MATTHEW DONGKEUN LEE (DO) – Family Medicine Physician, NPI 1225618689

MATTHEW DONGKEUN LEE (DO) is a healthcare provider. based in Murrieta, California. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 20A20680 (CA). The NPI Number for MATTHEW DONGKEUN LEE (DO) is 1225618689

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW DONGKEUN LEE (DO)
NPI
1225618689
Phone
(951) 290-4168
Address
28062 Baxter Road
Enumeration Date
10 April 2021
Last Update Date
18 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9516764193
Graduation Year
2021 (5 years ago)
PAC ID
7517400146
Group Practice PAC ID
6305741240
Professional Enrollment ID
I20240624001435
Address ID
CA925846810ME30420RDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

13,194 FAMILY PRACTICE in CA

Provider Addresses for MATTHEW DONGKEUN LEE (DO)

  • 28062 Baxter Road

    Office of GME, Family Medicine Program Attention: Renee

    Murrieta, CA 925631401

    Phone: (951) 290-4168

    Type: Location

  • 29373 BROKEN ARROW WAY

    MURRIETA, CA 925632724

    Phone: (970) 222-2412

    Type: Mailing

  • 28780 SINGLE OAK DR STE 160

    TEMECULA, CA 925905528

    Phone: (951) 252-8650

    Type: Location

  • 28062 BAXTER ROAD

    OFFICE OF GME, FAMILY MEDICINE PROGRAM ATTENTION: RENEE

    MURRIETA, CA 925631401

    Phone: (951) 290-4168

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $197.

Total Amount is formed as General ($197) + Research ($0) + Ownership ($0) = $197.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Stryker Corporation ($105).

Total Amount

$197

General + Research + Ownership

Payments

5

Total payment records

General Amount

$197

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-06-24

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240624001435IFamily PracticeCATBD

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.

Verify on CMS Revalidation Lookup Tool

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 92563)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6305741240View full group profile
NameSpecialtyState
Internal MedicineCA
Physician AssistantCA
Family PracticeCA
-CA
Family PracticeCA
-CA
Nurse PractitionerCA
-CA
Sports Medicine, Family PracticeCA
Family Practice, Geriatric MedicineCA

Reviews

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Frequently asked questions

Does MATTHEW DONGKEUN LEE (DO) have a public NPI I can cite?
Public records show MATTHEW DONGKEUN LEE (DO) under NPI 1225618689.
Should I treat MATTHEW DONGKEUN LEE (DO) as an active provider?
Patients and plans typically see MATTHEW DONGKEUN LEE (DO) as active in the national extract.
What does the directory say MATTHEW DONGKEUN LEE (DO) does?
Insurance directories may phrase it differently, but here MATTHEW DONGKEUN LEE (DO) maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MATTHEW DONGKEUN LEE (DO)?
MATTHEW DONGKEUN LEE (DO) is associated with Murrieta, California in the same public data insurers reference.
Can I export MATTHEW DONGKEUN LEE (DO)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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