DR. MIN KUK LEE (MD) – Family Medicine Physician, NPI 1548693104
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,081 FAMILY PRACTICE in OR
Provider Addresses for DR. MIN KUK LEE (MD)
1057 12TH AVE
LONGVIEW, WA 986322509
Phone: (360) 425-9210
Fax: (360) 232-8400
Type: Mailing
5909 SE 92ND AVE
PORTLAND, OR 972664642
Phone: (971) 346-8930
Type: Location
139 1ST AVE SW
CASTLE ROCK, WA 98611
Phone: (360) 274-2353
Fax: (360) 274-7439
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: 2025-04-17
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 |
|---|---|---|---|---|
| I20250417000512 | I | Family Practice | OR | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 17 | 11 | $0 |
Insurance plans in this area (ZIP 98632)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | OR | |
| Family Practice | OR | |
| Physician Assistant | OR |
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