JAE YONG LEE (DO LLC) – Internal Medicine Physician, NPI 1114918588

JAE YONG LEE (DO LLC) is a healthcare provider. based in Centennial, Colorado. specializing in INTERNAL MEDICINE. They hold the professional credentials DO LLC. They hold a License No. 41591 (CO). The NPI Number for JAE YONG LEE (DO LLC) is 1114918588

Main info

Male
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
JAE YONG LEE (DO LLC)
NPI
1114918588
Phone
(303) 699-3197
Address
14100 E ARAPAHOE RD
Enumeration Date
3 November 2005
Last Update Date
11 July 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3036993197
Graduation Year
2000 (26 years ago)
PAC ID
5395648455
Professional Enrollment ID
I20040212000353
Address ID
CO801124048CE14100RDXX406
Telehealth
Yes
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

2,996 INTERNAL MEDICINE in CO

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Provider Addresses for JAE YONG LEE (DO LLC)

  • East Arapahoe Road, Centennial, Arapahoe County, Colorado, 80015, United States

    SUITE 360

    CENTENNIAL, CO 801124028

    Phone: (303) 699-3197

    Fax: (303) 699-3186

    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 90 Open Payments records for all available years, with a total value of $1,543.

Total Amount is formed as General ($1,543) + Research ($0) + Ownership ($0) = $1,543.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: ABBVIE INC. ($453).

Total Amount

$1,543

General + Research + Ownership

Payments

90

Total payment records

General Amount

$1,543

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

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: 2004-02-12

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
I20040212000353IInternal MedicineCOTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes700259$0
36415Insertion of needle into vein for collection of blood sample511300$0
99213Established patient office or other outpatient visit, 20-29 minutes509218$0
81002Urinalysis, manual test295264$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit229229$0
View full utilization report →

Insurance plans in this area (ZIP 80112)

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Provider's Procedures

JAE YONG LEE (DO LLC) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINECO81002Urinalysis, manual test230203
INTERNAL MEDICINECO90670Pneumococcal vaccine for injection into muscle118117

Reviews

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Frequently asked questions

What NPI should I save for JAE YONG LEE (DO LLC)?
Save NPI 1114918588 if you need a stable reference for JAE YONG LEE (DO LLC).
Is JAE YONG LEE (DO LLC)'s NPI currently valid?
The extract we use shows JAE YONG LEE (DO LLC) as active.
What field does JAE YONG LEE (DO LLC) work in?
You can think of JAE YONG LEE (DO LLC) as practicing within Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for JAE YONG LEE (DO LLC)?
The page summarizes Centennial, Colorado for JAE YONG LEE (DO LLC); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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