DR. KEN KYUNG-HOON LEE (MD) – MOHS-Micrographic Surgery Physician, NPI 1407864937
MOHS-Micrographic Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
23 MICROGRAPHIC DERMATOLOGIC SURGERY (MDS) in OR
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Provider Addresses for DR. KEN KYUNG-HOON LEE (MD)
Northwest Northrup Street, Pearl District, Portland, Metro, Multnomah County, Oregon, 97209, United States
PORTLAND, OR 97209
Phone: (503) 223-3104
Fax: (503) 223-4619
Type: Location
300, Northeast 19th Avenue, Kerns, Portland, Metro, Multnomah County, Oregon, 97232, United States
PORTLAND, OR 972322686
Phone: (503) 963-2801
Fax: (503) 963-2825
Type: Mailing
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.
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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: 2004-02-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040220001008 | I | Micrographic Dermatologic Surgery (Mds) | OR | 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 |
|---|---|---|---|---|
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 507 | 388 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 322 | 202 | $0 |
| 13132 | Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm | 128 | 118 | $0 |
| 13151 | Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm | 48 | 45 | $0 |
| 14060 | Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less | 42 | 40 | $0 |
Insurance plans in this area (ZIP 97209)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | OR | 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 56 | 56 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease | OR | |
| - | OR | |
| O T O L A R Y N G O L O G Y | OR | |
| Internal Medicine, Gastroenterology | OR | |
| Gastroenterology, Internal Medicine | OR | |
| - | OR | |
| - | OR | |
| Qualified Audiologist | OR | |
| Physician Assistant | OR | |
| N E U R O S U R G E R Y | OR |
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