KENNETH WAYNE LEE (MD) – Gastroenterology Physician, NPI 1417023227

KENNETH WAYNE LEE (MD) is a healthcare provider. based in Pomona, California. specializing in GASTROENTEROLOGY. They hold the professional credentials MD. They hold a License No. A79488 (CA). The NPI Number for KENNETH WAYNE LEE (MD) is 1417023227

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH WAYNE LEE (MD)
NPI
1417023227
Phone
(909) 622-3800
Address
160 E ARTESIA ST
Enumeration Date
27 November 2006
Last Update Date
15 November 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9096223800
Graduation Year
1999 (27 years ago)
PAC ID
0840228771
Group Practice PAC ID
5698944312
Professional Enrollment ID
I20050801000904
Address ID
CA917671866PO210XXAVEX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,990 GASTROENTEROLOGY in CA

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Provider Addresses for KENNETH WAYNE LEE (MD)

  • 160, East Artesia Street, Pomona, Los Angeles County, California, 91767, United States

    140

    POMONA, CA 917672900

    Phone: (909) 622-3800

    Fax: (909) 622-2600

    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 143 Open Payments records for all available years, with a total value of $3,082.

Total Amount is formed as General ($3,082) + Research ($0) + Ownership ($0) = $3,082.

Last reported payment date: 2024-12-08 • Largest payer in this snapshot: ABBVIE INC. ($594).

Total Amount

$3,082

General + Research + Ownership

Payments

143

Total payment records

General Amount

$3,082

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-08

Latest reported date

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: 2005-08-01

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050801000904IGastroenterologyCATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes351233$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope211196$0
99204New patient office or other outpatient visit, 45-59 minutes193193$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare110110$0
99203New patient office or other outpatient visit, 30-44 minutes103103$0
View full utilization report →

Insurance plans in this area (ZIP 91767)

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Provider's Procedures

KENNETH WAYNE LEE (MD) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYCA45378Diagnostic examination of large bowel using an endoscope4746

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: 5698944312View full group profile
NameSpecialtyState
-CA
P A T H O L O G YCA

Reviews

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Frequently asked questions

Does KENNETH WAYNE LEE (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KENNETH WAYNE LEE (MD) uses 1417023227.
Does CMS list KENNETH WAYNE LEE (MD) as active?
Yes — KENNETH WAYNE LEE (MD) is active in the NPI listing used on this page.
What healthcare role does KENNETH WAYNE LEE (MD) hold?
Scheduling teams often label KENNETH WAYNE LEE (MD) under Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
What area does KENNETH WAYNE LEE (MD) serve?
KENNETH WAYNE LEE (MD)'s listing highlights Pomona, California; more addresses can appear in NPPES.
Is the information about KENNETH WAYNE LEE (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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