DR. JIN-MOO LEE (MD) – Neurology Physician, NPI 1366460008

DR. JIN-MOO LEE (MD) is a healthcare provider. based in Chicago, Illinois. specializing in NEUROLOGY. They hold the professional credentials MD. They hold a License No. 112694 (MO). The NPI Number for DR. JIN-MOO LEE (MD) is 1366460008

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. JIN-MOO LEE (MD)
NPI
1366460008
Phone
(314) 362-1408
Address
PO BOX 7412011
Enumeration Date
18 July 2006
Last Update Date
17 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3143621408
Graduation Year
1993 (33 years ago)
PAC ID
3476687005
Group Practice PAC ID
9830008770
Professional Enrollment ID
I20100817001524
Address ID
MO631101032SA4921XPLXX338
Telehealth
Yes

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

811 NEUROLOGY in MO

Provider Addresses for DR. JIN-MOO LEE (MD)

  • PO BOX 7412011

    CHICAGO, IL 606742011

    Phone: (314) 362-1408

    Fax: (314) 747-3342

    Type: Mailing

  • 4921 PARKVIEW PL

    DIV NEUROLOGY STROKE, STE 6C

    SAINT LOUIS, MO 631101032

    Phone: (314) 362-1408

    Fax: (314) 747-3342

    Type: Location

  • 660, South Euclid Avenue, Central West End, City of Saint Louis, Missouri, 63110, United States

    CB 8111

    SAINT LOUIS, MO 631101010

    Phone: (314) 362-1408

    Fax: (314) 747-3342

    Type: Mailing

  • South Kingshighway Boulevard, North Hampton, City of Saint Louis, Missouri, 63116, United States

    SAINT LOUIS, MO 631101026

    Phone: (314) 362-1408

    Fax: (314) 747-2444

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2023-08-21 • Largest payer in this snapshot: JAZZ PHARMACEUTICALS INC. ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-21

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: 2010-08-17

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
I20100817001524INeurologyMOTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2912$0
99215Established patient office or other outpatient visit, 40-54 minutes1513$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 60674)

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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: 9830008770View full group profile

Reviews

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Frequently asked questions

Can I verify DR. JIN-MOO LEE (MD) with an NPI only?
You can start verification with NPI 1366460008 for DR. JIN-MOO LEE (MD), then check state licensing separately.
Does CMS list DR. JIN-MOO LEE (MD) as active?
Yes — DR. JIN-MOO LEE (MD) is active in the NPI listing used on this page.
What is DR. JIN-MOO LEE (MD)'s specialty?
The listing groups DR. JIN-MOO LEE (MD) with Neurology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. JIN-MOO LEE (MD) on a map?
Expect Chicago, Illinois as a primary anchor for DR. JIN-MOO LEE (MD) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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