JAE EUN LEE – Neurology Physician, NPI 1346622792

JAE EUN LEE is a healthcare provider. based in Rochester, Minnesota. specializing in NEUROLOGY. They hold a License No. 65547 (MN). The NPI Number for JAE EUN LEE is 1346622792

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
JAE EUN LEE
NPI
1346622792
Phone
(507) 284-2511
Address
200 1ST ST SW
Enumeration Date
22 June 2015
Last Update Date
3 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2707829424
Graduation Year
2013 (13 years ago)
PAC ID
7113221581
Group Practice PAC ID
7719899947
Professional Enrollment ID
I20210527001787
Address ID
KY421011784BO350XXSTXX308
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:10State licenses:2Digital endpointsOther names

640 NEUROLOGY in MN

Provider Addresses for JAE EUN LEE

  • 200 1ST ST SW

    ROCHESTER, MN 559050001

    Phone: (507) 284-2511

    Type: Mailing

  • 201 PARK ST

    BOWLING GREEN, KY 421011708

    Phone: (270) 781-5111

    Fax: (270) 783-3774

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 499 Open Payments records for all available years, with a total value of $8,862.

Total Amount is formed as General ($8,862) + Research ($0) + Ownership ($0) = $8,862.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: UCB, Inc. ($965).

Total Amount

$8,862

General + Research + Ownership

Payments

499

Total payment records

General Amount

$8,862

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2021-05-27

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
I20210527001787INeurologyKYTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes312280$0
A9575Injection, gadoterate meglumine, 0.1 ml26514$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes11264$0
95816Measurement of brain wave activity (eeg), awake and drowsy109103$0
99204New patient office or other outpatient visit, 45-59 minutes106106$0
View full utilization report →

Insurance plans in this area (ZIP 55905)

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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: 7719899947View full group profile
NameSpecialtyState
Vascular Surgery, General SurgeryKY
Interventional Radiology, Diagnostic RadiologyKY
N E U R O L O G YKY
-KY
Nurse PractitionerKY
Registered Dietitian Or Nutrition ProfessionalKY
General SurgeryTN
Diagnostic Radiology, Interventional RadiologyIN
P S Y C H I A T R YKY
Nurse PractitionerKY

Reviews

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Frequently asked questions

What is the 10-digit NPI for JAE EUN LEE?
JAE EUN LEE — NPI 1346622792 — is the standard way to identify this listing.
Does CMS list JAE EUN LEE as active?
Yes — JAE EUN LEE is active in the NPI listing used on this page.
What taxonomy line describes JAE EUN LEE?
For research purposes, treat JAE EUN LEE as Neurology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does JAE EUN LEE list a practice location?
Patients near Rochester, Minnesota may find JAE EUN LEE in results; validate coverage separately.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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