SAMUEL LEE (MD) – Physical Medicine & Rehabilitation Physician, NPI 1871892133

SAMUEL LEE (MD) is a healthcare provider. based in Ventura, California. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials MD. They hold a License No. A123222 (CA). The NPI Number for SAMUEL LEE (MD) is 1871892133

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
SAMUEL LEE (MD)
NPI
1871892133
Phone
(805) 648-9830
Address
3170 LOMA VISTA RD
Enumeration Date
24 March 2011
Last Update Date
17 September 2015

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
9095585174
Graduation Year
2011 (15 years ago)
PAC ID
3577701754
Group Practice PAC ID
1153227814
Professional Enrollment ID
I20150921001984
Address ID
CA923734308RE26780RDXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

1,154 PHYSICAL MEDICINE AND REHABILITATION in CA

Provider Addresses for SAMUEL LEE (MD)

  • 3170 LOMA VISTA RD

    VENTURA, CA 930032970

    Phone: (805) 648-9830

    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 10 Open Payments records for all available years, with a total value of $3,025.

Total Amount is formed as General ($3,025) + Research ($0) + Ownership ($0) = $3,025.

Last reported payment date: 2024-10-02 • Largest payer in this snapshot: PIRAMAL CRITICAL CARE ($2,789).

Total Amount

$3,025

General + Research + Ownership

Payments

10

Total payment records

General Amount

$3,025

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: 2015-09-21

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
I20150921001984IPhysical Medicine And RehabilitationCATBD

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 minutes6741$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes5629$0
99213Established patient office or other outpatient visit, 20-29 minutes3732$0
99214Established patient office or other outpatient visit, 30-39 minutes3626$0
76942Ultrasonic guidance for needle placement2414$0
View full utilization report →

Insurance plans in this area (ZIP 93003)

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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: 1153227814View full group profile

Reviews

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Frequently asked questions

What is the registry number for SAMUEL LEE (MD)?
The registry entry for SAMUEL LEE (MD) shows NPI 1871892133.
Does the public listing show SAMUEL LEE (MD) as active?
SAMUEL LEE (MD)'s NPI record reflects an active status in NPPES.
How should patients interpret SAMUEL LEE (MD)'s specialty?
The extract shows Physical Medicine & Rehabilitation Physician for SAMUEL LEE (MD). Clinical services aligned with this taxonomy classification.
Is SAMUEL LEE (MD) tied to Ventura, California?
If you are local to Ventura, California, SAMUEL LEE (MD) may be relevant to your search.
Who maintains SAMUEL LEE (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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