LEE O FAGRE (MD) – Family Medicine Physician, NPI 1982649018
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,656 FAMILY PRACTICE in IA
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Provider Addresses for LEE O FAGRE (MD)
2101, Kimball Avenue, Waterloo, Black Hawk County, Iowa, 50702, United States
LL14
WATERLOO, IA 507025063
Phone: (319) 272-1590
Fax: (319) 272-1535
Type: Mailing
MercyOne Waverly Family Medicine, 217, 20th Street Northwest, Waverly, Bremer County, Iowa, 50677, United States
WAVERLY, IA 506772017
Phone: (319) 352-9500
Fax: (319) 352-9509
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $74.
Total Amount is formed as General ($74) + Research ($0) + Ownership ($0) = $74.
Last reported payment date: 2024-11-27 • Largest payer in this snapshot: Phathom Pharmaceuticals, Inc. ($26).
Total Amount
$74
General + Research + Ownership
Payments
4
Total payment records
General Amount
$74
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-27
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2010-03-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100322000825 | I | Family Practice | IA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 474 | 241 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 170 | 170 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 169 | 72 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 132 | 132 | $0 |
| 93793 | Anticoagulant management of patient taking warfarin | 122 | 21 | $0 |
Insurance plans in this area (ZIP 50702)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | IA | 20610 | Aspiration and/or injection of large joint or joint capsule | 30 | 18 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IA | |
| Family Practice, Hospitalist | IA | |
| Orthopedic Surgery | IA | |
| N E U R O L O G Y | IA | |
| Family Practice | IA | |
| Internal Medicine | IA | |
| Physician Assistant | IA | |
| Internal Medicine, Nephrology | IA | |
| Orthopedic Surgery | WI | |
| Physical Medicine And Rehabilitation | IA |
Reviews
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