EDWARD LEE (MD) – Internal Medicine Physician, NPI 1508863499

EDWARD LEE (MD) is a healthcare provider. based in Costa mesa, California. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. A75527 (CA). The NPI Number for EDWARD LEE (MD) is 1508863499

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
EDWARD LEE (MD)
NPI
1508863499
Phone
(714) 436-4700
Address
1665 SCENIC AVE
Enumeration Date
7 July 2005
Last Update Date
21 October 2020

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7149925350
Graduation Year
1999 (27 years ago)
PAC ID
4284695701
Group Practice PAC ID
8921993205
Professional Enrollment ID
I20041019000743
Address ID
CA928353641FU1950XDRXX401

Contacts

Secure Messaging
edwardjlee@sjhhandhmg.allscriptsdirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

21,511 INTERNAL MEDICINE in CA

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Provider Addresses for EDWARD LEE (MD)

  • 1665, Scenic Avenue, Costa Mesa, Orange County, California, 92626, United States

    100

    COSTA MESA, CA 926261445

    Phone: (714) 436-4700

    Fax: (714) 436-4801

    Type: Location

  • 100 E Valencia Mesa Dr

    Fullerton, CA 928353813

    Phone: (714) 447-5027

    Fax: (714) 578-8570

    Type: Location

  • 16101 ROCKYRIVER LN

    CERRITOS, CA 907031933

    Phone: (562) 404-5574

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $288.

Total Amount is formed as General ($288) + Research ($0) + Ownership ($0) = $288.

Last reported payment date: 2024-10-02 • Largest payer in this snapshot: Abbott Laboratories ($151).

Total Amount

$288

General + Research + Ownership

Payments

7

Total payment records

General Amount

$288

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-02

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: 2004-10-19

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
I20041019000743IInternal MedicineCATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes296154$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes18895$0
99239Hospital discharge day management, more than 30 minutes143140$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes5555$0
99291Critical care, first 30-74 minutes3723$0
View full utilization report →

Insurance plans in this area (ZIP 92626)

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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: 8921993205View full group profile

Reviews

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Frequently asked questions

Is EDWARD LEE (MD) listed with a National Provider Identifier?
Yes — EDWARD LEE (MD) has NPI 1508863499 on file in the registry.
Active or inactive — what applies to EDWARD LEE (MD)?
You should see EDWARD LEE (MD) as active in CMS-hosted NPPES data.
What clinical focus is listed for EDWARD LEE (MD)?
At a glance, EDWARD LEE (MD) is tied to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is EDWARD LEE (MD) associated with Costa Mesa?
Public fields place EDWARD LEE (MD) around Costa Mesa, California. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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