DR. LEE L. Q. PU (MD, PHD) – Plastic Surgery Physician, NPI 1629034558

DR. LEE L. Q. PU (MD, PHD) is a healthcare provider. based in Sacramento, California. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials MD, PHD. They hold a License No. A55357 (CA). The NPI Number for DR. LEE L. Q. PU (MD, PHD) is 1629034558

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. LEE L. Q. PU (MD, PHD)
NPI
1629034558
Phone
(916) 734-2130
Address
2221 STOCKTON BLVD., FIRST FLOOR
Enumeration Date
20 April 2006
Last Update Date
29 February 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9497644060
Graduation Year
1984 (42 years ago)
PAC ID
0446359608
Group Practice PAC ID
3274872064
Professional Enrollment ID
I20070628000507
Address ID
CA926634162NE1XXXXDRXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

803 PLASTIC AND RECONSTRUCTIVE SURGERY in CA

Provider Addresses for DR. LEE L. Q. PU (MD, PHD)

  • 2221 STOCKTON BLVD., FIRST FLOOR

    SACRAMENTO, CA 95817

    Phone: (916) 734-2130

    Fax: (916) 734-7104

    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 29 Open Payments records for all available years, with a total value of $4,598.

Total Amount is formed as General ($4,598) + Research ($0) + Ownership ($0) = $4,598.

Last reported payment date: 2024-11-08 • Largest payer in this snapshot: ABBVIE INC. ($4,027).

Total Amount

$4,598

General + Research + Ownership

Payments

29

Total payment records

General Amount

$4,598

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-08

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: 2007-06-28

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
I20070628000507IPlastic And Reconstructive SurgeryCATBD

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 95817)

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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: 3274872064View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YCA
Family PracticeCA
Family PracticeVA
General SurgeryCA
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YCA
Family PracticeCA
Physician AssistantCA
Physician AssistantCA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. LEE L. Q. PU (MD, PHD)?
DR. LEE L. Q. PU (MD, PHD) — NPI 1629034558 — is the standard way to identify this listing.
Is DR. LEE L. Q. PU (MD, PHD) listed as active for patients and plans?
The listing shows DR. LEE L. Q. PU (MD, PHD) as active in the NPI system.
What is DR. LEE L. Q. PU (MD, PHD)'s primary classification?
Plastic Surgery Physician is the headline specialty for DR. LEE L. Q. PU (MD, PHD) here. Clinical services aligned with this taxonomy classification.
Where should I expect DR. LEE L. Q. PU (MD, PHD) on a map?
Expect Sacramento, California as a primary anchor for DR. LEE L. Q. PU (MD, PHD) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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