Active NPI 1194772418 Individual Practitioner Male Practitioner

Dr. Samuel Shin Kwon Lee , MD

Urology • Apple Valley, CA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Lee, MD is a certified Urology practicing in Apple Valley, CA. With approximately 36 years of clinical experience since graduating from Tulane University School Of Medicine in 1990, Dr. Lee delivers high-quality medical care to the local community at 18400 US HIGHWAY 18.

Dr. Lee maintains professional affiliations with Palm Valley Multi-Specialty Medical Group Pc, Urologic Institute Of The High Desert Inc, Desert Valley Medical Group Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include injection, testosterone cypionate, 1 mg, established patient outpatient office visit, ultrasound measurement of bladder capacity after voiding. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

18400 Us Highway 18

Apple Valley, CA 923072306

Telephone 7602423939

Fax 7602423232

Associated Practice Facility / Clinic

🏢 High Desert Pain Management Institute Llc Facility NPI 1619104569

Medicare Profile & Education

Medical School

Tulane University School Of Medicine

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Apple Valley, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +5.0 yrs vs City Avg

City Avg: 31.0 Yrs

State Avg: 27.5 Yrs

Regional Practice Density

4 Specialists

Practicing in Apple Valley, CA (1624 Statewide)

Telehealth Adoption Rate

50.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

75.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lee (36 Years) 36 Yrs

Apple Valley Specialty Average (31.0 Years) 31.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	16,600	13	$0.50	$0.02
99213 Established patient office or other outpatient visit, typically 15 minutes	565	371	$310.78	$98.20
51798 Ultrasound measurement of bladder capacity after voiding	266	221	$66.62	$12.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	214	82	$149.09	$62.12
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	190	157	$650.00	$184.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	158	158	$461.39	$178.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	140	120	$354.39	$136.48
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	117	28	$75.00	$15.80
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	102	20	$700.00	$177.91
76775 Limited ultrasound scan behind abdominal cavity	60	54	$200.00	$65.73
52281 Dilation of bladder canal (urethra) using an endoscope	56	53	$1200.00	$157.97
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	53	46	$50.00	$16.53
81002 Urinalysis, manual test	50	38	$11.00	$3.41
52000 Diagnostic exam of bladder and urethra using an endoscope	47	43	$1016.38	$256.86
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	40	20	$90.00	$39.59
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	24	$250.00	$83.67
51702 Simple insertion of temporary bladder tube	27	11	$240.00	$69.38
51741 Electronic assessment of bladder emptying	26	26	$92.85	$7.70
50590 Shock wave crushing of kidney stones	26	25	$2200.00	$618.57
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	25	25	$544.80	$36.11
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	25	12	$50.00	$1.28
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	24	24	$1336.21	$400.40
52332 Insertion of stent in urinary duct (ureter) using an endoscope	23	22	$1300.00	$101.68
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	18	18	$2300.00	$780.14
52240 Destruction and/or removal of large growth of bladder using an endoscope	18	15	$1250.00	$367.63
51797 Insertion of device into abdomen with pressure and urine flow rate study	17	17	$850.00	$212.76
64561 Insertion of sacral nerve neurostimulator electrode array	15	12	$2500.00	$465.43
51700 Simple bladder irrigation and/or instillation	14	12	$250.00	$85.45
52356 Crushing of stone of ureter with insertion of stent using an endoscope	13	13	$1350.00	$420.15
76872 Ultrasound scan of pelvic region through rectum	12	11	$650.00	$34.49
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	11	11	$350.00	$125.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	434	280	$315.66	$93.29
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	158	142	$650.00	$176.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	157	157	$458.31	$169.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	155	57	$149.67	$58.81
51798 Ultrasound measurement of bladder capacity after voiding	150	125	$66.45	$11.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	143	128	$366.71	$131.41
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	111	17	$700.00	$172.73
76775 Limited ultrasound scan behind abdominal cavity	98	86	$200.00	$60.98
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	66	24	$75.12	$14.73
52000 Diagnostic exam of bladder and urethra using an endoscope	64	63	$896.72	$252.32
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	48	20	$90.00	$35.88
52281 Dilation of bladder canal (urethra) using an endoscope	44	42	$1200.00	$153.03
51702 Simple insertion of temporary bladder tube	38	16	$240.00	$64.08
81002 Urinalysis, manual test	34	30	$11.00	$3.41
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	30	24	$350.00	$121.07
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	24	24	$700.00	$226.21
50590 Shock wave crushing of kidney stones	22	22	$2263.91	$565.22
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	22	22	$300.00	$34.95
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	21	21	$1200.00	$388.44
51797 Insertion of device into abdomen with pressure and urine flow rate study	21	21	$850.00	$206.00
51741 Electronic assessment of bladder emptying	21	21	$75.00	$7.32
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	20	20	$2400.10	$687.99
52240 Destruction and/or removal of large growth of bladder using an endoscope	19	19	$1250.00	$350.81
76872 Ultrasound scan of pelvic region through rectum	18	17	$650.00	$32.74
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	17	15	$198.12	$30.88
55700 Biopsy of prostate gland	14	14	$705.00	$126.02
52332 Insertion of stent in urinary duct (ureter) using an endoscope	13	12	$1300.00	$114.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87798 Detection test for organism	1,963	107	$100.00	$35.00
87481 Detection test for candida species (yeast), amplified probe technique	755	107	$100.00	$35.00
87801 Detection test for multiple organisms	453	107	$150.00	$70.02
99213 Established patient office or other outpatient visit, typically 15 minutes	451	270	$260.33	$95.04
51798 Ultrasound measurement of bladder capacity after voiding	254	179	$68.31	$11.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	219	72	$153.95	$59.40
87653 Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique	151	107	$100.00	$35.00
87500 Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique	151	107	$100.00	$35.00
87640 Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique	151	107	$100.00	$35.00
87641 Detection test by nucleic acid for staphylococcus aureus, methicillin resistant (mrsa bacteria), amplified probe technique	151	107	$100.00	$35.00
87651 Detection test for Strep (Streptococcus, group A)	151	107	$100.00	$35.00
52000 Diagnostic exam of bladder and urethra using an endoscope	125	106	$713.56	$262.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	120	120	$461.63	$173.24
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	112	95	$644.64	$200.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	93	73	$324.65	$134.25
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	90	18	$673.33	$177.10
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	89	21	$75.00	$15.07
81002 Urinalysis, manual test	72	45	$11.00	$3.43
76775 Limited ultrasound scan behind abdominal cavity	50	46	$200.00	$62.34
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	39	20	$87.69	$35.35
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	37	25	$350.00	$104.56
51702 Simple insertion of temporary bladder tube	30	18	$276.00	$66.40
51741 Electronic assessment of bladder emptying	29	27	$265.52	$7.31
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	21	21	$1080.95	$399.54
52332 Insertion of stent in urinary duct (ureter) using an endoscope	21	17	$1122.52	$127.74
51797 Insertion of device into abdomen with pressure and urine flow rate study	21	21	$790.48	$214.02
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	21	21	$371.43	$33.91
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	16	16	$1801.69	$753.59
50590 Shock wave crushing of kidney stones	13	11	$2024.08	$558.01
52240 Destruction and/or removal of large growth of bladder using an endoscope	12	12	$2110.25	$401.16
52001 Irrigation and removal of multiple blood clots from bladder and urethra using an endoscope	11	11	$1298.73	$278.40
76770 Complete ultrasound scan behind abdominal cavity	11	11	$488.64	$117.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87798 Detection test for organism	4,043	183	$100.00	$35.09
87481 Detection test for candida species (yeast), amplified probe technique	1,555	183	$100.00	$35.09
87801 Detection test for multiple organisms	933	183	$150.00	$70.20
99213 Established patient office or other outpatient visit, typically 15 minutes	360	224	$203.11	$96.16
87500 Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique	311	183	$100.00	$35.09
87640 Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique	311	183	$100.00	$35.09
87641 Detection test by nucleic acid for staphylococcus aureus, methicillin resistant (mrsa bacteria), amplified probe technique	311	183	$100.00	$35.09
87651 Detection test for Strep (Streptococcus, group A)	311	183	$100.00	$35.09
87653 Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique	311	183	$100.00	$35.09
J1580 Injection, garamycin, gentamicin, up to 80 mg	200	15	$50.00	$1.82
51798 Ultrasound measurement of bladder capacity after voiding	172	128	$68.70	$11.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	171	62	$150.00	$59.35
52000 Diagnostic exam of bladder and urethra using an endoscope	121	103	$512.19	$253.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	119	119	$463.24	$176.17
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	103	29	$75.00	$14.95
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	99	24	$700.00	$181.73
81002 Urinalysis, manual test	63	44	$11.00	$3.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	52	$312.11	$136.35
76775 Limited ultrasound scan behind abdominal cavity	37	36	$200.00	$62.36
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	33	24	$75.00	$34.93
95921 Testing of autonomic nervous system function and heart rate response to deep breathing	25	25	$125.00	$95.50
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	18	$450.00	$206.54
93040 Tracing of electrical activity of heart using 1-3 leads with interpretation and report	17	17	$25.00	$13.43
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	15	15	$1560.40	$707.34
51736 Simple timed assessment of bladder emptying	12	12	$150.00	$7.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$363.00	$118.14
51741 Electronic assessment of bladder emptying	12	12	$500.00	$7.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	21,700	13	$0.49	$0.03
J1580 Injection, garamycin, gentamicin, up to 80 mg	320	17	$50.00	$1.88
99213 Established patient office or other outpatient visit, typically 15 minutes	272	177	$202.03	$78.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	261	76	$150.00	$48.03
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	190	50	$75.15	$15.03
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	114	21	$700.00	$220.28
51798 Ultrasound measurement of bladder capacity after voiding	84	73	$67.86	$11.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	64	$315.36	$115.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	74	74	$467.03	$173.15
52000 Diagnostic exam of bladder and urethra using an endoscope	66	64	$542.35	$227.13
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	51	48	$450.00	$210.99
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	38	18	$3.00	$2.03
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	38	21	$75.00	$33.84
81002 Urinalysis, manual test	29	23	$10.83	$3.48
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	23	$577.08	$144.01
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	20	$276.75	$75.88
76775 Limited ultrasound scan behind abdominal cavity	19	18	$200.00	$62.74
50590 Shock wave crushing of kidney stones	13	12	$1043.15	$597.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	300	208	$202.47	$76.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	203	66	$150.00	$47.05
51798 Ultrasound measurement of bladder capacity after voiding	179	130	$65.65	$13.61
J1580 Injection, garamycin, gentamicin, up to 80 mg	160	15	$50.00	$1.79
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	152	38	$75.03	$17.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	145	108	$316.57	$111.01
52000 Diagnostic exam of bladder and urethra using an endoscope	112	105	$567.68	$197.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	91	91	$465.82	$169.57
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	90	20	$700.00	$224.01
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	61	60	$675.00	$137.98
51741 Electronic assessment of bladder emptying	35	34	$500.00	$8.19
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	33	21	$75.00	$32.68
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	33	27	$357.00	$72.48
51702 Simple insertion of temporary bladder tube	30	19	$376.07	$64.49
81002 Urinalysis, manual test	22	20	$10.86	$3.27
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	17	$450.00	$206.72
76775 Limited ultrasound scan behind abdominal cavity	13	13	$200.00	$59.98
55700 Biopsy of prostate gland	12	12	$550.00	$263.50
76872 Ultrasound scan of pelvic region through rectum	12	12	$550.00	$136.27
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	12	12	$450.00	$59.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$393.27	$112.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	29,600	12	$0.50	$0.02
99213 Established patient office or other outpatient visit, typically 15 minutes	441	252	$200.99	$75.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	352	108	$150.00	$45.74
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	262	54	$74.81	$21.61
J1580 Injection, garamycin, gentamicin, up to 80 mg	256	13	$50.00	$1.43
51798 Ultrasound measurement of bladder capacity after voiding	255	167	$61.21	$16.97
52000 Diagnostic exam of bladder and urethra using an endoscope	170	146	$603.53	$173.70
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	162	33	$700.00	$211.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	155	118	$308.52	$111.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	113	113	$451.19	$169.33
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	75	28	$7.91	$1.87
51736 Simple timed assessment of bladder emptying	69	65	$51.45	$8.29
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	68	37	$75.00	$32.60
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	64	42	$328.58	$74.36
51702 Simple insertion of temporary bladder tube	57	30	$375.84	$67.80
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	50	12	$300.00	$62.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	42	42	$613.10	$139.37
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	34	33	$450.00	$207.04
76775 Limited ultrasound scan behind abdominal cavity	22	22	$200.00	$60.35
99221 Initial hospital inpatient care per day, typically 30 minutes	15	14	$497.00	$102.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$400.00	$111.36
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	11	11	$1000.00	$234.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	24,000	11	$0.50	$0.02
99213 Established patient office or other outpatient visit, typically 15 minutes	378	242	$200.65	$74.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	252	75	$150.00	$45.32
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	182	25	$75.27	$26.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	167	136	$304.60	$110.67
52000 Diagnostic exam of bladder and urethra using an endoscope	145	129	$584.00	$171.46
51798 Ultrasound measurement of bladder capacity after voiding	144	118	$60.92	$20.63
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	135	24	$700.00	$208.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	98	98	$393.32	$168.35
51702 Simple insertion of temporary bladder tube	92	40	$376.39	$64.77
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	79	31	$75.00	$34.37
81003 Automated urinalysis test	70	57	$43.00	$3.00
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	65	47	$322.43	$72.61
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	64	63	$654.69	$136.50
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	44	41	$450.00	$206.28
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	38	11	$50.00	$2.73
51736 Simple timed assessment of bladder emptying	36	35	$50.00	$8.29
52000 Diagnostic exam of bladder and urethra using an endoscope	23	23	$564.26	$103.95
99213 Established patient office or other outpatient visit, typically 15 minutes	22	21	$138.00	$52.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$336.30	$109.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$318.00	$132.04
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	18	18	$2210.56	$853.76
52332 Insertion of stent in urinary duct (ureter) using an endoscope	14	11	$749.29	$142.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$203.00	$80.61
50590 Shock wave crushing of kidney stones	13	12	$1792.77	$578.92

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License CA A49819

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Urology

NUCC Taxonomy Code: 208800000X

State License MO 110101

Urology

NUCC Taxonomy Code: 208800000X

State License GA 060213

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare Part B

785000022 (MO)

Hospital & Practice Group Affiliations

Urologic Institute Of The High Desert Inc

18400 Us Hwy 18, Apple Valley, CA 923072306

Phone: 7608107590

Palm Valley Multi-Specialty Medical Group Pc

18400 Us Hwy 18, Apple Valley, CA 923072306

Phone: 7602423939

Desert Valley Medical Group Inc

16850 Bear Valley Rd, Victorville, CA 923955794

Phone: 7602418000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Dr. Herman Mcdaniel , DO

Obstetrics & Gynecology - Female Pelvic Medicine and Reconstructive Surgery

NPI 1063524130

Doctor of Osteopathic Medicine (D.O.)

Stacey Lovan

Nurse Practitioner

NPI 1184429375

Dr. Pedram Ilbeigi , DO

Urology

NPI 1609827336

Doctor of Osteopathic Medicine (D.O.)

Dr. Vodur Reddy , MD

Urology

NPI 1871576124

Doctor of Medicine (M.D.)

Dr. Mersedeh Karimian , DO

Anesthesiology - Pain Medicine

NPI 1952516304

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active June 15, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location June 15, 2012

Registered at 18400 US HIGHWAY 18, APPLE VALLEY, CA 923072306 (Tel: 7602423939)

📍

Updated Business Mailing Address June 15, 2012

Registered at 18400 US HIGHWAY 18, APPLE VALLEY, CA 923072306 (Tel: 7602423939)

👤

Provider Name / Credentials Updated June 15, 2012

Recorded as SAMUEL LEE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2012

Urology (License #A49819 in CA)

🟢

Initial NPI Registration & Enumeration May 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1194772418

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 30, 2006

Last Update: June 15, 2012

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

18400 Us Highway 18

Apple Valley, CA 923072306

Phone: 7602423939

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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