DR. CLARA TAEYOON LEE
NPI 1942761648
Dentist - General Practice in Queens, NY

Active since March 26, 2019Opted out of Medicare · through Aug 16, 2026
82-68 164TH ST, N BUILDING ROOM 633, QUEENS, NY 11432(718) 883-3000 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Clara Taeyoon Lee NPPES

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

DR. CLARA TAEYOON LEE (NPI 1942761648) is an individual general practice provider in Queens, New York, licensed in New York (NA) and active in the NPI registry since March 2019. She has opted out of Medicare through August 16, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1942761648
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. CLARA TAEYOON LEE
Location Address82-68 164TH ST, N BUILDING ROOM 633Queens, NY 11432
Mailing Address4310 Crescent St Apt 1810Long Island City, NY 11101-4260 · (347) 921-1098
Sole ProprietorNo
Enumeration DateMarch 26, 2019
Last NPPES UpdateApril 30, 2024
NPI 1942761648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NY · NA
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
82-68 164TH ST, Queens, NY 11432

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Clara Taeyoon Lee has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 16, 2022 through August 16, 2026.

Opt-Out Effective DateAugust 16, 2022
Opt-Out In Effect ThroughAugust 16, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11432 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
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.

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 (Adult Health)
82-68 164TH ST
JAMAICA, NY 11432
Psychologist
82-68 164TH ST, AOPC QUEENS HOSPITAL CENTER
JAMAICA, NY 11432
Occupational Therapist
82-68 164TH ST, 5TH FLOOR
JAMAICA, NY 11432
Physician Assistant (Surgical)
82-68 164TH ST
JAMAICA, NY 11432
Student in an Organized Health Care Education/Training Program
82-68 164TH ST
JAMAICA, NY 11432
Internal Medicine (Endocrinology, Diabetes & Metabolism)
82-68 164TH ST
JAMAICA, NY 11432
Nurse Practitioner (Adult Health)
82-68 164TH ST
JAMAICA, NY 11432
Nurse Practitioner (Pediatrics)
82-68 164TH ST
JAMAICA, NY 11432

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 1942761648. It was assigned to this individual provider in the NPPES registry on March 26, 2019.

Where is Clara Lee located?

Clara Lee practices at 82-68 164th St N Building Room 633, Queens, NY 11432. The listed phone number is (718) 883-3000.

What is Clara Lee's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Clara Lee enrolled in Medicare?

No. Clara Lee has opted out of Medicare through August 16, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Clara Lee accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, HRI Dental & Vision and Humana and 1 other insurer 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 April 30, 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.