DONGYUP LEE – Pain Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1831713221

DONGYUP LEE is a healthcare provider. based in Grand island, Nebraska. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold a License No. 36809 (NE). The NPI Number for DONGYUP LEE is 1831713221

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
DONGYUP LEE
NPI
1831713221
Phone
(308) 675-3222
Address
403 LEXINGTON CIR
Enumeration Date
2 June 2020
Last Update Date
2 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4028343368
Graduation Year
2015 (11 years ago)
PAC ID
5193149144
Group Practice PAC ID
7416282868
Professional Enrollment ID
I20250516001407
Address ID
NE689014530HA726XXBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:6State licenses:2Digital endpointsOther names

68 PHYSICAL MEDICINE AND REHABILITATION in NE

Provider Addresses for DONGYUP LEE

  • 403 LEXINGTON CIR

    GRAND ISLAND, NE 688039728

    Phone: (308) 675-3222

    Fax: (308) 675-3234

    Type: Mailing

  • 100 NORTH ACADEMY AVENUE GEISINGER MEDICAL CENTER

    DANVILLE, PA 17822

    Phone: (334) 440-6095

    Type: Mailing

  • 100 NORTH ACADEMY AVENUE, GEISINGER MEDICAL CENTER

    DANVILLE, PA 17822

    Phone: (570) 271-6211

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $3,510.

Total Amount is formed as General ($3,510) + Research ($0) + Ownership ($0) = $3,510.

Last reported payment date: 2024-10-11 • Largest payer in this snapshot: Medtronic, Inc. ($3,470).

Total Amount

$3,510

General + Research + Ownership

Payments

15

Total payment records

General Amount

$3,510

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$3,470
ABBVIE INC.$40
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: 2025-05-16

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
I20250516001407IPhysical Medicine And RehabilitationNETBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 68803)

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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: 7416282868View full group profile
NameSpecialtyState
Pain ManagementNE
Nurse PractitionerNE
Nurse PractitionerCO

Reviews

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Frequently asked questions

Is DONGYUP LEE listed with a National Provider Identifier?
Yes — DONGYUP LEE has NPI 1831713221 on file in the registry.
Is DONGYUP LEE still an active registrant?
DONGYUP LEE carries an active NPI according to the public dataset.
What expertise is attributed to DONGYUP LEE?
DONGYUP LEE's specialty line reads Pain Medicine (Physical Medicine & Rehabilitation) Physician. Clinical services aligned with this taxonomy classification.
Where in Nebraska is DONGYUP LEE registered?
Use Grand Island, Nebraska as the headline location for DONGYUP LEE here.
Can I trust this NPI listing for DONGYUP LEE?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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