DR. LEE III CONGLETON (M.D.) – Urology Physician, NPI 1699775718
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
313 UROLOGY in TN
Provider Addresses for DR. LEE III CONGLETON (M.D.)
10200 GRAND CENTRAL AVE STE 220
OWINGS MILLS, MD 211174366
Phone:
Type: Mailing
7557 DANNAHER DR STE 230
POWELL, TN 378493563
Phone: (865) 938-5222
Fax: (865) 938-5264
Type: Location
Executive Park Drive, Knoxville, Knox County, Tennessee, 37923, United States
KNOXVILLE, TN 379234603
Phone: (865) 690-0602
Fax: (865) 690-0515
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 61 Open Payments records for all available years, with a total value of $1,187.
Total Amount is formed as General ($1,187) + Research ($0) + Ownership ($0) = $1,187.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Boston Scientific Corporation ($480).
Total Amount
$1,187
General + Research + Ownership
Payments
61
Total payment records
General Amount
$1,187
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
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: 2010-02-23
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 |
|---|---|---|---|---|
| I20100223000086 | I | Urology | TN | 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 |
|---|---|---|---|---|
| J1071 | Injection, testosterone cypionate, 1 mg | 13,350 | 16 | $0 |
| J9155 | Injection, degarelix, 1 mg | 3,200 | 11 | $0 |
| J0897 | Injection, denosumab, 1 mg | 2,220 | 19 | $0 |
| 81003 | Automated urinalysis test | 992 | 754 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 797 | 617 | $0 |
Insurance plans in this area (ZIP 21117)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TN | |
| U R O L O G Y | TN | |
| Nurse Practitioner | FL | |
| U R O L O G Y | TN | |
| P A T H O L O G Y | TN | |
| Physician Assistant | MD | |
| Diagnostic Radiology | TN | |
| U R O L O G Y | MD | |
| - | TN | |
| Nurse Practitioner | TN |
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