DR. IVAN JISOO LEE MD
NPI 1942769831
Ophthalmology in Fullerton, CA

Active since March 19, 2019PECOS EnrolledAccepts Medicare Assignment
95.31/100
CMS Quality Rating
301 W BASTANCHURY RD STE 285, FULLERTON, CA 92835(714) 738-4620 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 2, 2025, Jun 23, 2023, May 14, 2020 and 2 more (5 updates tracked since 2019).

About Dr. Ivan Jisoo Lee Md NPPES

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

DR. IVAN JISOO LEE MD (NPI 1942769831) is an individual ophthalmology provider in Fullerton, California, licensed in California (A200827) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and is a graduate of Oakland Univ, William Beaumont School Of Medicine (2019).

NPPES Registry Identity

NPI1942769831
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. IVAN JISOO LEECredential: MD
Location Address301 W BASTANCHURY RD STE 285Fullerton, CA 92835-3432
Mailing Address301 W Bastanchury Rd Ste 285Fullerton, CA 92835-3432 · (714) 738-4620
Sole ProprietorNo
Medical School CMSOakland Univ, William Beaumont School Of MedicineGraduated 2019
Enumeration DateMarch 19, 2019
Last NPPES UpdateDecember 2, 20255 updates tracked since enumeration
NPPES CertifiedDecember 2, 2025
NPI 1942769831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in CA · A200827 Licensed in OH · 35.147835
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

301 W BASTANCHURY RD STE 285, Fullerton, CA 92835

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

Dr. Ivan Jisoo 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 ID143551457
PECOS Enrollment IDI20250627003732
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 3

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.

Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
30 services28 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.
20 services19 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92835 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

95.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.58
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

Ophthalmology (Retina Specialist)
301 W BASTANCHURY RD STE 285
FULLERTON, CA 92835
Ophthalmology (Retina Specialist)
301 W BASTANCHURY RD STE 285
FULLERTON, CA 92835

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 Ivan Lee's NPI number?

The NPI number for Ivan Lee is 1942769831. It was assigned to this individual provider in the NPPES registry on March 19, 2019.

Where is Ivan Lee located?

Ivan Lee practices at 301 W Bastanchury Rd Ste 285, Fullerton, CA 92835. The listed phone number is (714) 738-4620.

What is Ivan Lee's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Ivan Lee enrolled in Medicare?

Yes. Ivan 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.

When was this NPI record last updated?

The NPPES record for Ivan Lee was last updated on December 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.