ANTHONY KOU LEE (PA-C) – Physician Assistant, NPI 1154692887
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
3,678 PHYSICIAN ASSISTANT in WI
Provider Addresses for ANTHONY KOU LEE (PA-C)
5320 WEST MICHAELS DRIVE
APPLETON, WI 549138400
Phone: (920) 585-4846
Type: Mailing
5320 W MICHAELS DR
APPLETON, WI 549138446
Phone: (920) 585-4846
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.
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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: 2012-10-31
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 |
|---|---|---|---|---|
| I20121031000672 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | 12 | 12 | $0 |
Insurance plans in this area (ZIP 54913)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WI | |
| Physical Therapist In Private Practice | WI | |
| General Surgery | WI | |
| - | WI | |
| Anesthesiology, Pain Management | IA | |
| Physical Therapist In Private Practice | WI | |
| Physical Medicine And Rehabilitation | WI | |
| N E U R O S U R G E R Y | WI | |
| Physical Therapist In Private Practice | WI | |
| Physical Therapist In Private Practice | WI |
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