Individual provider Active NPI

Mark Theodore Lee, D.O.

  • Diagnostic Radiology Physician
  • Ames, IA
National Provider Identifier
1245625003
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
DO-06912 Issued in IA
Practice address
1215 Duff Ave
Ames, IA 50010-5469
Phone
(515) 239-4456
NPI assigned
Mar 30, 2015
Last updated
Jun 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X DO-06912 IA Primary

Addresses

Primary practice location

1215 Duff Ave
Ames, IA 50010-5469

Mailing address

1215 Duff Ave
Ames, IA 50010-5469
Phone (515) 239-4400

Other identifiers 1

IdentifierTypeStateIssuer
67264OtherMNMINNESOTA BOARD OF MEDICAL PRACTICE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mlee119972@directmcfarlandclinic.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, IA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200502000009 MN Practitioner - Diagnostic Radiology 9739484874 Reassigns benefits to 13 organizations
I20250512000162 IA Practitioner - Diagnostic Radiology 9739484874 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McFarland Clinic PCGroup PAC ID 1254244239, 353 clinicians
Broadlawns Medical CenterGroup PAC ID 3678466166, 302 clinicians

Practice addresses (Care Compare)

1215 Duff Ave
Ames, IA 50010-5400
Phone (515) 239-4400

1801 Hickman Rd
Des Moines, IA 50314-1548
Phone (515) 282-2200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DO-06912IAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic Health System-St James CurrentSince Jul 1, 2021 Accepting new patients
Fairview Express Care CurrentSince Jul 1, 2020 Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region Current Accepting new patients
Fairview Health Services Current Accepting new patients
McFarland Clinic PC CurrentSince Jun 30, 2025 Accepting new patients
Mayo Clinic Health System-Southeast Minnesota Region CurrentSince Jul 1, 2021 Accepting new patients
Mayo Clinic Health System-Lake City CurrentSince Jul 1, 2021 Accepting new patients
Fairview Health Services CurrentSince Jun 1, 2020 Accepting new patients
Mayo Clinic Health System-Lake City Current Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region CurrentSince Jul 1, 2021 Accepting new patients
Fairview Clinics CurrentSince Jun 1, 2020 Accepting new patients
Mayo Clinic Health System-St James Current Accepting new patients
Fairview Express Care Current Accepting new patients
Mayo Clinic Health System-Fairmont CurrentSince Jul 1, 2021 Accepting new patients
Fairview Express Care CurrentSince Jul 1, 2020 Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region Current Accepting new patients
Broadlawns Medical Center CurrentSince Jun 1, 2025 Accepting new patients
Fairview Clinics CurrentSince Jun 1, 2020 Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region Current Accepting new patients
Broadlawns Medical Center CurrentSince Jun 1, 2025 Accepting new patients
Fairview Clinics Current Accepting new patients
Mayo Clinic Health System-Southeast Minnesota Region CurrentSince Jul 1, 2021 Accepting new patients
Mayo Clinic Health System-Southeast Minnesota Region Current Accepting new patients
Boone County Hospital Past Accepting new patients

Locations

1215 Duff Ave
Ames, IA 50010
Phone (515) 239-4400

1801 Hickman Rd
Des Moines, IA 50314
Phone (515) 282-2200

580 SW 9th St
Ste 100
Des Moines, IA 50309
Phone (515) 282-2362

2508 E University Ave
Des Moines, IA 50317
Phone (515) 282-2362

404 W Fountain St
Albert Lea, MN 56007
Phone (507) 377-6285

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

800 Medical Center Dr
Fairmont, MN 56031
Phone (507) 238-8100

500 W Grant St
Lake City, MN 55041
Phone (651) 345-3321

1025 Marsh St
Mankato, MN 56001
Phone (507) 345-2623

420 Delaware St SE
#292
Minneapolis, MN 55455
Phone (612) 626-3345

500 Harvard St SE
Minneapolis, MN 55455
Phone (612) 273-7300

720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649

909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

420 Delaware St SE
Minneapolis, MN 55455
Phone (612) 625-6483

516 Delaware St SE
Minneapolis, MN 55455
Phone (612) 625-3600

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

1101 Moulton and Parsons Dr
Saint James, MN 56081
Phone (507) 375-3261

Organizations & group practices 25

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 25

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1245625003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 DUFF AVE",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500105469",
            "telephone_number": "515-239-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 DUFF AVE",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500105469",
            "telephone_number": "515-239-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MARK",
        "middle_name": "THEODORE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-30",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "DO-06912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINNESOTA BOARD OF MEDICAL PRACTICE",
            "identifier": "67264",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mlee119972@directmcfarlandclinic.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1215 Duff Ave",
            "city": "Ames",
            "state": "IA",
            "country_code": "US",
            "postal_code": "500105469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ames, IA

Sources for this page

Verify at the official NPI Registry.