PETER KISUK LEE (MD, PHD) – MOHS-Micrographic Surgery Physician, NPI 1750462198
MOHS-Micrographic Surgery Physician
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NPPES metrics only — not quality of care.
419 DERMATOLOGY in MN
Provider Addresses for PETER KISUK LEE (MD, PHD)
516 Delaware St SE
PWB Fourth Floor, Room 4-176
Minneapolis, MN 554550356
Phone: (612) 626-6999
Type: Location
2116 CRAIG RD
MMC - EAU CLAIRE MEDICAL OFFICES
EAU CLAIRE, WI 547016149
Phone: (715) 858-4500
Fax: (715) 858-4502
Type: Mailing
Washington Avenue Southeast, Prospect Park - East River Road, Minneapolis, Hennepin County, Minnesota, 55414, United States
UNIVERSITY OF MINNESOTA PHYSICIANS
MINNEAPOLIS, MN 55414
Phone: (612) 884-0649
Fax: (612) 676-8992
Type: Mailing
Phillips-Wangensteen Building, 516, Southeast Delaware Street, Minneapolis, Hennepin County, Minnesota, 55455, United States
PWB FOURTH FLOOR, ROOM 4-176
MINNEAPOLIS, MN 554550356
Phone: (612) 626-6999
Type: Location
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: 2021-04-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20080715000660 | I | Dermatology | MN | TBD |
| I20210416002016 | I | Dermatology | WI | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,143 | 115 | $0 |
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 452 | 283 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 219 | 137 | $0 |
| 11103 | Biopsy of related skin growth, each additional growth | 199 | 69 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 188 | 148 | $0 |
Insurance plans in this area (ZIP 55455)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | MN | 17003 | Destruction of 2-14 skin growths | 83 | 20 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| N E U R O L O G Y | NY | |
| Nurse Practitioner | WI | |
| Interventional Radiology, Diagnostic Radiology | WI | |
| - | WI | |
| P S Y C H I A T R Y | IL | |
| - | MI | |
| Internal Medicine | WI | |
| Nurse Practitioner | IL | |
| Cardiovascular Disease (Cardiology) | IL |
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