DR. CLARENCE MARCUS JR. LEE (M.D.) – Aerospace Medicine Physician, NPI 1144520032
Aerospace Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,034 GENERAL PRACTICE in CA
Provider Addresses for DR. CLARENCE MARCUS JR. LEE (M.D.)
4130 La Jolla Village Dr Ste 200
LA Jolla, CA 920371480
Phone: (442) 244-8347
Type: Location
20072 SW Birch St Ste 100
Newport Beach, CA 926600794
Phone: (949) 757-1150
Type: Location
5643 Copley Dr Ste 101
San Diego, CA 921117903
Phone: (858) 392-8381
Type: Location
15301 WARREN SHINGLE RD
BEALE AFB, CA 959031907
Phone: (530) 634-4730
Type: Mailing
6125 PASEO DEL NORTE STE 130
CARLSBAD, CA 920111119
Phone: (442) 244-8347
Fax: (760) 683-0470
Type: Mailing
31150 Temecula Pkwy Ste 101
Temecula, CA 925922921
Phone: (951) 383-2618
Type: Location
727 W SAN MARCOS BLVD STE 112
SAN MARCOS, CA 920781244
Phone: (530) 634-4730
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $17.
Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.
Last reported payment date: 2023-02-21 • Largest payer in this snapshot: VBI Vaccines (Delaware) Inc. ($17).
Total Amount
$17
General + Research + Ownership
Payments
1
Total payment records
General Amount
$17
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-02-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| VBI Vaccines (Delaware) Inc. | $17 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-01-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220119000735 | I | Preventive Medicine | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92037)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | CA | |
| Certified Registered Nurse Anesthetist (Crna) | CA | |
| Certified Registered Nurse Anesthetist (Crna) | CA | |
| Certified Registered Nurse Anesthetist (Crna) | CA | |
| Certified Registered Nurse Anesthetist (Crna) | CT | |
| Diagnostic Radiology | CA | |
| Cardiovascular Disease (Cardiology) | MO | |
| G A S T R O E N T E R O L O G Y | CA | |
| Certified Registered Nurse Anesthetist (Crna) | CA | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | CA |
Reviews
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