MARK J LEE (DO) – Obstetrics & Gynecology Physician, NPI 1639116635

MARK J LEE (DO) is a healthcare provider. based in Leitchfield, Kentucky. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials DO. They hold a License No. 02935 (KY). The NPI Number for MARK J LEE (DO) is 1639116635

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
MARK J LEE (DO)
NPI
1639116635
Phone
(270) 259-2700
Address
908 WALLACE AVE
Enumeration Date
31 May 2006
Last Update Date
24 July 2019

Doctor Profile

Medical School Name
UNIVERSITY OF PIKEVILLE, KENTUCKY COLLEGE OF OSTEOPATHIC MED
Secondary Phone
2702592700
Graduation Year
2002 (24 years ago)
PAC ID
4284632811
Group Practice PAC ID
0648255034
Professional Enrollment ID
I20061115000194
Address ID
KY427542418LE910XXAVEX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

631 OBSTETRICS/GYNECOLOGY in KY

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Provider Addresses for MARK J LEE (DO)

  • Wallace Avenue, Leitchfield, Grayson County, Kentucky, 42754, United States

    LEITCHFIELD, KY 427541479

    Phone: (270) 259-2700

    Fax: (270) 259-2717

    Type: Mailing

  • Twin Lakes Regional Medical Center, 910, Wallace Avenue, Leitchfield, Grayson County, Kentucky, 42754, United States

    LEITCHFIELD, KY 427542414

    Phone: (270) 259-2700

    Fax: (270) 259-2717

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $212.

Total Amount is formed as General ($212) + Research ($0) + Ownership ($0) = $212.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Biogen, Inc. ($117).

Total Amount

$212

General + Research + Ownership

Payments

11

Total payment records

General Amount

$212

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2006-11-15

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
I20061115000194IObstetrics/GynecologyKYTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes3317$0
View full utilization report →

Insurance plans in this area (ZIP 42754)

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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: 0648255034View full group profile

Reviews

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Frequently asked questions

What identifier follows MARK J LEE (DO) across health systems?
The NPI 1639116635 uniquely identifies MARK J LEE (DO) in U.S. healthcare data.
Is MARK J LEE (DO)'s NPI status active today?
Active status means MARK J LEE (DO)'s NPI record is not deactivated in the public file.
What does the directory say MARK J LEE (DO) does?
Insurance directories may phrase it differently, but here MARK J LEE (DO) maps to Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to MARK J LEE (DO)?
MARK J LEE (DO) shows a connection to Leitchfield, Kentucky in registry-derived data.
Why is information missing for MARK J LEE (DO)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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