DR. KORY RANDAL LEE (MD) – Dermatology Physician, NPI 1861996738

DR. KORY RANDAL LEE (MD) is a healthcare provider. based in Longview, Texas. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. T7281 (TX). The NPI Number for DR. KORY RANDAL LEE (MD) is 1861996738

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. KORY RANDAL LEE (MD)
NPI
1861996738
Phone
(903) 736-2841
Address
21688 FM 449
Enumeration Date
23 March 2018
Last Update Date
25 June 2025

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Secondary Phone
2816654444
Graduation Year
2018 (8 years ago)
PAC ID
5496082315
Group Practice PAC ID
4385540111
Professional Enrollment ID
I20220601000105
Address ID
TX775737458LE1615XPKWY502

Contacts

Secure Messaging
krlee@directaddress.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness95
Years active:8State licenses:1Other names

61 DERMATOLOGY in NM

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Provider Addresses for DR. KORY RANDAL LEE (MD)

  • 21688 FM 449

    LONGVIEW, TX 756056642

    Phone: (903) 736-2841

    Type: Mailing

  • University of New Mexico, University Boulevard Northeast, Martinez Town, Albuquerque, Bernalillo County, New Mexico, 87131, United States

    ALBUQUERQUE, NM 871314375

    Phone: (505) 272-6222

    Type: Location

  • 1235 Lake Pointe Pkwy Ste 200

    Sugar Land, TX 774784077

    Phone: (281) 665-4444

    Fax: (281) 980-0177

    Type: Location

  • 1615 W League City Pkwy Ste 300

    League City, TX 775737458

    Phone: (281) 665-4444

    Fax: (281) 325-5374

    Type: Location

  • 2051 Greenhouse Rd Ste 270

    Houston, TX 770847573

    Phone: (281) 665-4444

    Fax: (281) 392-6766

    Type: Location

  • 10905 MEMORIAL HERMANN DR STE 211

    PEARLAND, TX 775843490

    Phone: (281) 665-4444

    Fax: (281) 412-6470

    Type: Location

  • 801 YORK ST

    MANITOWOC, WI 542204630

    Phone: (920) 663-9008

    Fax: (920) 684-1439

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 339 Open Payments records for all available years, with a total value of $6,841.

Total Amount is formed as General ($6,841) + Research ($0) + Ownership ($0) = $6,841.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($1,249).

Total Amount

$6,841

General + Research + Ownership

Payments

339

Total payment records

General Amount

$6,841

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2022-06-01

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
I20220601000105IDermatologyTXTBD

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
17003Destruction of precancer skin growth, 2-14 growths44386$0
99213Established patient office or other outpatient visit, 20-29 minutes245188$0
99214Established patient office or other outpatient visit, 30-39 minutes189146$0
17110Destruction of skin growth, 1-14 growths160118$0
17000Destruction of precancer skin growth, 1 growth141110$0
View full utilization report →

Insurance plans in this area (ZIP 75605)

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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: 4385540111View full group profile
NameSpecialtyState
D E R M A T O L O G YTX
Physician AssistantWI
Physician AssistantTX
D E R M A T O L O G YTX

Reviews

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Frequently asked questions

Can I cross-check DR. KORY RANDAL LEE (MD) using NPI 1861996738?
NPI 1861996738 belongs to DR. KORY RANDAL LEE (MD); compare other details if you need extra assurance.
Is there an active status for DR. KORY RANDAL LEE (MD)?
For scheduling context, DR. KORY RANDAL LEE (MD) is shown as active in the registry.
What kind of doctor is DR. KORY RANDAL LEE (MD)?
DR. KORY RANDAL LEE (MD) is associated with Dermatology Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Texas is DR. KORY RANDAL LEE (MD) registered?
Use Longview, Texas as the headline location for DR. KORY RANDAL LEE (MD) here.
What does 8 location(s) imply?
8 practice locations appear in the available data.

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