THEODORE MARK LEE (MD) – Allergy Physician, NPI 1689606881

THEODORE MARK LEE (MD) is a healthcare provider. based in Atlanta, Georgia. specializing in ALLERGY/IMMUNOLOGY. They hold the professional credentials MD. They hold a License No. 024014 (GA). The NPI Number for THEODORE MARK LEE (MD) is 1689606881

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
THEODORE MARK LEE (MD)
NPI
1689606881
Phone
(404) 351-7520
Address
1800 PEACHTREE ST. NW
Enumeration Date
7 July 2006
Last Update Date
6 April 2012

Doctor Profile

Medical School Name
NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Secondary Phone
4043517520
Graduation Year
1980 (46 years ago)
PAC ID
7315071123
Group Practice PAC ID
2264458132
Professional Enrollment ID
I20100816000792
Address ID
GA303092511AT1800XNWXX404
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

137 ALLERGY/IMMUNOLOGY in GA

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Provider Addresses for THEODORE MARK LEE (MD)

  • Peachtree Street Northwest, Five Points, Atlanta, Fulton County, Georgia, 30303, United States

    SUITE 720

    ATLANTA, GA 303092511

    Phone: (404) 351-7520

    Fax: (404) 355-2048

    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 171 Open Payments records for all available years, with a total value of $3,713.

Total Amount is formed as General ($3,713) + Research ($0) + Ownership ($0) = $3,713.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($614).

Total Amount

$3,713

General + Research + Ownership

Payments

171

Total payment records

General Amount

$3,713

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

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: 2010-08-16

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100816000792IAllergy/ImmunologyGATBD

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
95165Professional service for preparation and provision of 1 or more antigens1,86774$0
95004Test for allergy using allergenic extract1,63628$0
95117Professional service for multiple injections of allergen83672$0
96372Injection of drug or substance under skin or into muscle38418$0
95024Test for allergy using allergenic extract injected into skin29426$0
View full utilization report →

Insurance plans in this area (ZIP 30309)

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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: 2264458132View full group profile
NameSpecialtyState
A L L E R G Y/ I M M U N O L O G YGA
-GA
Nurse PractitionerGA
A L L E R G Y/ I M M U N O L O G YGA
A L L E R G Y/ I M M U N O L O G YGA

Reviews

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Frequently asked questions

What NPI should I save for THEODORE MARK LEE (MD)?
Save NPI 1689606881 if you need a stable reference for THEODORE MARK LEE (MD).
Is THEODORE MARK LEE (MD) active in the national directory?
THEODORE MARK LEE (MD)'s public NPI profile is in an active state.
Does THEODORE MARK LEE (MD) list a primary specialty?
If you are matching referrals, note Allergy Physician for THEODORE MARK LEE (MD). Clinical services aligned with this taxonomy classification.
Where does public data place THEODORE MARK LEE (MD)?
The snapshot lists Atlanta, Georgia for THEODORE MARK LEE (MD); download NPPES for the complete set.
What if Atlanta, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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