ANDY PO-CHANG LEE (MD) – Emergency Medicine Physician, NPI 1619908266
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
258 EMERGENCY MEDICINE in HI
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Provider Addresses for ANDY PO-CHANG LEE (MD)
Pali Momi Medical Center, 98-1079, Moanalua Road, Waimalu, Aiea, Honolulu County, Hawaii, 96701, United States
AIEA, HI 967014713
Phone: (808) 485-4300
Type: Location
95-1085 INANA ST
MILILANI, HI 967896597
Phone: (808) 779-5460
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2004-05-26
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 |
|---|---|---|---|---|
| I20040526000183 | I | Emergency Medicine | HI | 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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 25 | 24 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 14 | 14 | $0 |
Insurance plans in this area (ZIP 96701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine, General Practice | OR | |
| O B S T E T R I C S/ G Y N E C O L O G Y | HI | |
| - | HI | |
| Internal Medicine, Hospitalist | HI | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Cardiovascular Disease (Cardiology) | PA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | HI | |
| Orthopedic Surgery | ID | |
| A N E S T H E S I O L O G Y | HI | |
| Internal Medicine | HI |
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