EDWARD K LEE (DO) – Radiation Oncology Physician, NPI 1013930577

EDWARD K LEE (DO) is a healthcare provider. based in Grand rapids, Michigan. specializing in RADIATION ONCOLOGY. They hold the professional credentials DO. They hold a License No. 5101007580 (MI). The NPI Number for EDWARD K LEE (DO) is 1013930577

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
EDWARD K LEE (DO)
NPI
1013930577
Phone
(616) 486-5750
Address
145 Michigan St NE Ste 1100
Enumeration Date
25 July 2006
Last Update Date
9 December 2025

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
5179995900
Graduation Year
1978 (48 years ago)
PAC ID
4082786330
Group Practice PAC ID
6002045895
Professional Enrollment ID
I20100604001151
Address ID
MI488231379EA2175XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

248 RADIATION ONCOLOGY in MI

Provider Addresses for EDWARD K LEE (DO)

  • 145 Michigan St NE Ste 1100

    Grand Rapids, MI 495032562

    Phone: (616) 486-5750

    Type: Location

  • Corewell Health Butterworth Hospital, 100, Michigan Street Northeast, Grand Rapids, Kent County, Michigan, 49503, United States

    GRAND RAPIDS, MI 495032560

    Phone: (616) 391-1830

    Fax: (616) 391-1286

    Type: Mailing

  • 1840, Wealthy Street Southeast, East Grand Rapids, Kent County, Michigan, 49506, United States

    EAST GRAND RAPIDS, MI 495062921

    Phone: (616) 774-7845

    Fax: (616) 774-5146

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $191.

Total Amount is formed as General ($191) + Research ($0) + Ownership ($0) = $191.

Last reported payment date: 2024-05-21 • Largest payer in this snapshot: Telix Pharmaceuticals ($83).

Total Amount

$191

General + Research + Ownership

Payments

5

Total payment records

General Amount

$191

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-21

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: 2010-06-04

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
I20100604001151IRadiation OncologyMITBD

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
77014Ct guidance for insertion of radiation therapy fields57832$0
G6015Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session57330$0
G6012Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev28315$0
77336Continuing radiation therapy consultation per week18545$0
77427Radiation treatment management, 5 treatment sessions17944$0
View full utilization report →

Insurance plans in this area (ZIP 49503)

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Provider's Procedures

EDWARD K LEE (DO) performs procedures in RADIATION ONCOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
RADIATION ONCOLOGYMI77263Management of radiation therapy, complex167156
RADIATION ONCOLOGYMI77300Calculation of radiation therapy dose421139
RADIATION ONCOLOGYMI77427Radiation treatment management, 5 treatments789143

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: 6002045895View full group profile
NameSpecialtyState
Physical Medicine And RehabilitationMI
-MI
-MI
Nurse PractitionerMI
Physical Therapist In Private PracticeMI
Nurse PractitionerMI
-MI
N E U R O S U R G E R YMI
Physical Therapist In Private PracticeAZ
Nurse PractitionerMI

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Frequently asked questions

What is the registry number for EDWARD K LEE (DO)?
The registry entry for EDWARD K LEE (DO) shows NPI 1013930577.
Is EDWARD K LEE (DO) currently accepting referrals based on NPI status?
Registry metadata lists EDWARD K LEE (DO) as active.
What services align with EDWARD K LEE (DO)'s listing?
EDWARD K LEE (DO)'s public classification highlights Radiation Oncology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit EDWARD K LEE (DO) in Grand Rapids, Michigan?
For routing, start with Grand Rapids, Michigan for EDWARD K LEE (DO), then verify phone and hours locally.
Why is information missing for EDWARD K LEE (DO)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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