PHYLLIS LEE (MD) – Family Medicine Physician, NPI 1124010749
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
3,047 FAMILY PRACTICE in WI
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Provider Addresses for PHYLLIS LEE (MD)
West Water Street, Princeton, Gibson County, Indiana, 47670, United States
PRINCETON, WI 549689141
Phone: (920) 295-8801
Fax: (920) 295-4833
Type: Location
PO BOX 735044
CHICAGO, IL 606735044
Phone: (800) 326-2250
Type: Mailing
855 N WESTHAVEN DR
OSHKOSH, WI 549047668
Phone: (920) 303-8700
Fax: (920) 456-5901
Type: Location
ThedaCare Medical Center-Berlin, 225, Memorial Drive, City of Berlin, Green Lake County, Wisconsin, 54923, United States
BERLIN, WI 549231243
Phone: (920) 361-1313
Type: Mailing
3301 W FOREST HOME AVE
MILWAUKEE, WI 532152843
Phone: (920) 303-8700
Type: Mailing
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: 2004-04-01
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 |
|---|---|---|---|---|
| I20040401000819 | I | Family Practice | WI | 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 |
|---|---|---|---|---|
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 167 | 145 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 120 | 67 | $0 |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 59 | 39 | $0 |
| G0317 | Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualifi | 54 | 30 | $0 |
Insurance plans in this area (ZIP 54968)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | WI | |
| Internal Medicine | WI | |
| Internal Medicine | IL | |
| Internal Medicine | WI | |
| Internal Medicine | IL | |
| Internal Medicine | WI | |
| Internal Medicine | KY | |
| Internal Medicine | WI | |
| Family Practice | WI | |
| Family Practice | IL |
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