GEUN DONG LEE M.D.
NPI 1871767335
Pediatrics in Modesto, CA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Geun Dong Lee M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Geun Lee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
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 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.
Which organization bills Medicare for Geun Lee's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Geun Lee reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). 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 Geun 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 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.
# Geun Dong Lee, M.D. · NPI 1871767335
Pediatrics physician in Modesto, California. Individual provider, active in the CMS NPPES registry since April 16, 2008.
## Identity
- **NPI:** 1871767335 (Entity type: Individual)
- **Enumerated:** April 16, 2008
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** A101159 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4125 BANGS AVE, Modesto, CA 95356-8713
- **Phone:** (858) 472-0182
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1548343510, Stockton, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 11, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1871767335) · Data from the CMS NPPES public registry.