DR. JI P LEE (MD) – Pain Medicine (Anesthesiology) Physician, NPI 1558347310

DR. JI P LEE (MD) is a healthcare provider. based in Bloomington, Illinois. specializing in PAIN MANAGEMENT, ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 036098820 (IL). The NPI Number for DR. JI P LEE (MD) is 1558347310

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. JI P LEE (MD)
NPI
1558347310
Phone
(309) 662-0088
Address
1015 S MERCER AVE
Enumeration Date
22 December 2005
Last Update Date
6 August 2025

Doctor Profile

Medical School Name
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Secondary Phone
2178766640
Graduation Year
1998 (28 years ago)
PAC ID
4789588682
Group Practice PAC ID
6204731144
Professional Enrollment ID
I20080602000619
Address ID
IL625264169DE304XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Digital endpointsOther names

483 PAIN MANAGEMENT in IL

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Provider Addresses for DR. JI P LEE (MD)

  • 1015, South Mercer Avenue, Bloomington, McLean County, Illinois, 61701, United States

    BLOOMINGTON, IL 617017107

    Phone: (309) 662-0088

    Fax: (309) 662-0089

    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 103 Open Payments records for all available years, with a total value of $1,723.

Total Amount is formed as General ($1,723) + Research ($0) + Ownership ($0) = $1,723.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Abbott Laboratories ($962).

Total Amount

$1,723

General + Research + Ownership

Payments

103

Total payment records

General Amount

$1,723

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

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: 2008-06-02

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
I20080602000619IPain ManagementILTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes278183$0
64493Injection of lower or sacral spine facet joint using imaging guidance, single level188125$0
64494Injection of lower or sacral spine facet joint using imaging guidance, second level178119$0
64483Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level159127$0
27096Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance11185$0
View full utilization report →

Insurance plans in this area (ZIP 61701)

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Provider's Procedures

DR. JI P LEE (MD) performs procedures in PAIN MANAGEMENT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYIL62311Injections of substances into lower or sacral spine3728
ANESTHESIOLOGYIL64493Injections of lower or sacral spine facet joint using imaging guidance8969

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: 6204731144View full group profile
NameSpecialtyState
-IL
Cardiovascular Disease (Cardiology), Internal Medicine, Interventional CardiologyMO
Nurse PractitionerIL
Certified Registered Nurse Anesthetist (Crna)IL
-IL
-IL
Physician AssistantIL
-IL
-IL
-IL

Reviews

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Frequently asked questions

Where can patients find DR. JI P LEE (MD)'s NPI?
You can confirm DR. JI P LEE (MD) with NPI 1558347310; it appears in the national provider directory.
Is DR. JI P LEE (MD) active in the national directory?
DR. JI P LEE (MD)'s public NPI profile is in an active state.
What kind of provider is DR. JI P LEE (MD)?
The page reflects Pain Medicine (Anesthesiology) Physician for DR. JI P LEE (MD). Clinical services aligned with this taxonomy classification.
What location shows for DR. JI P LEE (MD)?
We surface Bloomington, Illinois for DR. JI P LEE (MD) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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