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JONGSOO LEE MD
NPI 1962376616
Internal Medicine - Gastroenterology in Lakewood, WA

Active since October 03, 2025PECOS EnrolledAccepts Medicare Assignment
9115 S TACOMA WAY STE 105, LAKEWOOD, WA 98499(253) 581-4564(253) 581-6484 Get Directions Write a Review

NPPES record last updated: October 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jongsoo Lee Md NPPES

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

JONGSOO LEE MD (NPI 1962376616) is an individual gastroenterology provider in Lakewood, Washington, licensed in Washington (MD.MD.70039970) and active in the NPI registry since October 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1962376616
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameJONGSOO LEECredential: MD
Location Address9115 S TACOMA WAY STE 105Lakewood, WA 98499-4400
Mailing Address9115 S Tacoma Way Ste 105Lakewood, WA 98499-4400 · (253) 581-4564 · Fax (253) 581-6484
Phone(253) 581-4564
Fax(253) 581-6484
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateOctober 3, 2025
NPPES CertifiedOctober 3, 2025
✔ NPI 1962376616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in WA · MD.MD.70039970
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
9115 S TACOMA WAY STE 105, Lakewood, WA 98499
Open in Google Maps ↗

Other Names 1

Other Name (5)Jay Jongsoo Lee Md

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jongsoo 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 ID6103314653
PECOS Enrollment IDI20251024002862
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 Reassignment

Medicare enrollment records show Jongsoo Lee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hanmi Medical Clinic LLC
Same address
Family Medicine
9115 S TACOMA WAY STE 105
Lakewood, WA 98499
  • Reassigned Medicare billing, Washington enrollment
  • 2 clinicians in this Medicare group
NPI 1114042447 (253) 581-4564

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98499 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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 2

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

HANMI MEDICAL CLINIC LLC
Family Medicine
9115 S TACOMA WAY STE 105
LAKEWOOD, WA 98499
Pierce County (253) 581-4564
DR. MOO K LEE M.D.
Family Medicine
9115 S TACOMA WAY STE 105
LAKEWOOD, WA 98499
Pierce County (253) 581-4564

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 Jongsoo Lee's NPI number?

The NPI number for Jongsoo Lee is 1962376616. It was assigned to this individual provider in the NPPES registry on October 3, 2025. The provider is also known as Jay Jongsoo Lee MD.

Where is Jongsoo Lee located?

Jongsoo Lee practices at 9115 S Tacoma Way Ste 105, Lakewood, WA 98499. The listed phone number is (253) 581-4564.

What is Jongsoo Lee's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Jongsoo Lee enrolled in Medicare?

Yes. Jongsoo 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.

Which organization bills Medicare for Jongsoo Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jongsoo Lee reassigns Medicare benefits to Hanmi Medical Clinic LLC (Lakewood, WA). The 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 Jongsoo Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jongsoo Lee accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jongsoo 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 Jongsoo Lee was last updated on October 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.