SONG EUN LEE M.D.
NPI 1972747749
Ophthalmology in Ridgewood, NJ

Active since April 23, 2009PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1200 E RIDGEWOOD AVE, STE #207, RIDGEWOOD, NJ 07450(201) 612-9600(201) 612-0428 Get Directions Write a Review

NPPES record last updated: September 10, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Song Eun Lee M.d. NPPES

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

SONG EUN LEE M.D. (NPI 1972747749) is an individual ophthalmology provider in Ridgewood, New Jersey, licensed in New Jersey (25MA09694900) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS, is affiliated with Clara Maass Medical Center, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1972747749
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameSONG EUN LEECredential: M.D.
Location Address1200 E RIDGEWOOD AVE, STE #207Ridgewood, NJ 07450-3952
Mailing Address1200 E Ridgewood Ave, Ste #207Ridgewood, NJ 07450-3952 · (201) 612-9600 · Fax (201) 612-0428
Fax(201) 612-0428
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateApril 23, 2009
Last NPPES UpdateSeptember 10, 2015
NPI 1972747749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NJ · 25MA09694900
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.
1200 E RIDGEWOOD AVE, Ridgewood, NJ 07450

Accepted 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

Song Eun Lee M.d. 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 ID4385884840
PECOS Enrollment IDI20150924001904
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 16

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
7,740 services20 patients
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.
1,626 services594 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
1,400 services158 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.
933 services203 patients
Extended exam of the back part of the eye with retinal drawing 92201
This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.
729 services449 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
437 services305 patients

Hospital Affiliations CMS Care Compare

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

Clara Maass Medical Center

Acute Care Hospitals · Belleville, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310009
LocationOne Clara Maass DriveBelleville, NJ 07109 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07450 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%115 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
54%242 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%282 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Dentist (Endodontics)
1200 E RIDGEWOOD AVE
RIDGEWOOD, NJ 07450
Surgery
1200 E RIDGEWOOD AVE, WEST WING, 2ND FLOOR
RIDGEWOOD, NJ 07450
Specialist/Technologist, Other (Electroneurodiagnostic)
1200 E RIDGEWOOD AVE, SUITE 108
RIDGEWOOD, NJ 07450
Nurse Practitioner
1200 E RIDGEWOOD AVE, 2ND FLOOR
RIDGEWOOD, NJ 07450
Psychiatry & Neurology (Neurology)
1200 E RIDGEWOOD AVE, EAST WING 2ND FLOOR
RIDGEWOOD, NJ 07450
Nurse Practitioner (Acute Care)
1200 E RIDGEWOOD AVE
RIDGEWOOD, NJ 07450
Ophthalmology (Retina Specialist)
1200 E RIDGEWOOD AVE
RIDGEWOOD, NJ 07450
Family Medicine
1200 E RIDGEWOOD AVE, WEST WING, SECOND FLOOR
RIDGEWOOD, NJ 07450

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 Song Eun Lee's NPI number?

The NPI number for Song Eun Lee is 1972747749. It was assigned to this individual provider in the NPPES registry on April 23, 2009.

Where is Song Eun Lee located?

Song Eun Lee practices at 1200 E Ridgewood Ave Ste #207, Ridgewood, NJ 07450. The listed phone number is (201) 612-9600.

What is Song Eun Lee's specialty?

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

Is Song Eun Lee enrolled in Medicare?

Yes. Song Eun 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 Song Eun Lee accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Song Eun 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 Song Eun Lee affiliated with any hospitals?

According to CMS data, Song Eun Lee is affiliated with Clara Maass Medical Center.

When was this NPI record last updated?

The NPPES record for Song Eun Lee was last updated on September 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.