modesto, California, licensed in California (A101159) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871767335
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameGEUN DONG LEECredential: M.D.
Location Address4125 BANGS AVEModesto, CA 95356-8713
Mailing Address4125 Bangs AveModesto, CA 95356-8713 · (858) 472-0182
Phone(858) 472-0182
Sole ProprietorYes
Enumeration DateApril 16, 2008
Last NPPES UpdateFebruary 11, 2022
✔ NPI 1871767335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A101159
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4125 BANGS AVE, Modesto, CA 95356
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Geun Dong Lee M.d. 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.

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.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

Other Providers at the Same Location NPPES 19

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

DR. KURT DAYNE BAKER PH.D.
Psychologist (Clinical)
4125 BANGS AVE
MODESTO, CA 95356
Stanislaus County (209) 557-2300
DR. ANDREW DAVID MAMALIS MD
Student in an Organized Health Care Education/Training Program
4125 BANGS AVE
MODESTO, CA 95356
Stanislaus County (209) 735-5510
MS. LISA TEIXEIRA
Social Worker (Clinical)
4125 BANGS AVE
MODESTO, CA 95356
Stanislaus County (209) 557-2314
NICOLE RENEE DAVIS-MARENCO FNP
Nurse Practitioner
4125 BANGS AVE
MODESTO, CA 95356
Stanislaus County (209) 735-5510
DR. MARY JESSIE SUMITHRA M.D
Pediatrics
4125 BANGS AVE
MODESTO, CA 95356
Stanislaus County (209) 557-1630
MARIA MARISSA DE LEON LIWAG MD
Pediatrics
4125 BANGS AVE
MODESTO, CA 95356
Stanislaus County (209) 551-3174
DR. BARBARA MARIE TODD PHD, MSCP
Psychologist (Clinical)
4125 BANGS AVE, DEPARTMENT OF PEDIATRICS, KAISER PERMANENTE
MODESTO, CA 95356
Stanislaus County (209) 557-1643
ANA LUISA CALLENDER LMFT
Counselor (Mental Health)
4125 BANGS AVE
MODESTO, CA 95356
Stanislaus County (209) 557-2309

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 Geun Lee's NPI number?

The NPI number for Geun Lee is 1871767335. It was assigned to this individual provider in the NPPES registry on April 16, 2008.

Where is Geun Lee located?

Geun Lee practices at 4125 Bangs Ave, Modesto, CA 95356. The listed phone number is (858) 472-0182.

What is Geun Lee's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Geun Lee enrolled in Medicare?

Yes. Geun Lee is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Geun Lee was last updated on February 11, 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.