MATTHEW R LEE MD
NPI 1902842941
Family Medicine in Mount Vernon, IN

Active since June 20, 2006PECOS EnrolledAccepts Medicare Assignment
69.73/100
CMS Quality Rating
1900 WEST FOURTH STREET, SUITE 4, MOUNT VERNON, IN 47620(812) 838-4891(812) 838-6595 Get Directions Write a Review

NPPES record last updated: February 25, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Matthew R Lee Md NPPES

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

MATTHEW R LEE MD (NPI 1902842941) is an individual family medicine provider in Mount Vernon, Indiana, licensed in Indiana (01032902) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Ferrell Hospital Community Foundations, and is a graduate of University Of Louisville School Of Medicine (1982).

NPPES Registry Identity

NPI1902842941
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMATTHEW R LEECredential: MD
Location Address1900 WEST FOURTH STREET, SUITE 4Mount Vernon, IN 47620
Mailing AddressPo Box 717Mount Vernon, IN 47620-0717 · (812) 838-4891 · Fax (812) 838-6595
Fax(812) 838-6595
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1982
Enumeration DateJune 20, 2006
Last NPPES UpdateFebruary 25, 2010
NPI 1902842941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IN · 01032902
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1900 WEST FOURTH STREET, Mount Vernon, IN 47620

Other Identifiers 4

Medicaid100210240AIN
Medicare UPINC25438
Other000000043063IN · Bcbs
Medicare ID-Type Unspecified660640IN

Accepted Insurance

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

Matthew R 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 ID9739087487
PECOS Enrollment IDI20100702000484
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 21

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.

Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
1,736 services306 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
1,344 services364 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
500 services97 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
428 services186 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
338 services154 patients
Injection, methylprednisolone acetate, 80 mg J1040
Methylprednisolone acetate is a strong anti-inflammatory medication. It is often given as an 80 mg injection to reduce inflammation and pain. It's commonly used for conditions like arthritis, allergic disorders, or other inflammatory diseases.
196 services119 patients

Hospital Affiliations CMS Care Compare 3

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

Ferrell Hospital Community Foundations

Critical Access Hospitals · Eldorado, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141324
Location1201 Pine StreetEldorado, IL 62930 · Saline County
Emergency services

Deaconess Hospital Inc

Acute Care Hospitals · Evansville, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150082
Location600 Mary StEvansville, IN 47710 · Vanderburgh County
Emergency services

Women's Hospital The

Acute Care Hospitals · Newburgh, IN
5/5 CMS rating
OwnershipProprietary
CMS Certification Number150149
Location4199 Gateway BlvdNewburgh, IN 47630 · Warrick County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47620 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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.

69.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality74.24
Promoting Interoperability100
Improvement Activities0
Cost74.87

Reported Quality Measures

Appropriate Testing for Pharyngitis
3%116 patients1/55-star benchmark: 100%
Appropriate Treatment for Upper Respiratory Infection (URI)
70%290 patients3/55-star benchmark: 100%
Breast Cancer Screening
47%466 patients3/55-star benchmark: 93%
Cervical Cancer Screening
39%415 patients2/55-star benchmark: 98%
Chlamydia Screening for Women
24%54 patients
Colorectal Cancer Screening
51%1,185 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
63%782 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
42%356 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
39%7,121 patients1/55-star benchmark: 100%
e-Prescribing
99%4,813 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
55%700 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
52%2,061 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
13%1,294 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 79% · 1,407 patients
Patients screened: 89% · 1,407 patients
62%364 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
98%1,224 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 18% · 702 patients
Patients totalRate: 52% · 702 patients
59%702 patients1/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
16 suppliers105 claims237 services$4.97 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
13 suppliers48 claims57 services$0.87 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers14 claims14 services$17.62 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers26 claims26 services$6.44 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers47 claims47 services$92.32 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
8 suppliers19 claims3,023 services$0.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Matthew Lee's NPI number?

The NPI number for Matthew Lee is 1902842941. It was assigned to this individual provider in the NPPES registry on June 20, 2006.

Where is Matthew Lee located?

Matthew Lee practices at 1900 West Fourth Street Suite 4, Mount Vernon, IN 47620. The listed phone number is (812) 838-4891.

What is Matthew Lee's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Matthew Lee enrolled in Medicare?

Yes. Matthew 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.

What insurance does Matthew Lee accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Matthew 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.

Is Matthew Lee affiliated with any hospitals?

According to CMS data, Matthew Lee is affiliated with Ferrell Hospital Community Foundations, Deaconess Hospital Inc and Women's Hospital The.

When was this NPI record last updated?

The NPPES record for Matthew Lee was last updated on February 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.