PAUL J LEE MD
NPI 1902030711
Radiology - Diagnostic Radiology in Janesville, WI

Active since May 07, 2009PECOS EnrolledAccepts Medicare Assignment
1000 MINERAL POINT AVE, JANESVILLE, WI 53548(608) 756-6741(608) 756-6376 Get Directions Write a Review

NPPES record last updated: June 30, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Paul J Lee Md NPPES

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

PAUL J LEE MD (NPI 1902030711) is an individual diagnostic radiology provider in Janesville, Wisconsin, licensed in Wisconsin (54331-20) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with Presence Saint Joseph Medical Center, and is a graduate of Georgetown University School Of Medicine (2008).

NPPES Registry Identity

NPI1902030711
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NamePAUL J LEECredential: MD
Location Address1000 MINERAL POINT AVEJanesville, WI 53548-2940
Mailing Address1000 Mineral Point AveJanesville, WI 53548-2940 · (608) 756-6741 · Fax (608) 756-6376
Fax(608) 756-6376
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2008
Enumeration DateMay 7, 2009
Last NPPES UpdateJune 30, 2014
✔ NPI 1902030711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in WI · 54331-20
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1000 MINERAL POINT AVE, Janesville, WI 53548

Other Identifiers 5

Medicaid1902030711WI
Other1902030711WI · Bcbswi
Medicaid447804815 1IL
OtherLEEPAUWI · Mercycare Insurance
Medicare PIN541760871WI

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

Paul J Lee Md 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 ID446412654
PECOS Enrollment IDI20120504000542
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

10

Medicare enrollment records show Paul Lee reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
7435 W TALCOTT AVE
Chicago, IL 60631
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4 clinicians in this Medicare group
Diagnostic Radiology
27501 WOODWARD AVE STE B
Berkley, MI 48072
  • Reassigned Medicare billing, Michigan enrollment
  • 15 clinicians in this Medicare group
Diagnostic Radiology
3040 AMSDELL RD
Hamburg, NY 14075
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Southtowns Radiology Associates LLC
Diagnostic Radiology
2157 MAIN ST
Buffalo, NY 14214
  • Reassigned Medicare billing, Wisconsin enrollment
Anesthesiology
801 W GORDON ST
Thomaston, GA 30286
  • Reassigned Medicare billing, Wisconsin enrollment
  • 3 clinicians in this Medicare group
Diagnostic Radiology
1714 SW 17TH ST STE 300
Ocala, FL 34471
  • Reassigned Medicare billing, Florida enrollment
  • 48 clinicians in this Medicare group
Radiology
4903 GOLDEN QUAIL STE 110
San Antonio, TX 78240
  • Reassigned Medicare billing, Wisconsin enrollment
Diagnostic Radiology
310 SE VERANDA FALLS WAY
Port St Lucie, FL 34984
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2 clinicians in this Medicare group
Clinic/Center
546 E PINE ST
Stockton, CA 95204
  • Reassigned Medicare billing, California enrollment
  • 28 clinicians in this Medicare group
Diagnostic Radiology
1800 N CALIFORNIA ST
Stockton, CA 95204
  • Reassigned Medicare billing, California enrollment
  • 110 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.

Areas of Expertise CMS Part B claims 38

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.

Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
174 services174 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
174 services174 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
156 services145 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
95 services91 patients
Ct scan of blood vessels of chest with contrast 71275
A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.
72 services72 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
66 services66 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Presence Saint Joseph Medical Center

Acute Care Hospitals · Joliet, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140007
Location333 N Madison StJoliet, IL 60435 · Will County
Emergency services Birthing friendly

Presence Saint Francis Hospital

Acute Care Hospitals · Evanston, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140080
Location355 Ridge AveEvanston, IL 60202 · Cook County
Emergency services

Amita Health Resurrection Medical Center

Acute Care Hospitals · Chicago, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140117
Location7435 W Talcott AvenueChicago, IL 60631 · Cook County
Emergency services Birthing friendly

Riverside Medical Center

Acute Care Hospitals · Kankakee, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140186
Location350 N Wall StKankakee, IL 60901 · Kankakee County
Emergency services Birthing friendly

Mercy Hospital Of Buffalo

Acute Care Hospitals · Buffalo, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330279
Location565 Abbott RoadBuffalo, NY 14220 · Erie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53548 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
100%713 patients
Radiology: Reminder System for Screening Mammograms
Percentage of patients undergoing a screening mammogram whose information is entered into a reminder system with a target due date for the next mammogram
100%478 patients
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
87%71 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Nurse Practitioner (Psychiatric/Mental Health)
1000 MINERAL POINT AVE
JANESVILLE, WI 53548
Plastic Surgery
1000 MINERAL POINT AVE
JANESVILLE, WI 53548
Physical Therapist
1000 MINERAL POINT AVE
JANESVILLE, WI 53548
Pharmacist
1000 MINERAL POINT AVE
JANESVILLE, WI 53548
Occupational Therapist
1000 MINERAL POINT AVE
JANESVILLE, WI 53548
Neurological Surgery
1000 MINERAL POINT AVE, MERCY WEST NEUROSURGERY
JANESVILLE, WI 53548
Emergency Medicine (Medical Toxicology)
1000 MINERAL POINT AVE
JANESVILLE, WI 53548
Physician Assistant
1000 MINERAL POINT AVE
JANESVILLE, WI 53548

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 Paul Lee's NPI number?

The NPI number for Paul Lee is 1902030711. It was assigned to this individual provider in the NPPES registry on May 7, 2009.

Where is Paul Lee located?

Paul Lee practices at 1000 Mineral Point Ave, Janesville, WI 53548. The listed phone number is (608) 756-6741.

What is Paul Lee's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Paul Lee enrolled in Medicare?

Yes. Paul 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 Paul Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Lee reassigns Medicare benefits to 10 organizations: Illinois Diagnostic And Interventional Radiology PLLC (Chicago, IL), Michigan Radiology Institute PLLC (Berkley, MI), Southtown Radiology Associates, LLC (Hamburg, NY), Sra Medical Imaging LLC (Buffalo, NY), Upson Medical Associates LLC (Thomaston, GA) and 5 more organizations, listed in the Medicare section above. 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 Paul Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Paul Lee affiliated with any hospitals?

According to CMS data, Paul Lee is affiliated with Presence Saint Joseph Medical Center, Presence Saint Francis Hospital, Amita Health Resurrection Medical Center, Riverside Medical Center and Mercy Hospital Of Buffalo.

When was this NPI record last updated?

The NPPES record for Paul Lee was last updated on June 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.