Kelly M Lee, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

295570-01 Issued in NY

Practice address

658 Malta Ave.
Ste 101
Malta, NY 12020

Phone

(518) 580-0553

Fax

(518) 580-0557

NPI assigned

Apr 3, 2017

Last updated

Sep 5, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Ophthalmology

Education

Rutgers New Jersey Medical School, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Saratoga Vitreo-Retinal Ophthalmology PLLCGroup PAC ID 7719078161, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Glens Falls Hospital Hospital, Glens Falls, NY, CCN 330191

Merit-based Incentive Payment System (MIPS)

Final score

94.28 of 100Reported as group

Quality

88.56

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drklee@eyesny.medentdirect.com

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.

• Saratoga Vitreo-Retinal Ophthalmology, PLLC

  • Specialist
  • Malta, NY
  • NPI 1316055940
  Medicare reassignment Care Compare group NPD
• Eyestudiony

  • Optometrist
  • Queensbury, NY
  • NPI 1922939172
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Glens Falls Hospital Inc

  • General Acute Care Hospital
  • Glens Falls, NY
  • NPI 1871606764
  Care Compare affiliation

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1841722279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 MALTA AVE",
            "address_2": "STE 101",
            "city": "MALTA",
            "state": "NY",
            "postal_code": "12020",
            "telephone_number": "518-580-0553",
            "fax_number": "518-580-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 MALTA AVE.",
            "address_2": "STE 101",
            "city": "MALTA",
            "state": "NY",
            "postal_code": "12020",
            "telephone_number": "518-580-0553",
            "fax_number": "518-580-0557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 N Country Rd",
            "address_purpose": "LOCATION",
            "city": "Port Jefferson",
            "state": "NY",
            "postal_code": "117772119",
            "country_code": "US",
            "telephone_number": "631-686-1443",
            "fax_number": "631-686-7651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "KELLY",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-03",
        "last_updated": "2023-09-05",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "295570",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "295570-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03425445",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nick Kossor, PT, DPT
• Svetlana Kotlin, PT
• Kimberly C. L'Heureux, NPP
• Latham Psychiatric NP Care
• Jacob Laurent
• Life Evolution Mental Health Counseling, PLLC
• William Serguei Lineback, DPT
• Jamie L Locke, PMHNP
• Lisa Sheri Long, M.S. CCC-SLP
• Lorraine del Rosso Chiropractic,Dietetics,and Nutrition,PLLC

• Ophthalmology Physician in Malta, NY
• Providers in Malta, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.

Verify at the official NPI Registry.