SHANE LEE (MD) – Vascular & Interventional Radiology Physician, NPI 1104067651

SHANE LEE (MD) is a healthcare provider. based in Hamilton, New Jersey. specializing in INTERVENTIONAL RADIOLOGY, DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. MD449493 (PA). The NPI Number for SHANE LEE (MD) is 1104067651

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
SHANE LEE (MD)
NPI
1104067651
Phone
(609) 585-8800
Address
2501 Kuser Rd
Enumeration Date
12 March 2009
Last Update Date
9 October 2025

Doctor Profile

Medical School Name
RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Secondary Phone
8565134124
Graduation Year
2007 (19 years ago)
PAC ID
1456595495
Group Practice PAC ID
2860616877
Professional Enrollment ID
I20131203000246
Address ID
NJ080122453TU435XXRDXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:17State licenses:3Digital endpointsOther names

235 INTERVENTIONAL RADIOLOGY in NJ

Provider Addresses for SHANE LEE (MD)

  • 2501 Kuser Rd

    Hamilton, NJ 086913386

    Phone: (609) 585-8800

    Type: Location

  • 333 Cottman Ave

    Philadelphia, PA 191112497

    Phone: (215) 728-3883

    Fax: (215) 728-1185

    Type: Location

  • 435 Hurffville Cross Keys Rd

    Turnersville, NJ 080122453

    Phone: (856) 582-2500

    Type: Location

  • 2450, West Hunting Park Avenue, Tioga, Philadelphia, Philadelphia County, Pennsylvania, 19129, United States

    PHILADELPHIA, PA 191291302

    Phone: (215) 707-7237

    Fax: (215) 707-9389

    Type: Mailing

  • Temple University Hospital, 3401, North Broad Street, North Philadelphia, Philadelphia, Philadelphia County, Pennsylvania, 19140, United States

    PHILADELPHIA, PA 19140

    Phone: (215) 707-7237

    Fax: (215) 707-9389

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $284.

Total Amount is formed as General ($284) + Research ($0) + Ownership ($0) = $284.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Inari Medical, Inc. ($97).

Total Amount

$284

General + Research + Ownership

Payments

13

Total payment records

General Amount

$284

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

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: 2013-12-03

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130913000233IInterventional RadiologyPATBD
I20131203000246IInterventional RadiologyNJTBD

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
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes146136$0
49083Drainage of fluid from abdominal cavity using imaging guidance6338$0
77001Fluoroscopic guidance for insertion or removal of central vein access device6259$0
76937Ultrasonic guidance for blood vessel access5756$0
36573Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older5454$0
View full utilization report →

Insurance plans in this area (ZIP 08691)

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Provider's Procedures

SHANE LEE (MD) performs procedures in INTERVENTIONAL RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYNJ36556Insertion of central venous catheter for infusion, patient 5 years or older1313
DIAGNOSTIC RADIOLOGYNJ71010X-ray of chest, 1 view, front314272
DIAGNOSTIC RADIOLOGYNJ71250CT scan chest1414
DIAGNOSTIC RADIOLOGYNJ76830Ultrasound pelvis through vagina1717

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: 2860616877View full group profile
NameSpecialtyState
-NJ
O B S T E T R I C S/ G Y N E C O L O G YPA
-NJ
Nurse PractitionerNJ
Pulmonary DiseaseNJ
U R O L O G YPA
Internal MedicineNJ
-NJ
H E M A T O L O G Y/ O N C O L O G YNJ
Internal MedicineNJ

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Frequently asked questions

Where can patients find SHANE LEE (MD)'s NPI?
You can confirm SHANE LEE (MD) with NPI 1104067651; it appears in the national provider directory.
Is SHANE LEE (MD) active in the national directory?
SHANE LEE (MD)'s public NPI profile is in an active state.
Can you summarize SHANE LEE (MD)'s specialty in plain language?
Clinically, the directory lists SHANE LEE (MD) with Vascular & Interventional Radiology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for SHANE LEE (MD)?
The page summarizes Hamilton, New Jersey for SHANE LEE (MD); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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