DR. CLARA LEE M.D.
NPI 1881822369
Pediatrics in Philadelphia, PA

Active since June 23, 2009PECOS Enrolled
3601 A ST, PHILADELPHIA, PA 19134(215) 427-5000 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Clara Lee M.d. NPPES

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

DR. CLARA LEE M.D. (NPI 1881822369) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT195275) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Edgewater.

NPPES Registry Identity

NPI1881822369
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. CLARA LEECredential: M.D.
Location Address3601 A STPhiladelphia, PA 19134-1043
Mailing Address3601 A StPhiladelphia, PA 19134-1043 · (215) 427-5127
Sole ProprietorNo
Enumeration DateJune 23, 2009
Last NPPES UpdateMarch 5, 2024
NPPES CertifiedMarch 5, 2024
✔ NPI 1881822369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in PA · MT195275✔ Licensed in NJ · 25MA09140300
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.
3601 A ST, Philadelphia, PA 19134

Secondary Practice Location 1

Location 134 The PromenadeEdgewater, NJ 07020-2127 · Phone (551) 355-1299 · Fax (551) 355-1212

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Clara 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.

Medicare Billing Reassignments

3

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

Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
Pediatrics
34 THE PROMENADE
Edgewater, NJ 07020
  • Reassigned Medicare billing, New Jersey enrollment
  • 32 clinicians in this Medicare group
Pediatrics
1 DAKOTA DR
New Hyde Park, NY 11042
  • Reassigned Medicare billing, New Jersey enrollment
  • 417 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 19134 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Pediatrics (Pediatric Cardiology)
3601 A ST, SCHC PEDIATRIC ASSOCIATES, LLC
PHILADELPHIA, PA 19134
Orthopaedic Surgery
3601 A ST
PHILADELPHIA, PA 19134
Radiology (Pediatric Radiology)
3601 A ST
PHILADELPHIA, PA 19134
Pediatrics
3601 A ST
PHILADELPHIA, PA 19134
Pediatrics (Pediatric Endocrinology)
3601 A ST, SECTION OF ENDOCRINOLOGY
PHILADELPHIA, PA 19134
Pediatrics
3601 A ST
PHILADELPHIA, PA 19134
Pediatrics (Adolescent Medicine)
3601 A ST, NELSON PAVILLION, 2ND FLOOR, FAMILY PLANNING
PHILADELPHIA, PA 19134
Pediatrics
3601 A ST
PHILADELPHIA, PA 19134

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 Clara Lee's NPI number?

The NPI number for Clara Lee is 1881822369. It was assigned to this individual provider in the NPPES registry on June 23, 2009.

Where is Clara Lee located?

Clara Lee practices at 3601 A St, Philadelphia, PA 19134. The listed phone number is (215) 427-5000.

What is Clara Lee's specialty?

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

Is Clara Lee enrolled in Medicare?

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

Which organizations bill Medicare for Clara Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clara Lee reassigns Medicare benefits to 3 organizations: Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ), Baker Pediatrics LLC (Edgewater, NJ) and Optum Medical Care Of New Jersey PC (New Hyde Park, NY). 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 Clara Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Clara Lee accept?

Health plans from Oscar Health list Clara 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 Clara Lee was last updated on March 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.