Individual provider Active NPI

Scott E Lee, M.D.

  • Ophthalmology Physician
  • Pinole, CA
National Provider Identifier
1699720946
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A87505 Issued in CA
Practice address
1289 Pinole Valley Road
Pinole, CA 94564-9456
Phone
(510) 724-1768
NPI assigned
May 24, 2006
Last updated
Jul 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A87505 CA Primary

Addresses

Primary practice location

1289 Pinole Valley Road
Pinole, CA 94564-9456

Mailing address

1289 Pinole Valley Road
Pinole, CA 94564-2530
Phone (510) 724-1768

Other practice location 1

1420 Tara Hills Dr
Suite D
Pinole, CA 94564-2530
Phone (510) 724-5222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060926000215 CA Practitioner - Ophthalmology 3577568567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Bay OphthalmologyGroup PAC ID 3274621578, 4 clinicians

Practice addresses (Care Compare)

1420 Tara Hills Dr
Suite D
Pinole, CA 94564-2530
Phone (510) 724-1768

Merit-based Incentive Payment System (MIPS)

Final score
94.13 of 100Reported as group
Quality
100
Improvement activities
40
Cost
74.03

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery205
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
87505CAMDPharmacist
A87505CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Bay Ophthalmology Ophthalmology CurrentSince Aug 1, 2007 Accepting new patients
Alta Bates Summit Medical Center Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Lucile Salter Packard Children's Hospital at Stanford Past Accepting new patients

Locations

1289 Pinole Valley Rd
Pinole, CA 94564
Phone (510) 724-1768

1420 Tara Hills Dr
Ste D
Pinole, CA 94564
Phone (510) 724-1768

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1699720946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1289 PINOLE VALLEY ROAD",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642530",
            "telephone_number": "510-724-1768",
            "fax_number": "888-959-0487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1289 PINOLE VALLEY ROAD",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945649456",
            "telephone_number": "510-724-1768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1420 Tara Hills Dr",
            "address_2": "SUITE D",
            "address_purpose": "LOCATION",
            "city": "Pinole",
            "state": "CA",
            "postal_code": "945642530",
            "country_code": "US",
            "telephone_number": "510-724-5222",
            "fax_number": "510-724-4714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "SCOTT",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2021-07-16",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A87505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinole, CA

Sources for this page

Verify at the official NPI Registry.