Active NPI
Peter Kisuk Lee, MD, PHD
- MOHS-Micrographic Surgery Physician
- Eau Claire, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- 20286
- Practice address
- 2116 Craig Rd
MMC - Eau Claire Medical Offices
Eau Claire, WI 54701-6149 - Phone
- (715) 858-4500
- Fax
- (715) 858-4502
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| MOHS-Micrographic Surgery Physician | 207ND0101X | 40742 | MN | |
| Dermatology Physician | 207N00000X | 40742 | MN | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | 20286 | WI | Primary |
Addresses
Primary practice location
2116 Craig Rd
MMC - Eau Claire Medical Offices
Eau Claire, WI 54701-6149
Mailing address
2116 Craig Rd
MMC - Eau Claire Medical Offices
Eau Claire, WI 54701-6149
Phone (715) 858-4500
Other practice location 1
516 Delaware St SE
PWB Fourth Floor, Room 4-176
Minneapolis, MN 55455-0356
Phone (612) 626-6999
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121915 | Other | MN | UCARE |
| 656310 | Other | MN | ARAZ |
| 03-00010 | Other | MN | MEDICA-PRIMARY |
| 0512590 | Medicaid | IA | |
| 070012427 | Other | RR MEDICARE | |
| 383318600 | Medicaid | MN | |
| 0300035 | Other | MN | MEDICA-CHOICE |
| 656310 | Other | MN | FAIRVIEW |
| 1018635 | Other | MN | PREFERRED ONE |
| 11G68LE | Other | MN | BCBS |
| HP27293 | Other | MN | HEALTH PARTNERS |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
| Direct Messaging Address | him@marshfieldclinichealthsystem.cernerdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Minnesota Medical School, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511
2116 Craig Rd
Eau Claire, WI 54701-6149
Phone (715) 858-4500
2310 Craig Rd
Eau Claire, WI 54701-6128
Phone (715) 858-8100
Hospital & facility affiliations
- Marshfield Medical Center - Eau Claire
- Mayo Clinic Health System Eau Claire Hospital
- Marshfield Medical Center - Rice Lake
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.58 of 100
- Quality
- 55.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.46
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 136 |
| Removal of skin lesions | 630 |
| Removal of skin cancer | 618 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 161 |
| Skin biopsy | 366 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40742 | MN | MD | Dermatology Physician |
| 20286 | WI | MD | MOHS-Micrographic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCHS Hospitals Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Marshfield Clinic Inc | Current | Accepting new patients | |
| Memorial Hospital Inc | Past | Accepting new patients |
Locations
14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400
720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649
516 Delaware St SE
Fl Fourth
Minneapolis, MN 55455
Phone (612) 625-7466
420 Delaware St SE
#126
Minneapolis, MN 55455
Phone (612) 626-2378
909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
2116 Craig Rd
Ofc
Eau Claire, WI 54701
Phone (715) 858-4500
1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
2116 Craig Rd
Eau Claire, WI 54701
Phone (715) 858-4500
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
Interoperability endpoints
- peter.klee@marshfieldclinichealthsystem.cernerdirect.com
- him@marshfieldclinichealthsystem.cernerdirect.com
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Marshfield Clinic Florida Teleradiology/Telehealth
- Clinic/Center
- Marshfield, WI
- NPI 1952347981
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1811077175
-
dba MCHS Hospitals Inc Outreach Services
- Clinic/Center
- Marshfield, WI
- NPI 1427642255
-
dba Marshfield Medical Center - Eau Claire Cancer Center
- Durable Medical Equipment & Medical Supplies
- Eau Claire, WI
- NPI 1558230847
-
dba Fairview Clinics-North Branch
- Primary Care Clinic/Center
- North Branch, MN
- NPI 1306090568
-
dba Fairview Hospital University
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
dba Fairview Emergency Medical Services
- Land Ambulance
- Saint Paul, MN
- NPI 1710212485
-
dba Marshfield Medical Center - Neillsville Clinic
- Rural Health Clinic/Center
- Neillsville, WI
- NPI 1619966793
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Marshfield Medical Center - Rice Lake
- Rural Acute Care Hospital
- Rice Lake, WI
- NPI 1154415024
-
dba Mayo Clinic Health System in Eau Claire
- General Acute Care Hospital
- Eau Claire, WI
- NPI 1629027578
-
dba Marshfield Medical Center - Eau Claire
- General Acute Care Hospital
- Eau Claire, WI
- NPI 1952809816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785196800000",
"number": "1750462198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2116 CRAIG RD",
"address_2": "MMC - EAU CLAIRE MEDICAL OFFICES",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547016149",
"telephone_number": "715-858-4500",
"fax_number": "715-858-4502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2116 CRAIG RD",
"address_2": "MMC - EAU CLAIRE MEDICAL OFFICES",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547016149",
"telephone_number": "715-858-4500",
"fax_number": "715-858-4502"
}
],
"practiceLocations": [
{
"address_1": "516 Delaware St SE",
"address_2": "PWB Fourth Floor, Room 4-176",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554550356",
"country_code": "US",
"telephone_number": "612-626-6999",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "PETER",
"middle_name": "KISUK",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "MN",
"license": "40742",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MN",
"license": "40742",
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "WI",
"license": "20286",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "121915",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARAZ",
"identifier": "656310",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA-PRIMARY",
"identifier": "03-00010",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0512590",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "070012427",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "383318600",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA-CHOICE",
"identifier": "0300035",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FAIRVIEW",
"identifier": "656310",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "1018635",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "11G68LE",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP27293",
"state": "MN"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1068.1",
"affiliationName": "Cobius Healthcare Solutions",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "2720 Dundee Rd # 302",
"city": "Northbrook",
"state": "IL",
"country_code": "US",
"postal_code": "600622609",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
"affiliation": "N",
"address_1": "2116 Craig Rd",
"address_2": "MMC - Eau Claire Medical Offices",
"city": "Eau Claire",
"state": "WI",
"country_code": "US",
"postal_code": "547016149",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.