DR. JAMES LEE (D.O.) – Emergency Medicine Physician, NPI 1063753440

DR. JAMES LEE (D.O.) is a healthcare provider. based in Clinton township, Michigan. specializing in Emergency Medicine Physician. They hold the professional credentials D.O.. They hold a License No. 5101020396 (MI). The NPI Number for DR. JAMES LEE (D.O.) is 1063753440

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAMES LEE (D.O.)
NPI
1063753440
Phone
Not provided
Address
15855 19 MILE RD
Enumeration Date
8 March 2013
Last Update Date
9 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3603634818
Graduation Year
2012 (14 years ago)
PAC ID
5991095564
Group Practice PAC ID
9436141892
Professional Enrollment ID
I20170724002060
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:13State licenses:2Digital endpointsOther names

Provider Addresses for DR. JAMES LEE (D.O.)

  • 15855 19 MILE RD

    CLINTON TOWNSHIP, MI 480383504

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2017-07-24

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
I20170724002060IEmergency MedicineWATBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only188158$0
99285Emergency department visit with high level of medical decision making179175$0
99291Critical care, first 30-74 minutes8582$0
99284Emergency department visit with moderate level of medical decision making7676$0
View full utilization report →

Insurance plans in this area (ZIP 48038)

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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: 9436141892View full group profile

Reviews

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Frequently asked questions

What is the registry number for DR. JAMES LEE (D.O.)?
The registry entry for DR. JAMES LEE (D.O.) shows NPI 1063753440.
Should I treat DR. JAMES LEE (D.O.) as an active provider?
Patients and plans typically see DR. JAMES LEE (D.O.) as active in the national extract.
Which specialty label fits DR. JAMES LEE (D.O.)?
NPPES ties DR. JAMES LEE (D.O.) to Emergency Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DR. JAMES LEE (D.O.) tied to Clinton Township, Michigan?
If you are local to Clinton Township, Michigan, DR. JAMES LEE (D.O.) may be relevant to your search.
Why is information missing for DR. JAMES LEE (D.O.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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