NPIMap

Individual provider Active NPI

Jared T Lee, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Cody, WY
National Provider Identifier
1568667145
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
9359A Issued in WY
Practice address
3030 Big Horn Ave
Cody, WY 82414-9208
Phone
(307) 578-1955
NPI assigned
Jun 15, 2007
Last updated
Jan 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 9359A WY Primary

Addresses

Primary practice location

3030 Big Horn Ave
Cody, WY 82414-9208

Mailing address

3030 Big Horn Ave
Cody, WY 82414-9208
Phone (307) 578-1955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130828000945 WY Practitioner - Orthopedic Surgery 5597922864 Reassigns benefits to 1 organization
I20201201000540 CO Practitioner - Orthopedic Surgery 5597922864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Washington School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Steadman Clinic Professional LLCGroup PAC ID 7719876226, 77 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

322 Beard Creek Rd
Edwards, CO 81632-6426
Phone (970) 476-1100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement48
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)16
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9359AWYMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Big Horn Basin Bone & Joint, LLC CurrentSince Aug 19, 2013 Accepting new patients
Hot Springs County Hospital District Current Accepting new patients
Steadman Clinic Professional LLC Sports Medicine CurrentSince Dec 1, 2020 Accepting new patients
Steadman Clinic Professional LLC Sports Medicine CurrentSince Dec 1, 2020 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

401 Castle Creek Rd
Ste 2100
Aspen, CO 81611
Phone (970) 544-1289

200 Robinson St
Ste C300
Basalt, CO 81621

322 Beard Creek Rd
Edwards, CO 81632
Phone (970) 569-7429

181 W Meadow Dr
Ste 400
Vail, CO 81657
Phone (970) 680-0795

3030 Big Horn Ave
Cody, WY 82414
Phone (307) 578-1955

707 Sheridan Ave
Cody, WY 82414
Phone (307) 527-7561

720 Lindsay Ln
Ste C
Cody, WY 82414
Phone (307) 578-1955

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10620/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jlee@hscmh.cernerdirect.com
  • Direct secure messaging: jlee@tsc.emadirect.md

Organizations & group practices 5

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.

Hospital & facility affiliations 8

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": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1568667145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 BIG HORN AVE",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824149208",
            "telephone_number": "307-578-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 BIG HORN AVE",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824149208",
            "telephone_number": "307-578-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JARED",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-15",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "WY",
            "license": "9359A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cody, WY

Sources for this page

Verify at the official NPI Registry.