Individual provider Active NPI

Richard Garrett Lee, MD

  • Pediatric Otolaryngology Physician
  • Rigby, ID
National Provider Identifier
1770796583
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Otolaryngology PhysicianTaxonomy code 207YP0228X
License
M-10574 Issued in ID
Practice address
527 Rigby Lake Dr Ste C
Rigby, ID 83442-5117
Phone
(208) 522-6335
Fax
(208) 522-0550
NPI assigned
May 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X M-10574 ID
Pediatric Otolaryngology Physician 207YP0228X M-10574 ID Primary

Addresses

Primary practice location

527 Rigby Lake Dr Ste C
Rigby, ID 83442-5117

Mailing address

PO Box 1405
Idaho Falls, ID 83403-1405
Phone (208) 522-6335

Other identifiers 1

IdentifierTypeStateIssuer
1770796583MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20100405000555 ID Practitioner - OtolaryngologyPractitioner - Other (Physician) 7214000868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Creighton University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Idaho Ear Nose Throat-Facial Plastic Surgery PAGroup PAC ID 3971763897, 2 clinicians

Practice addresses (Care Compare)

527 Rigby Lake Dr
Suite C
Rigby, ID 83442-5117
Phone (208) 522-6335

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M-10574IDMDPediatric Otolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert J. Lee, M.D., PC CurrentSince Mar 8, 2024 Accepting new patients
Central Oregon ENT LLC - Ear Nose Throat and Facial Plastic Surgey Otolaryngology PastSince Jun 1, 2004 Accepting new patients

Locations

1443 Parkway Dr
Ste 1
Blackfoot, ID 83221
Phone (208) 522-6335

3446 S 15th E
Idaho Falls, ID 83404
Phone (208) 522-4409

Interoperability endpoints

  • Direct secure messaging: rlee@eidaho.curemd.direct-ci.com

Organizations & group practices 3

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 3

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": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1770796583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1405",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834031405",
            "telephone_number": "208-522-6335",
            "fax_number": "208-522-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 RIGBY LAKE DR STE C",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834425117",
            "telephone_number": "208-522-6335",
            "fax_number": "208-522-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "RICHARD",
        "middle_name": "GARRETT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "ID",
            "license": "M-10574",
            "primary": false
        },
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "ID",
            "license": "M-10574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770796583",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rigby, ID

Sources for this page

Verify at the official NPI Registry.