Active NPI
Matthew R Lee, MD
- Family Medicine Physician
- Mount Vernon, IN
National Provider Identifier
1902842941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01032902
- Practice address
- 1900 West Fourth Street
Suite 4
Mount Vernon, IN 47620 - Phone
- (812) 838-4891
- Fax
- (812) 838-6595
- NPI assigned
- Jun 20, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01032902 | IN | Primary |
Addresses
Primary practice location
1900 West Fourth Street
Suite 4
Mount Vernon, IN 47620
Mailing address
PO Box 717
Mount Vernon, IN 47620-0717
Phone (812) 838-4891
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000043063 | Other | IN | BCBS |
| 100210240A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100702000484 | IN | Practitioner - Family Practice | 9739087487 | Practice locations: Mount Vernon, IN |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Louisville School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1900 W 4TH St
Mount Vernon, IN 47620-9407
Phone (812) 838-4891
Hospital & facility affiliations
- LHC-Illinois Home Health Care
- Deaconess Home Health, LLC
- Deaconess Hospital Inc
- Ferrell Hospital Community Foundations
- The Women'S Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.12 of 100
- Quality
- 88.11
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 73.11
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 15 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01032902 | IN | MD | Family Medicine Physician |
Interoperability endpoints
- mlee32407@direct.deaconess.com
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Evansville, IN
- NPI 1285285676
-
- General Acute Care Hospital
- Newburgh, IN
- NPI 1780535427
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1053361642
-
- General Acute Care Hospital
- Newburgh, IN
- NPI 1114023512
-
- Rural Health Clinic/Center
- Harrisburg, IL
- NPI 1184202392
Hospital
-
- Critical Access Hospital
- Eldorado, IL
- NPI 1194713404
-
- Rural Health Clinic/Center
- Eldorado, IL
- NPI 1457586620
Hospital
-
- Rural Health Clinic/Center
- MC Leansboro, IL
- NPI 1689217820
Hospital
-
- Rural Health Clinic/Center
- Eldorado, IL
- NPI 1700011046
Hospital
-
- Home Health Agency
- Marion, IL
- NPI 1740527407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267056000000",
"number": "1902842941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 717",
"city": "MOUNT VERNON",
"state": "IN",
"postal_code": "476200717",
"telephone_number": "812-838-4891",
"fax_number": "812-838-6595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 WEST FOURTH STREET",
"address_2": "SUITE 4",
"city": "MOUNT VERNON",
"state": "IN",
"postal_code": "47620",
"telephone_number": "812-838-4891",
"fax_number": "812-838-6595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "MATTHEW",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-20",
"last_updated": "2010-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01032902",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000043063",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100210240A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mount Vernon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; 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.