ANDREW JOHN LEE (MD) – Internal Medicine Physician, NPI 1285611657

ANDREW JOHN LEE (MD) is a healthcare provider. based in Crestline, Ohio. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 68404 (OH). The NPI Number for ANDREW JOHN LEE (MD) is 1285611657

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW JOHN LEE (MD)
NPI
1285611657
Phone
(419) 468-0449
Address
385 N SELTZER ST
Enumeration Date
28 December 2005
Last Update Date
7 January 2021

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Secondary Phone
-
Graduation Year
1991 (35 years ago)
PAC ID
5890721542
Group Practice PAC ID
5496737439
Professional Enrollment ID
I20050713000888
Address ID
OH448271455CR700XXSTXX400

Contacts

Secure Messaging
alee490008@direct.osumc.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

7,199 INTERNAL MEDICINE in OH

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Provider Addresses for ANDREW JOHN LEE (MD)

  • North Seltzer Street, Downtown, Crestline, Crawford County, Ohio, 44827, United States

    SUITE3

    CRESTLINE, OH 448271400

    Phone: (419) 468-0449

    Fax: (419) 468-0634

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $361.

Total Amount is formed as General ($361) + Research ($0) + Ownership ($0) = $361.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($97).

Total Amount

$361

General + Research + Ownership

Payments

23

Total payment records

General Amount

$361

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

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: 2005-07-13

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
I20050713000888IInternal MedicineOHTBD

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 44827)

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Provider's Procedures

ANDREW JOHN LEE (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEOH93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report6561

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: 5496737439View full group profile
NameSpecialtyState
Internal MedicineOH
-OH
Nurse PractitionerOH
Internal MedicineOH
Family PracticeOH
Family PracticeOH
Physician AssistantOH
Internal Medicine, Pediatric MedicineOH
-OH
R H E U M A T O L O G YOH

Reviews

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Frequently asked questions

What federal number belongs to ANDREW JOHN LEE (MD)?
The federal identifier for ANDREW JOHN LEE (MD) is NPI 1285611657.
Is ANDREW JOHN LEE (MD)'s NPI currently valid?
The extract we use shows ANDREW JOHN LEE (MD) as active.
What kind of provider is ANDREW JOHN LEE (MD)?
The page reflects Internal Medicine Physician for ANDREW JOHN LEE (MD). Clinical services aligned with this taxonomy classification.
What location shows for ANDREW JOHN LEE (MD)?
We surface Crestline, Ohio for ANDREW JOHN LEE (MD) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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