JIVIANNE KRISTINE TAN LEE (MD) – Plastic Surgery within the Head & Neck (Otolaryngology) Physician, NPI 1184772972
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,359 OTOLARYNGOLOGY in CA
Provider Addresses for JIVIANNE KRISTINE TAN LEE (MD)
200 Ucla Medical Plz Ste 550
Los Angeles, CA 900953028
Phone: (310) 206-6688
Fax: (310) 825-2810
Type: Location
1131 WILSHIRE BLVD STE 302
SANTA MONICA, CA 904012061
Phone: (424) 259-6559
Fax: (310) 319-3877
Type: Location
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 900455631
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 69 Open Payments records for all available years, with a total value of $87,685.
Total Amount is formed as General ($87,685) + Research ($0) + Ownership ($0) = $87,685.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Medtronic, Inc. ($32,858).
Total Amount
$87,685
General + Research + Ownership
Payments
69
Total payment records
General Amount
$87,685
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $32,858 |
| AERIN MEDICAL INC. | $19,381 |
| Stryker Corporation | $18,071 |
| SANOFI-AVENTIS U.S. LLC | $15,954 |
| Musculoskeletal Transplant Foundation Inc. | $263 |
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: 2009-02-16
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 |
|---|---|---|---|---|
| I20090216000262 | I | Otolaryngology | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 31231 | Diagnostic exam of nasal passages using an endoscope | 76 | 67 | $0 |
| 31237 | Biopsy or removal of nasal polyp or tissue using an endoscope | 55 | 36 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 54 | 49 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 47 | 36 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 18 | 18 | $0 |
Insurance plans in this area (ZIP 90095)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O T O L A R Y N G O L O G Y | CA | |
| O T O L A R Y N G O L O G Y | CA | |
| O T O L A R Y N G O L O G Y | CA | |
| O T O L A R Y N G O L O G Y | CA | |
| O T O L A R Y N G O L O G Y | CA | |
| Maxillofacial Surgery | CA | |
| O T O L A R Y N G O L O G Y | CA | |
| O T O L A R Y N G O L O G Y | CA | |
| Otolaryngology, Plastic And Reconstructive Surgery | MD | |
| O T O L A R Y N G O L O G Y | CA |
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