Individual provider Active NPI

Scott I. Lee, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Glendale, CA
National Provider Identifier
1760790349
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
A121741 Issued in CA
Practice address
1500 S Central Ave Ste 102
Glendale, CA 91204-2562
Phone
(818) 614-9188
NPI assigned
Sep 17, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X A121741 CA Primary

Addresses

Primary practice location

1500 S Central Ave Ste 102
Glendale, CA 91204-2562

Mailing address

350 N Glendale Ave Ste B
Glendale, CA 91206-3323
Phone (818) 614-9188

Other practice location 1

1500 East Chevy Chase Dr
Suite 401A
Glendale, CA 91206
Phone (818) 863-4444

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
I20151001002812 CA Practitioner - Other (Physician)Practitioner - Orthopedic Surgery 3375851835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Undefined Physician Type (Specify)Also: Orthopedic Surgery
Education
University of California, Geffen School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1500 S Central Ave
Suite 102
Glendale, CA 91204-2562
Phone (818) 614-9188

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
85.77 of 100Reported as group
Quality
78.77
Promoting interoperability
92
Improvement activities
40
Cost
48

Merit-based Incentive Payment System (MIPS)

Final score
90.02 of 100Reported as group
Quality
69.82
Promoting interoperability
95
Improvement activities
40
Cost
67.76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion235
Laminectomy or laminotomy (partial removal of spine bones)61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A121741CAMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scott I. Lee, MD Medical Corporation Orthopaedic Surgery of the Spine CurrentSince Aug 4, 2024 Accepting new patients

Locations

350 N Glendale Ave
Ste B
Glendale, CA 91206
Phone (747) 218-3106

1500 E Chevy Chase Dr
#401A
Glendale, CA 91206

1500 S Central Ave
Ste 102
Glendale, CA 91204
Phone (818) 614-9188

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

1720 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 260-5781

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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.

Hospital & facility affiliations 4

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": "1284681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1760790349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N GLENDALE AVE STE B",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912063323",
            "telephone_number": "818-614-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S CENTRAL AVE STE 102",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042562",
            "telephone_number": "818-614-9188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 East Chevy Chase Dr",
            "address_2": "Suite 401A",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "91206",
            "country_code": "US",
            "telephone_number": "818-863-4444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "SCOTT",
        "middle_name": "I.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-17",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": "A121741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.