DANIEL JAESUH LEE (M.D.) – Physical Medicine & Rehabilitation Physician, NPI 1467778878
Physical Medicine & Rehabilitation Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
320 PHYSICAL MEDICINE AND REHABILITATION in WA
Provider Addresses for DANIEL JAESUH LEE (M.D.)
1303 PACIFIC AVE
EVERETT, WA 982014234
Phone: (425) 339-5476
Fax: (425) 259-6069
Type: Location
PO BOX 5127
EVERETT, WA 982065127
Phone: (425) 304-8431
Fax: (805) 648-9833
Type: Mailing
2323, Knoll Drive, Ventura, Ventura County, California, 93003, United States
SUITE 219
VENTURA, CA 930037307
Phone: (805) 648-9830
Fax: (805) 648-9833
Type: Mailing
3170, Loma Vista Road, Ventura, Ventura County, California, 93003, United States
VENTURA, CA 930032970
Phone: (805) 648-9830
Fax: (805) 648-9833
Type: Location
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.
This can happen when there are no reportable CMS Open Payments records.
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: 2019-07-22
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 |
|---|---|---|---|---|
| I20190722001500 | I | Physical Medicine And Rehabilitation | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 344 | 52 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 185 | 185 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 155 | 121 | $0 |
| 72148 | Mri scan of lower spinal canal without contrast | 34 | 27 | $0 |
| 72110 | X-ray of lower and sacral spine, minimum of 4 views | 31 | 26 | $0 |
Insurance plans in this area (ZIP 98201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| - | WA | |
| - | WA | |
| P A T H O L O G Y | TN | |
| Nurse Practitioner | WA | |
| Diagnostic Radiology | WA | |
| Nurse Practitioner | WA | |
| Physical Therapist In Private Practice | WA | |
| O T O L A R Y N G O L O G Y | WA | |
| Emergency Medicine | OR |
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