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DR. LEE S. SHAPIRO M.D.
NPI 1922194075
Internal Medicine - Rheumatology in Saratoga Springs, NY

Active since October 05, 2006PECOS Enrolled
76.7/100
CMS Quality Rating
1 WEST AVE STE 330, SARATOGA SPRINGS, NY 12866(518) 782-3899(518) 782-3885 Get Directions Write a Review

NPPES record last updated: January 14, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 14, 2019, Jan 25, 2017 (2 updates tracked since 2017).

About Dr. Lee S. Shapiro M.d. NPPES

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

DR. LEE S. SHAPIRO M.D. (NPI 1922194075) is an individual rheumatology provider in Saratoga Springs, New York, licensed in New York (149404) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922194075
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. LEE S. SHAPIROCredential: M.D.
Location Address1 WEST AVE STE 330Saratoga Springs, NY 12866-6065
Mailing Address711 Troy Schenectady Rd Ste 203Latham, NY 12110-2461 · (518) 782-3799 · Fax (518) 782-3799
Phone(518) 782-3899
Fax(518) 782-3885
Sole ProprietorNo
Enumeration DateOctober 5, 2006
Last NPPES UpdateJanuary 14, 20192 updates tracked since enumeration
✔ NPI 1922194075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in NY · 149404
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
1 WEST AVE STE 330, Saratoga Springs, NY 12866
Open in Google Maps ↗

Other Identifiers 1

Medicaid00697874NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lee S. Shapiro 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

2

Medicare enrollment records show Lee Shapiro reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Center For Rheumatology, LLP
28 mi
Specialist
4 TOWER PL, 8TH FLOOR
Albany, NY 12203
  • Reassigned Medicare billing, New York enrollment
  • 20 clinicians in this Medicare group
NPI 1205926078 (518) 489-4471
Albany Medical College
30 mi
Allergy & Immunology
47 NEW SCOTLAND AVE
Albany, NY 12208
  • Reassigned Medicare billing, New York enrollment
  • 1,640 clinicians in this Medicare group
NPI 1497921688 (518) 262-9600

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 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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
147 services90 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.
105 services72 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12866 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

76.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.96
Promoting Interoperability74
Improvement Activities40
Cost61.04

Other Providers at the Same Location NPPES 4

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

MRS. LEAH KAITLIN PRESCOTT FNP-BC
Nurse Practitioner (Family)
1 WEST AVE STE 330
SARATOGA SPRINGS, NY 12866
Saratoga County (518) 584-5330
TIMOTHY PATRICK HOLLEY PA
Physician Assistant
1 WEST AVE STE 330
SARATOGA SPRINGS, NY 12866
Saratoga County (518) 584-5330
VASANTHA NATARAJAN MD
Internal Medicine
1 WEST AVE STE 330
SARATOGA SPRINGS, NY 12866
Saratoga County (518) 584-5330
E. BROOKE GIFFORD PA
Physician Assistant
1 WEST AVE STE 330
SARATOGA SPRINGS, NY 12866
Saratoga County (518) 584-5330

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 Lee Shapiro's NPI number?

The NPI number for Lee Shapiro is 1922194075. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Lee Shapiro located?

Lee Shapiro practices at 1 West Ave Ste 330, Saratoga Springs, NY 12866. The listed phone number is (518) 782-3899.

What is Lee Shapiro's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Lee Shapiro enrolled in Medicare?

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

Which organizations bill Medicare for Lee Shapiro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lee Shapiro reassigns Medicare benefits to 2 organizations: The Center For Rheumatology, LLP (Albany, NY) and Albany Medical College (Albany, 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 Lee Shapiro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lee Shapiro was last updated on January 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.