DR. KEVIN LEE (DDS, MD) – Oral and Maxillofacial Surgery (Dentist), NPI 1356871677
Oral and Maxillofacial Surgery (Dentist)
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
46 DENTIST in WA
Provider Addresses for DR. KEVIN LEE (DDS, MD)
6222 NE 74th St
Seattle, WA 981158158
Phone: (206) 543-5860
Fax: (206) 616-7251
Type: Location
6222 NE 74TH ST BLDG 25
SEATTLE, WA 981158158
Phone: (206) 543-5860
Fax: (206) 731-2810
Type: Mailing
325 9TH AVE
SEATTLE, WA 981042499
Phone: (206) 744-3189
Fax: (206) 731-2810
Type: Location
20, West 168th Street, The Bronx, Bronx County, New York, 10452, United States
NEW YORK, NY 100323725
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $94.
Total Amount is formed as General ($94) + Research ($0) + Ownership ($0) = $94.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Kerecis Limited ($68).
Total Amount
$94
General + Research + Ownership
Payments
2
Total payment records
General Amount
$94
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Kerecis Limited | $68 |
| Gilead Sciences, Inc. | $26 |
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: 2024-08-16
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 |
|---|---|---|---|---|
| I20240816001120 | I | Dentist | WA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98115)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| D E N T I S T | WA | |
| - | WA | |
| - | WA | |
| Maxillofacial Surgery, Oral Surgery | WA | |
| - | WA | |
| Maxillofacial Surgery, Oral Surgery | MA | |
| Family Practice | WA |
Reviews
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