JONATHAN J LEE (MD) – Dermatopathology Physician, NPI 1396127114
Dermatopathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
744 DERMATOLOGY in MA
Provider Addresses for JONATHAN J LEE (MD)
50 Staniford Street
MGH Department of Dermatology
Boston, MA 021140211
Phone: (617) 726-2914
Type: Location
330 Mount Auburn St
Internal Medicine Residency Program
Cambridge, MA 021385502
Phone: (617) 499-5571
Type: Location
104 Endicott Street
Suite 304
Danvers, MA 01923
Phone: (978) 882-6566
Type: Location
75 CHARLES ST APT 3
BOSTON, MA 021144620
Phone: (925) 202-7539
Type: Mailing
104 ENDICOTT STREET
SUITE 304
DANVERS, MA 01923
Phone: (978) 882-6566
Type: Location
5310 HARVEST HILL RD STE 290
DALLAS, TX 752305826
Phone: (214) 420-0650
Fax: (214) 736-0512
Type: Mailing
1730 ELTON RD STE 11
SILVER SPRING, MD 209035724
Phone: (301) 439-4301
Fax: (301) 439-4340
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $237.
Total Amount is formed as General ($237) + Research ($0) + Ownership ($0) = $237.
Last reported payment date: 2024-11-04 • Largest payer in this snapshot: GENZYME CORPORATION ($237).
Total Amount
$237
General + Research + Ownership
Payments
2
Total payment records
General Amount
$237
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GENZYME CORPORATION | $237 |
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: 2020-06-29
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 |
|---|---|---|---|---|
| I20200629000135 | I | Dermatology | DC | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02114)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | IL | |
| - | DC | |
| D E R M A T O L O G Y | MN | |
| D E R M A T O L O G Y | MD | |
| D E R M A T O L O G Y | MD | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| Physician Assistant | WI | |
| D E R M A T O L O G Y | VA | |
| - | VA |
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