DR. MARY LEE (MD) – Allergy & Immunology Physician, NPI 1962483685

DR. MARY LEE (MD) is a healthcare provider. based in Hartford, Connecticut. specializing in ALLERGY/IMMUNOLOGY. They hold the professional credentials MD. They hold a License No. 177215 (NY). The NPI Number for DR. MARY LEE (MD) is 1962483685

Main info

Female
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARY LEE (MD)
NPI
1962483685
Phone
(212) 420-4013
Address
PO BOX 32886
Enumeration Date
9 November 2005
Last Update Date
4 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7182836000
Graduation Year
1987 (39 years ago)
PAC ID
0042284507
Group Practice PAC ID
7012808348
Professional Enrollment ID
I20040821000185
Address ID
NY112192916BR4802XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:20State licenses:1Digital endpointsOther names

418 ALLERGY/IMMUNOLOGY in NY

Provider Addresses for DR. MARY LEE (MD)

  • PO BOX 32886

    HARTFORD, CT 06150

    Phone: (212) 420-4013

    Type: Mailing

  • 10 UNION SQ E STE 3F

    BIMC DEPT OF ALLERGY

    NEW YORK, NY 100033314

    Phone: (212) 420-4013

    Type: Location

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 $421.

Total Amount is formed as General ($421) + Research ($0) + Ownership ($0) = $421.

Last reported payment date: 2024-09-26 • Largest payer in this snapshot: Stryker Corporation ($167).

Total Amount

$421

General + Research + Ownership

Payments

3

Total payment records

General Amount

$421

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-26

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: 2004-08-21

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040821000185IAllergy/ImmunologyNYTBD

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
95004Test for allergy using allergenic extract98416$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1811$0
99204New patient office or other outpatient visit, 45-59 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 06150)

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Provider's Procedures

DR. MARY LEE (MD) performs procedures in ALLERGY/IMMUNOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ALLERGY/IMMUNOLOGYNY95004Injection of allergenic extracts into skin, accessed through the skin82015

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: 7012808348View full group profile
NameSpecialtyState
-NY
O B S T E T R I C S/ G Y N E C O L O G YPA
Internal MedicineNY
-NY
Certified Nurse Midwife (Cnm)NY
-NY
Pediatric Medicine, Internal MedicineNY
-NY
O B S T E T R I C S/ G Y N E C O L O G YNY
Internal MedicineNY

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Frequently asked questions

What unique ID ties claims to DR. MARY LEE (MD)?
NPI 1962483685 is assigned to DR. MARY LEE (MD) under the national enumeration system.
Is DR. MARY LEE (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. MARY LEE (MD) list a primary specialty?
If you are matching referrals, note Allergy & Immunology Physician for DR. MARY LEE (MD). Clinical services aligned with this taxonomy classification.
Where is DR. MARY LEE (MD)'s primary listing?
We display Hartford, Connecticut because that is what the record indicates for DR. MARY LEE (MD).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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