DR. JONATHAN C LEE (M.D.) – Vascular & Interventional Radiology Physician, NPI 1205190147
Vascular & Interventional Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
847 DIAGNOSTIC RADIOLOGY in IN
Provider Addresses for DR. JONATHAN C LEE (M.D.)
PO BOX 80070
FORT WAYNE, IN 468980070
Phone: (260) 432-1568
Fax: (260) 432-4969
Type: Mailing
5001 US HIGHWAY 30 W STE D
FORT WAYNE, IN 468189701
Phone: (260) 432-1568
Fax: (260) 432-4969
Type: Location
7221 ENGLE RD STE 220
FORT WAYNE, IN 468042233
Phone: (260) 432-1568
Fax: (260) 432-4969
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 90 Open Payments records for all available years, with a total value of $5,873.
Total Amount is formed as General ($5,873) + Research ($0) + Ownership ($0) = $5,873.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Medtronic, Inc. ($2,796).
Total Amount
$5,873
General + Research + Ownership
Payments
90
Total payment records
General Amount
$5,873
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $2,796 |
| Boston Scientific Corporation | $901 |
| Penumbra, Inc. | $570 |
| Shockwave Medical, Inc | $417 |
| Siemens Medical Solutions USA, Inc. | $221 |
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: 2025-07-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20140204001359 | I | Diagnostic Radiology | IN | TBD |
| I20250722003095 | I | Diagnostic Radiology | MI | 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 |
|---|---|---|---|---|
| 71275 | Ct scan of blood vessels of chest with contrast | 134 | 132 | $0 |
| 93925 | Ultrasound of leg arteries or artery grafts | 112 | 103 | $0 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 106 | 97 | $0 |
| 78815 | Nuclear medicine study from skull base to mid-thigh with ct scan | 104 | 101 | $0 |
| 74174 | Ct scan of blood vessels of abdomen and pelvis with contrast | 99 | 95 | $0 |
Insurance plans in this area (ZIP 46898)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | IN | |
| Nurse Practitioner | IN | |
| Diagnostic Radiology | IN | |
| Nurse Practitioner | IN | |
| Diagnostic Radiology | IN | |
| Diagnostic Radiology | IN | |
| Diagnostic Radiology | IN | |
| Physician Assistant | IN | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | IN |
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