JACQUELYNN T LEE (M.D.) – Surgery of the Hand (Plastic Surgery) Physician, NPI 1740787514

JACQUELYNN T LEE (M.D.) is a healthcare provider. based in Las vegas, Nevada. specializing in HAND SURGERY. They hold the professional credentials M.D.. They hold a License No. 27630 (NV). The NPI Number for JACQUELYNN T LEE (M.D.) is 1740787514

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
JACQUELYNN T LEE (M.D.)
NPI
1740787514
Phone
Not provided
Address
3016 W CHARLESTON BLVD STE 100
Enumeration Date
9 April 2018
Last Update Date
27 August 2025

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Secondary Phone
7029398557
Graduation Year
2018 (8 years ago)
PAC ID
8325394950
Group Practice PAC ID
4183991458
Professional Enrollment ID
I20251009002128
Address ID
NV891280424LA2724XWAYX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness85
Years active:8State licenses:3Digital endpointsOther names

35 HAND SURGERY in NV

Provider Addresses for JACQUELYNN T LEE (M.D.)

  • 3016 W CHARLESTON BLVD STE 100

    LAS VEGAS, NV 891021973

    Phone:

    Type: Mailing

  • 2724 N TENAYA WAY FL 2

    LAS VEGAS, NV 891280424

    Phone: (702) 671-5110

    Type: Location

  • 301 University Blvd

    Galveston, TX 775550724

    Phone: (409) 772-8119

    Fax: (409) 772-1872

    Type: Location

  • 660 S Euclid Ave

    Saint Louis, MO 631101010

    Phone: (314) 747-3000

    Type: Location

  • 301 UNIVERSITY BLVD

    GALVESTON, TX 775550724

    Phone: (409) 772-8119

    Fax: (409) 772-1872

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $793.

Total Amount is formed as General ($793) + Research ($0) + Ownership ($0) = $793.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: AXOGEN ($324).

Total Amount

$793

General + Research + Ownership

Payments

9

Total payment records

General Amount

$793

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

Latest reported date

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: 2025-10-09

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
I20251009002128IHand SurgeryNVTBD

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 89102)

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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: 4183991458View full group profile

Reviews

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Frequently asked questions

Is there an official ID for JACQUELYNN T LEE (M.D.) in U.S. healthcare records?
The official identifier for JACQUELYNN T LEE (M.D.) is NPI 1740787514.
Is JACQUELYNN T LEE (M.D.) still an active registrant?
JACQUELYNN T LEE (M.D.) carries an active NPI according to the public dataset.
What clinical focus is listed for JACQUELYNN T LEE (M.D.)?
At a glance, JACQUELYNN T LEE (M.D.) is tied to Surgery of the Hand (Plastic Surgery) Physician. Clinical services aligned with this taxonomy classification.
Is JACQUELYNN T LEE (M.D.) associated with Las Vegas?
Public fields place JACQUELYNN T LEE (M.D.) around Las Vegas, Nevada. Always confirm the exact site before visiting.
Can I trust this NPI listing for JACQUELYNN T LEE (M.D.)?
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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