MIRA V LEE (MD) – Family Medicine Physician, NPI 1497736722
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,660 FAMILY PRACTICE in CO
Provider Addresses for MIRA V LEE (MD)
13421 QUEBEC ST
THORNTON, CO 806028647
Phone: (303) 498-2850
Fax: (303) 272-0382
Type: Location
5450, Western Avenue, Boulder, Boulder County, Colorado, 80301, United States
SUITE B
BOULDER, CO 803012709
Phone: (303) 415-4355
Fax: (303) 666-1982
Type: Mailing
Community Medical Center, 1000, West South Boulder Road, Lafayette, Boulder County, Colorado, 80026, United States
SUITE 110
LAFAYETTE, CO 800262752
Phone: (303) 415-4355
Fax: (303) 666-1982
Type: Location
1509 RIDGEVIEW DR
LOUISVILLE, CO 800271605
Phone: (303) 819-2230
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $52.
Total Amount is formed as General ($52) + Research ($0) + Ownership ($0) = $52.
Last reported payment date: 2023-07-13 • Largest payer in this snapshot: Exact Sciences Corporation ($31).
Total Amount
$52
General + Research + Ownership
Payments
3
Total payment records
General Amount
$52
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Exact Sciences Corporation | $31 |
| Abbott Laboratories | $14 |
| Organon LLC | $7 |
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: 2004-10-21
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 |
|---|---|---|---|---|
| I20041021000127 | I | Family Practice | CO | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 225 | 122 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 129 | 97 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 129 | 129 | $0 |
| G0008 | Administration of influenza virus vaccine | 55 | 54 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 44 | 44 | $0 |
Insurance plans in this area (ZIP 80602)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CO | |
| H E M A T O L O G Y/ O N C O L O G Y | FL | |
| - | CO | |
| P O D I A T R Y | TX | |
| Certified Clinical Nurse Specialist (Cns) | CO | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | IL | |
| Physician Assistant | CO | |
| Physician Assistant | CO | |
| - | CO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CO |
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