DAE-WON LEE
NPI 1881078707
Emergency Medicine in Fontana, CA

Q: What is Dae-won Lee's NPI number?

The NPI number for Dae-won Lee is 1881078707. It was assigned to this individual provider in the NPPES registry on July 10, 2015.

Q: What is Dae-won Lee's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Dae-won Lee was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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 July 10, 2015PECOS EnrolledAccepts Medicare Assignment

9961 SIERRA AVE, FONTANA, CA 92335(909) 724-5000 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 23, 2021, Nov 19, 2018 (2 updates tracked since 2018).

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About Dae-won Lee NPPES

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

DAE-WON LEE (NPI 1881078707) is an individual emergency medicine provider in Fontana, California, licensed in California (A152262) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (2015).

NPPES Registry Identity

NPI1881078707

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDAE-WON LEE

Location Address9961 SIERRA AVEFontana, CA 92335-6720

Mailing AddressPhr Group Provider Enrollment Unit, 393 E Walnut St Fl 3Pasadena, CA 91188-0001 · (877) 608-0044 · Fax (877) 514-0903

Phone(909) 724-5000

Sole ProprietorYes

Medical School CMSWayne State University School Of MedicineGraduated 2015

Enumeration DateJuly 10, 2015

Last NPPES UpdateMay 1, 20252 updates tracked since enumeration

NPPES CertifiedMay 1, 2025

✔ NPI 1881078707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in CA · A152262✔ Licensed in MO · 2015021362

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

9961 SIERRA AVE, Fontana, CA 92335

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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 and accepts Medicare assignment

Dae-won Lee 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 ID1557609195

PECOS Enrollment IDI20190206002830

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

28 services28 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92335 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

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 20

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

SHEILA ANN VANALLEN PT

Physical Therapist

9961 SIERRA AVE, BUILDING 3A
FONTANA, CA 92335

San Bernardino County (909) 427-7727

MR. JAMES DAVID KILLEEN III M.D.

Pediatrics

9961 SIERRA AVE, KAISER PERMANENTE FONTANA - PEDIATRICS
FONTANA, CA 92335

San Bernardino County (909) 427-6960

MR. DHIRESH N PATEL RPH

Pharmacist