DR. SANG DAE LEE (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1780694356
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,833 PODIATRY in CA
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Provider Addresses for DR. SANG DAE LEE (DPM)
2095, North Waterman Avenue, San Bernardino, San Bernardino County, California, 92404, United States
SAN BERNARDINO, CA 924044834
Phone: (909) 882-3800
Fax: (909) 882-3380
Type: Location
467, North Redtail Drive, Olinda Ranch, Brea, Orange County, California, 92823, United States
BREA, CA 928231040
Phone: (909) 882-3800
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $43.
Total Amount is formed as General ($43) + Research ($0) + Ownership ($0) = $43.
Last reported payment date: 2024-03-12 • Largest payer in this snapshot: Medtronic, Inc. ($26).
Total Amount
$43
General + Research + Ownership
Payments
2
Total payment records
General Amount
$43
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $26 |
| Paratek Pharmaceuticals, Inc. | $17 |
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: 2004-01-16
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 |
|---|---|---|---|---|
| I20040116000731 | I | Podiatry | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 11721 | Removal of fingernails or toenails, 6 or more nails | 707 | 286 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 131 | 92 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 94 | 94 | $0 |
| 11720 | Removal of fingernails or toenails, 1-5 nails | 72 | 32 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 65 | 65 | $0 |
Insurance plans in this area (ZIP 92404)
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Provider's Procedures
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