DR. SAMUEL SHIN KWON LEE (M.D.) – Urology Physician, NPI 1194772418
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,310 UROLOGY in CA
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Provider Addresses for DR. SAMUEL SHIN KWON LEE (M.D.)
Apple Valley Thrift Store, Outer Highway 18 South, Apple Valley, San Bernardino County, California, United States
APPLE VALLEY, CA 923072306
Phone: (760) 242-3939
Fax: (760) 242-3232
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 84 Open Payments records for all available years, with a total value of $7,034.
Total Amount is formed as General ($7,034) + Research ($0) + Ownership ($0) = $7,034.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Medtronic, Inc. ($1,518).
Total Amount
$7,034
General + Research + Ownership
Payments
84
Total payment records
General Amount
$7,034
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $1,518 |
| PALETTE LIFE SCIENCES, INC. | $1,172 |
| Teleflex LLC | $1,081 |
| Caldera Medical, Inc | $633 |
| Axonics, Inc. | $619 |
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: 2010-09-10
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20100910000977 | I | Urology | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 434 | 280 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 158 | 142 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 157 | 157 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 155 | 57 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 150 | 125 | $0 |
Insurance plans in this area (ZIP 92307)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| UROLOGY | CA | 51798 | Ultrasound measurement of bladder capacity after voiding | 68 | 58 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | CA | |
| U R O L O G Y | CA | |
| Physician Assistant | CA | |
| U R O L O G Y | CA | |
| U R O L O G Y | CA | |
| - | CA | |
| Pain Management, Anesthesiology | CA |
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