JACOB LEE (D.O.) – Interventional Pain Medicine Physician, NPI 1205151875
Interventional Pain Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
95 INTERVENTIONAL PAIN MANAGEMENT in VA
Provider Addresses for JACOB LEE (D.O.)
525 AMHERST ST STE 104
WINCHESTER, VA 226013881
Phone: (540) 931-0400
Type: Mailing
11350 MCCORMICK RD EXECUTIVE PLAZA 1
STE 501
HUNT VALLEY, MD 21031
Phone: (703) 738-4331
Type: Mailing
Medical Office Bldg II, 190, Campus Boulevard, Winchester, Winchester City, Virginia, 22601, United States
SUITE 420
WINCHESTER, VA 226012872
Phone: (540) 931-0400
Fax: (540) 667-9453
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 188 Open Payments records for all available years, with a total value of $6,135.
Total Amount is formed as General ($6,135) + Research ($0) + Ownership ($0) = $6,135.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Abbott Laboratories ($2,959).
Total Amount
$6,135
General + Research + Ownership
Payments
188
Total payment records
General Amount
$6,135
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $2,959 |
| Relievant Medsystems, Inc. | $671 |
| Medtronic, Inc. | $555 |
| Nevro Corp. | $435 |
| Collegium Pharmaceutical, Inc. | $364 |
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: 2021-06-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20150715000006 | I | Interventional Pain Management | WV | TBD |
| I20150716002222 | I | Interventional Pain Management | VA | TBD |
| I20151229000193 | I | Interventional Pain Management | MD | TBD |
| I20210614000017 | I | Physical Medicine And Rehabilitation | DC | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 976 | 73 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 336 | 240 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 182 | 118 | $0 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 179 | 45 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 138 | 54 | $0 |
Insurance plans in this area (ZIP 22601)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERVENTIONAL PAIN MANAGEMENT | VA | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 39 | 31 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | VA | |
| - | MD | |
| - | VA | |
| Nurse Practitioner | VA | |
| Pain Management, Anesthesiology, Pain Management | MD | |
| Interventional Pain Management, Physical Medicine And Rehabilitation | VA | |
| Physician Assistant | MD | |
| Physical Medicine And Rehabilitation, Interventional Pain Management | MD | |
| Nurse Practitioner | VA | |
| Physician Assistant | FL |
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