RYAN C LEE (DO) – Psychiatry Physician, NPI 1093383135

RYAN C LEE (DO) is a healthcare provider. based in Des moines, Iowa. specializing in PSYCHIATRY. They hold the professional credentials DO. They hold a License No. R-12236 (IA). The NPI Number for RYAN C LEE (DO) is 1093383135

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
RYAN C LEE (DO)
NPI
1093383135
Phone
(515) 282-8549
Address
1801 HICKMAN RD
Enumeration Date
15 June 2021
Last Update Date
30 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5153327555
Graduation Year
2021 (5 years ago)
PAC ID
8123420551
Group Practice PAC ID
8921997867
Professional Enrollment ID
I20240311000183
Address ID
IA505481008HU1000XBXXX501
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:4State licenses:2Digital endpointsOther names

304 PSYCHIATRY in IA

Provider Addresses for RYAN C LEE (DO)

  • 1801 HICKMAN RD

    DES MOINES, IA 503141597

    Phone: (515) 282-8549

    Fax: (515) 282-5642

    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)

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: 2024-03-11

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
I20240311000183IPsychiatryIATBD

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 50314)

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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: 8921997867View full group profile
NameSpecialtyState
Nurse PractitionerIA
Mental Health CounselorIA
P O D I A T R YMN
A L L E R G Y/ I M M U N O L O G YIA
Family Practice, Emergency MedicineIA
-IA
Emergency Medicine, Family PracticeIA
Clinical Social WorkerIL
Nurse PractitionerIA
Nurse PractitionerIA

Reviews

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Frequently asked questions

What is the 10-digit NPI for RYAN C LEE (DO)?
RYAN C LEE (DO) — NPI 1093383135 — is the standard way to identify this listing.
Is RYAN C LEE (DO) listed as active for patients and plans?
The listing shows RYAN C LEE (DO) as active in the NPI system.
What healthcare role does RYAN C LEE (DO) hold?
Scheduling teams often label RYAN C LEE (DO) under Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where should I expect RYAN C LEE (DO) on a map?
Expect Des Moines, Iowa as a primary anchor for RYAN C LEE (DO) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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