DR. CHANG SUP LEE (MD) – Ophthalmology Physician, NPI 1598296238
Ophthalmology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
2,665 OPHTHALMOLOGY in CA
Provider Addresses for DR. CHANG SUP LEE (MD)
1800 JEFFERSON PARK AVE APT 83
CHARLOTTESVILLE, VA 229033547
Phone: (404) 783-3508
Type: Mailing
555 N 13TH AVE
UPLAND, CA 917864904
Phone: (800) 345-8979
Fax: (909) 949-3967
Type: Location
520 S VIRGIL AVE STE 103
LOS ANGELES, CA 900201425
Phone: (404) 783-3508
Fax: (213) 297-7978
Type: Location
West Virginia University School of Dentistry, 1, Medical Center Drive, The Flatts, Evansdale, Morgantown, Monongalia County, West Virginia, 26505-2854, United States
MORGANTOWN, WV 265061200
Phone: (304) 293-2463
Fax: (304) 293-5160
Type: Location
1450 San Pablo St Ste 400
Los Angeles, CA 900335331
Phone: (323) 442-6335
Type: Location
555 N 13th Ave
Upland, CA 917864904
Phone: (800) 345-8979
Fax: (909) 949-3967
Type: Location
1450 SAN PABLO ST STE 400
LOS ANGELES, CA 900335331
Phone: (323) 442-6335
Type: Location
PO BOX 31309
LOS ANGELES, CA 900310309
Phone: (626) 457-6601
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 50 Open Payments records for all available years, with a total value of $3,739.
Total Amount is formed as General ($3,739) + Research ($0) + Ownership ($0) = $3,739.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($1,363).
Total Amount
$3,739
General + Research + Ownership
Payments
50
Total payment records
General Amount
$3,739
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,363 |
| Regeneron Healthcare Solutions, Inc. | $518 |
| Alcon Vision LLC | $457 |
| Carl Zeiss Meditec USA, Inc. | $310 |
| Genentech USA, Inc. | $298 |
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: 2021-07-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210713003422 | I | Ophthalmology | CA | 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 |
|---|---|---|---|---|
| J2777 | Injection, faricimab-svoa, 0.1 mg | 1,080 | 14 | $0 |
| 92134 | Imaging of retina | 98 | 75 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 58 | 47 | $0 |
| 67028 | Injection of drug into eye | 46 | 34 | $0 |
| J0178 | Injection, aflibercept, 1 mg | 34 | 11 | $0 |
Insurance plans in this area (ZIP 22903)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | CA | |
| O P H T H A L M O L O G Y | CA | |
| O P H T H A L M O L O G Y | CA | |
| O P T O M E T R Y | FL | |
| O P H T H A L M O L O G Y | CA | |
| O P H T H A L M O L O G Y | CA | |
| O P H T H A L M O L O G Y | CA | |
| O P T O M E T R Y | CA | |
| O P H T H A L M O L O G Y | KY | |
| O P H T H A L M O L O G Y | CA |
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