STEPHEN JOHN LEE (MD) – Emergency Medicine Physician, NPI 1013940907

STEPHEN JOHN LEE (MD) is a healthcare provider. based in Lewiston, Idaho. specializing in Emergency Medicine Physician. They hold the professional credentials MD. They hold a License No. G77712 (CA). The NPI Number for STEPHEN JOHN LEE (MD) is 1013940907

Main info

Male
Sole Proprietor
36 Years Of Experience
Accepts Medicare Assignment
Name
STEPHEN JOHN LEE (MD)
NPI
1013940907
Phone
(208) 743-2511
Address
415 6TH ST
Enumeration Date
7 July 2006
Last Update Date
13 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3075277501
Graduation Year
1990 (36 years ago)
PAC ID
0244123370
Group Practice PAC ID
7315855624
Professional Enrollment ID
I20191231002410
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for STEPHEN JOHN LEE (MD)

  • Saint Joseph's Regional Medical Center, 415, 6th Street, Lewiston, Nez Perce County, Idaho, 83501, United States

    LEWISTON, ID 835012431

    Phone: (208) 743-2511

    Type: Mailing

  • 2101 ELM STREET N

    FARGO, ND 58102

    Phone: (701) 239-3700

    Type: Location

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: 2019-12-31

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
I20191231002410IHospitalistWYTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83501)

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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: 7315855624View full group profile
NameSpecialtyState
General SurgeryWY
Nurse PractitionerWY
Orthopedic SurgeryWI
-OR
R H E U M A T O L O G YMT
Emergency MedicineWY
Orthopedic SurgeryWY
-WY
Nurse PractitionerCA
-WY

Reviews

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Frequently asked questions

What federal number belongs to STEPHEN JOHN LEE (MD)?
The federal identifier for STEPHEN JOHN LEE (MD) is NPI 1013940907.
Is STEPHEN JOHN LEE (MD) active in the national directory?
STEPHEN JOHN LEE (MD)'s public NPI profile is in an active state.
What field does STEPHEN JOHN LEE (MD) work in?
You can think of STEPHEN JOHN LEE (MD) as practicing within Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is STEPHEN JOHN LEE (MD)'s primary listing?
We display Lewiston, Idaho because that is what the record indicates for STEPHEN JOHN LEE (MD).
Is STEPHEN JOHN LEE (MD) a real provider?
This page reflects official NPPES data for NPI 1013940907. Always confirm identity and privileges with the practice and licensing boards.

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