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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SAMUEL LEE DO
NPI 1912586488
Psychiatry & Neurology - Neurology in Fort Wayne, IN

Active since April 03, 2021PECOS EnrolledAccepts Medicare Assignment
11104 PARKVIEW CIRCLE DR STE 110, FORT WAYNE, IN 46845(260) 425-6780(260) 425-6615 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samuel Lee Do NPPES

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

SAMUEL LEE DO (NPI 1912586488) is an individual neurology provider in Fort Wayne, Indiana, licensed in Indiana (02009193A) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with University Of Washington Medical Ctr, and is a graduate of West Virginia School Of Osteopathic Medicine (2021).

NPPES Registry Identity

NPI1912586488
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameSAMUEL LEECredential: DO
Location Address11104 PARKVIEW CIRCLE DR STE 110Fort Wayne, IN 46845-1673
Mailing AddressPo Box 50095Seattle, WA 98145-5095 · (206) 520-5700
Phone(260) 425-6780
Fax(260) 425-6615
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2021
Enumeration DateApril 3, 2021
Last NPPES UpdateJune 30, 2026
NPPES CertifiedJune 30, 2026
✔ NPI 1912586488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in IN · 02009193A
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
11104 PARKVIEW CIRCLE DR STE 110, Fort Wayne, IN 46845
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Samuel Lee Do 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 ID3870007271
PECOS Enrollment IDI20250708003659
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.

Hospital Affiliations CMS Care Compare

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

University Of Washington Medical Ctr

Acute Care Hospitals · Seattle, WA
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number500008
Location1959 NE Pacific St Box 356151Seattle, WA 98195 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46845 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
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.

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.

DR. KELLEY RAE LOCKHART M.D.
Internal Medicine (Critical Care Medicine)
11104 PARKVIEW CIRCLE DR STE 110
FORT WAYNE, IN 46845
Allen County (260) 425-6780
RICHARD EDWIN CONWAY
Family Medicine
11104 PARKVIEW CIRCLE DR STE 110
FORT WAYNE, IN 46845
Allen County (260) 425-6780
DR. JONATHAN TAYLOR GROSSMAN DO
Psychiatry & Neurology (Neurology)
11104 PARKVIEW CIRCLE DR STE 110
FORT WAYNE, IN 46845
Allen County (260) 425-6780
NICOLE ALEXANDRA HAGEN
Physician Assistant
11104 PARKVIEW CIRCLE DR STE 110
FORT WAYNE, IN 46845
Allen County (260) 425-6780
TYLER ATKINS M.D.
Neurological Surgery
11104 PARKVIEW CIRCLE DR STE 110
FORT WAYNE, IN 46845
Allen County (260) 425-6780
KEVIN C BUI MD
Psychiatry & Neurology (Neurology)
11104 PARKVIEW CIRCLE DR STE 110
FORT WAYNE, IN 46845
Allen County (260) 425-6780
KYLE AARON LITTELL M.D.
Physical Medicine & Rehabilitation
11104 PARKVIEW CIRCLE DR STE 110
FORT WAYNE, IN 46845
Allen County (260) 425-6780
JACOB THOMAS LUTZ PHD
Clinical Neuropsychologist
11104 PARKVIEW CIRCLE DR STE 110
FORT WAYNE, IN 46845
Allen County (260) 460-3203

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 Samuel Lee's NPI number?

The NPI number for Samuel Lee is 1912586488. It was assigned to this individual provider in the NPPES registry on April 3, 2021.

Where is Samuel Lee located?

Samuel Lee practices at 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845. The listed phone number is (260) 425-6780.

What is Samuel Lee's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Samuel Lee enrolled in Medicare?

Yes. Samuel 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 Samuel Lee accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Samuel 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 Samuel Lee affiliated with any hospitals?

According to CMS data, Samuel Lee is affiliated with University Of Washington Medical Ctr.

When was this NPI record last updated?

The NPPES record for Samuel Lee was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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.