DR. CHARLES KYUNG CHUL LEE (MD) – Plastic and Reconstructive Surgery Physician, NPI 1487635298
Plastic and Reconstructive Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
803 PLASTIC AND RECONSTRUCTIVE SURGERY in CA
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Provider Addresses for DR. CHARLES KYUNG CHUL LEE (MD)
San Francisco, Benjamín Aceval, Presidente Hayes, Región Occidental, Paraguay
SUITE #508
SAN FRANCISCO, CA 941171078
Phone: (415) 933-8330
Fax: (415) 933-8292
Type: Mailing
2250, Hayes Street, Panhandle, San Francisco, California, 94118, United States
SUITE 508
SAN FRANCISCO, CA 941171078
Phone: (415) 933-8330
Fax: (415) 933-8292
Type: Location
1545 PINE ST.
UNIT 101
SAN FRANCISCO, CA 941094682
Phone: (415) 933-8330
Fax: (415) 933-8292
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 87 Open Payments records for all available years, with a total value of $21,852.
Total Amount is formed as General ($21,852) + Research ($0) + Ownership ($0) = $21,852.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Musculoskeletal Transplant Foundation Inc. ($14,938).
Total Amount
$21,852
General + Research + Ownership
Payments
87
Total payment records
General Amount
$21,852
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Musculoskeletal Transplant Foundation Inc. | $14,938 |
| Urgo Medical North America, LLC | $3,660 |
| TELA Bio, Inc. | $1,000 |
| Avita Medical Americas, Llc | $428 |
| Aroa Biosurgery Incorporated | $342 |
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: 2004-02-05
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 |
|---|---|---|---|---|
| I20040205001306 | I | Plastic And Reconstructive Surgery | 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 94117)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PLASTIC AND RECONSTRUCTIVE SURGERY | CA | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 32 | 12 |
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