Active NPI 1699720946 Individual Practitioner Male Practitioner

Dr. Scott E Lee , MD

Ophthalmology • Pinole, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Scott Lee, MD is a certified Ophthalmology practicing in Pinole, CA. With approximately 24 years of clinical experience since completing medical education in 2002, Dr. Lee delivers high-quality medical care to the local community at 1289 PINOLE VALLEY ROAD.

Dr. Lee is affiliated with East Bay Ophthalmology and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient problem focused exam of visual system, photography of the retina, established patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1289 Pinole Valley Road

Pinole, CA 945649456

Telephone 5107241768

Associated Practice Facility / Clinic

🏢 East Bay Ophthalmology Facility NPI 1871783308

Medicare Profile & Education

Medical School

Other

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Pinole, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs +4.7 yrs vs City Avg

City Avg: 19.3 Yrs

State Avg: 29.5 Yrs

Regional Practice Density

5 Specialists

Practicing in Pinole, CA (3116 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

16.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lee (24 Years) 24 Yrs

Pinole Specialty Average (19.3 Years) 19.3 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
92012 Established patient problem focused exam of visual system	748	391	$120.13	$117.91
92250 Photography of the retina	392	363	$50.90	$48.52
92014 Established patient complete exam of visual system	370	306	$168.01	$165.13
92083 Exam of visual field with extended testing	175	165	$87.12	$85.74
92004 New patient complete exam of visual system	142	142	$196.98	$193.58
92136 Measurement of corneal curvature and depth of eye	116	99	$55.15	$54.26
92133 Imaging of optic nerve	103	101	$48.41	$47.49
92285 Photography of content of eyes	82	80	$33.23	$26.83
66984 Removal of cataract with insertion of lens	71	55	$691.89	$651.65
15823 Removal of excessive skin and fat of upper eyelid	62	36	$847.02	$707.90
68841 Insertion of drug delivery implant into tear duct of eye	57	44	$49.01	$19.81
66821 Removal of recurring cataract in lens capsule using a laser	49	37	$443.79	$402.84
67904 Repair of tendon of upper eyelid	40	23	$999.27	$754.33
65855 Laser repair to improve eye fluid flow	39	33	$317.45	$252.21
68840 Probing of nasal-tear duct	37	36	$317.87	$244.46
67966 Removal of over 1/4 of eyelid margin and repair of eyelid	34	21	$1014.73	$814.32
92134 Imaging of retina	25	23	$53.75	$52.77
67840 Removal of eyelid growth	18	15	$383.45	$159.03
66991 Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye	17	16	$869.13	$856.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	696	367	$115.07	$114.18
92250 Photography of the retina	417	384	$48.95	$46.99
92014 Established patient complete exam of visual system	351	276	$161.33	$159.20
92004 New patient complete exam of visual system	216	216	$189.54	$187.82
92083 Exam of visual field with extended testing	170	156	$82.04	$81.18
92136 Measurement of corneal curvature and depth of eye	137	101	$52.81	$51.04
66984 Removal of cataract with insertion of lens	122	85	$674.00	$584.25
92133 Imaging of optic nerve	111	107	$46.91	$46.22
92285 Photography of content of eyes	94	91	$32.66	$25.55
68841 Insertion of drug delivery implant into tear duct of eye	77	54	$47.11	$19.34
15823 Removal of excessive skin and fat of upper eyelid	64	35	$780.32	$677.81
66821 Removal of recurring cataract in lens capsule using a laser	63	47	$421.75	$387.15
67904 Repair of tendon of upper eyelid	52	27	$946.88	$717.01
65855 Laser repair to improve eye fluid flow	41	30	$302.89	$244.93
67966 Removal of over 1/4 of eyelid margin and repair of eyelid	36	23	$980.74	$762.91
92134 Imaging of retina	34	30	$51.26	$50.90
65820 Incision to improve eye fluid flow	30	23	$1034.97	$1029.70
68840 Probing of nasal-tear duct	28	26	$292.73	$229.29
67840 Removal of eyelid growth	21	16	$367.86	$163.01
65778 Insertion of amniotic membrane to eye surface	15	11	$1853.39	$1841.76
31239 Incision of tear duct using an endoscope	13	11	$725.63	$362.04
31200 Partial removal of nasal sinus	13	11	$815.80	$814.04
68815 Probing of nasal-tear duct with insertion of tube or stent	13	11	$491.96	$135.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	543	308	$114.47	$111.59
92014 Established patient complete exam of visual system	295	226	$160.53	$156.49
92250 Photography of the retina	225	208	$48.00	$46.20
92083 Exam of visual field with extended testing	140	130	$82.76	$80.07
92136 Measurement of corneal curvature and depth of eye	110	88	$58.47	$53.96
92285 Photography of content of eyes	95	93	$35.21	$25.01
66984 Removal of cataract with insertion of lens	88	72	$661.76	$576.32
15823 Removal of excessive skin and fat of upper eyelid	87	46	$795.03	$669.00
92004 New patient complete exam of visual system	80	80	$190.30	$185.15
92133 Imaging of optic nerve	60	60	$47.94	$45.76
68841 Insertion of drug delivery implant into tear duct of eye	58	48	$48.33	$19.28
66821 Removal of recurring cataract in lens capsule using a laser	53	39	$419.28	$375.74
67904 Repair of tendon of upper eyelid	41	25	$930.13	$703.87
92134 Imaging of retina	27	23	$51.20	$49.98
68840 Probing of nasal-tear duct	21	20	$288.55	$224.72
67840 Removal of eyelid growth	20	17	$369.46	$177.32
65820 Incision to improve eye fluid flow	20	17	$1059.23	$1021.81
65855 Laser repair to improve eye fluid flow	19	14	$302.14	$242.04
65778 Insertion of amniotic membrane to eye surface	16	12	$2055.33	$1857.54
67917 Extensive repair of turning-outward eyelid defect	15	12	$805.99	$541.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	959	535	$114.22	$111.53
92014 Established patient complete exam of visual system	543	444	$158.41	$156.65
92083 Exam of visual field with extended testing	216	208	$82.80	$79.95
92136 Measurement of corneal curvature and depth of eye	172	126	$59.63	$54.16
92250 Photography of the retina	158	157	$51.79	$48.54
92133 Imaging of optic nerve	149	146	$47.91	$45.96
66984 Removal of cataract with insertion of lens	144	108	$651.90	$578.05
92004 New patient complete exam of visual system	107	107	$190.80	$185.13
92285 Photography of content of eyes	88	86	$38.05	$25.13
66821 Removal of recurring cataract in lens capsule using a laser	85	66	$420.90	$379.24
0356T Insertion of drug delivery implant into tear ducts	83	60	$100.00	$31.23
15823 Removal of excessive skin and fat of upper eyelid	71	40	$826.06	$684.39
92134 Imaging of retina	65	54	$52.72	$50.49
65820 Incision to improve eye fluid flow	44	33	$997.85	$986.51
65855 Laser repair to improve eye fluid flow	44	41	$301.28	$241.93
68840 Probing of nasal-tear duct	30	28	$265.54	$212.07
65778 Insertion of amniotic membrane to eye surface	27	22	$1975.38	$1975.38
67904 Repair of tendon of upper eyelid	27	18	$921.86	$707.16
66982 Complex removal of cataract with insertion of prosthetic lens	25	20	$889.89	$648.88
67840 Removal of eyelid growth	19	17	$369.54	$172.08
67917 Extensive repair of turning-outward eyelid defect	17	15	$790.08	$543.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	1,003	543	$126.62	$110.32
92014 Established patient complete exam of visual system	758	557	$180.29	$156.31
92083 Exam of visual field with extended testing	258	243	$94.44	$80.56
92133 Imaging of optic nerve	214	212	$53.59	$46.10
92136 Measurement of corneal curvature and depth of eye	198	142	$80.49	$62.35
66984 Removal of cataract with insertion of lens	162	111	$689.18	$574.09
92004 New patient complete exam of visual system	154	154	$214.51	$185.82
92250 Photography of the retina	149	143	$74.64	$56.69
92134 Imaging of retina	108	86	$58.75	$50.77
66821 Removal of recurring cataract in lens capsule using a laser	103	82	$431.40	$384.93
92285 Photography of content of eyes	63	63	$38.81	$23.81
65855 Laser repair to improve eye fluid flow	46	42	$315.24	$248.77
15823 Removal of excessive skin and fat of upper eyelid	45	29	$898.78	$714.16
65820 Incision to improve eye fluid flow	41	28	$1010.58	$935.79
65778 Insertion of amniotic membrane to eye surface	35	30	$2020.99	$1910.62
68840 Probing of nasal-tear duct	30	30	$275.77	$210.94
99213 Established patient office or other outpatient visit, typically 15 minutes	22	18	$100.96	$79.39
67904 Repair of tendon of upper eyelid	18	13	$968.60	$722.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	1,231	652	$115.31	$108.60
92014 Established patient complete exam of visual system	904	687	$164.03	$155.25
92083 Exam of visual field with extended testing	281	264	$86.12	$80.73
92133 Imaging of optic nerve	258	248	$49.13	$45.69
92136 Measurement of corneal curvature and depth of eye	246	181	$76.33	$69.69
92004 New patient complete exam of visual system	220	220	$195.29	$184.52
66984 Removal of cataract with insertion of lens	208	152	$817.86	$662.79
92250 Photography of the retina	194	191	$68.42	$63.71
66821 Removal of recurring cataract in lens capsule using a laser	147	113	$433.97	$381.10
92134 Imaging of retina	102	84	$53.22	$50.62
92285 Photography of content of eyes	79	79	$33.00	$23.29
15823 Removal of excessive skin and fat of upper eyelid	73	54	$1043.11	$768.73
68840 Probing of nasal-tear duct	69	67	$256.59	$206.36
65820 Incision to improve eye fluid flow	64	46	$980.98	$830.60
65778 Insertion of amniotic membrane to eye surface	50	42	$1982.46	$1900.54
65855 Laser repair to improve eye fluid flow	43	38	$314.87	$247.73
99213 Established patient office or other outpatient visit, typically 15 minutes	42	41	$95.92	$87.51
67904 Repair of tendon of upper eyelid	24	17	$952.97	$718.06
68761 Closure of tear duct opening using plug	15	14	$390.34	$278.46
67840 Removal of eyelid growth	14	12	$377.49	$156.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	1,647	831	$109.03	$107.00
92014 Established patient complete exam of visual system	946	758	$155.94	$153.11
92083 Exam of visual field with extended testing	373	353	$82.12	$80.36
92133 Imaging of optic nerve	298	282	$47.37	$46.05
92004 New patient complete exam of visual system	275	275	$187.37	$182.10
92136 Measurement of corneal curvature and depth of eye	266	192	$76.42	$73.84
66984 Removal of cataract with insertion of lens	248	180	$773.51	$702.70
92250 Photography of the retina	242	232	$73.02	$71.87
92285 Photography of content of eyes	112	108	$27.25	$22.31
66821 Removal of recurring cataract in lens capsule using a laser	99	84	$413.14	$376.88
92134 Imaging of retina	94	80	$51.60	$50.75
68840 Probing of nasal-tear duct	60	58	$270.25	$210.89
15823 Removal of excessive skin and fat of upper eyelid	57	51	$1195.82	$845.36
66821 Removal of recurring cataract in lens capsule using a laser	54	50	$409.46	$402.93
65820 Incision to improve eye fluid flow	39	34	$917.27	$867.87
99213 Established patient office or other outpatient visit, typically 15 minutes	31	31	$87.50	$85.85
67904 Repair of tendon of upper eyelid	26	19	$904.21	$709.50
65855 Laser repair to improve eye fluid flow	26	23	$299.74	$244.72
65778 Insertion of amniotic membrane to eye surface	18	14	$1907.04	$1876.60
65855 Laser repair to improve eye fluid flow	14	12	$299.74	$294.94
68761 Closure of tear duct opening using plug	12	11	$359.79	$267.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	1,817	835	$103.94	$98.10
92014 Established patient complete exam of visual system	768	646	$149.28	$141.34
92083 Exam of visual field with extended testing	348	330	$80.15	$75.80
92136 Measurement of corneal curvature and depth of eye	330	224	$83.19	$78.44
92004 New patient complete exam of visual system	292	292	$180.73	$169.76
92133 Imaging of optic nerve	284	281	$45.98	$43.09
66984 Removal of cataract with insertion of lens	276	184	$754.92	$711.89
92250 Photography of the retina	233	227	$82.84	$78.36
66821 Removal of recurring cataract in lens capsule using a laser	156	130	$398.33	$376.28
92134 Imaging of retina	108	90	$50.00	$47.03
68840 Probing of nasal-tear duct	77	72	$261.79	$195.29
92285 Photography of content of eyes	73	71	$26.68	$20.80
65855 Laser repair to improve eye fluid flow	43	34	$293.87	$275.64
0191T Internal insertion of eye fluid drainage device	37	27	$1123.06	$556.72
15823 Removal of excessive skin and fat of upper eyelid	26	26	$1341.16	$981.26
66982 Complex removal of cataract with insertion of prosthetic lens	26	23	$932.26	$884.66
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	20	11	$357.43	$336.09
68761 Closure of tear duct opening using plug	20	14	$341.46	$165.95
15823 Removal of excessive skin and fat of upper eyelid	19	18	$1376.45	$885.61
92071 Fitting of contact lens for treatment of eye surface disease	18	13	$44.11	$41.93
67840 Removal of eyelid growth	17	17	$338.32	$311.61
67917 Extensive repair of turning-outward eyelid defect	15	11	$728.28	$458.84
67904 Repair of tendon of upper eyelid	13	11	$877.36	$833.02

Medical Specialties & State Licenses

CMS Verified: 2021-06-03

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License CA A87505

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Hospital & Practice Group Affiliations

East Bay Ophthalmology

1420 Tara Hills Dr, Pinole, CA 945642530

Phone: 5107241768

Secondary Practice Locations

1420 Tara Hills Dr, Suite D

Pinole, CA 945642530

Phone: 5107245222

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Young Choi , OD

Optometrist

NPI 1164805933

Doctor of Optometry

Emily Choh

Optometrist

NPI 1225550130

Dr. John Pyun , MD

Ophthalmology

NPI 1851822639

Doctor of Medicine (M.D.)

Dr. Linda Hur , OD

Optometrist

NPI 1902161359

Doctor of Optometry

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location July 16, 2021

Registered at 1289 PINOLE VALLEY ROAD, PINOLE, CA 945649456 (Tel: 5107241768)

📍

Updated Business Mailing Address July 16, 2021

Registered at 1289 PINOLE VALLEY ROAD, PINOLE, CA 945642530 (Tel: 5107241768)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1420 TARA HILLS DR, SUITE D, PINOLE, CA 945642530 (Tel: 5107245222)

📍

Updated Business Mailing Address July 08, 2007

Registered at 1420 TARA HILLS DR, SUITE D, PINOLE, CA 945642530 (Tel: 5107245222)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as SCOTT LEE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Ophthalmology (License #A87505 in CA)

🟢

Initial NPI Registration & Enumeration May 24, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699720946

Entity Type:

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

Enumeration Date: May 24, 2006

Last Update: July 16, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1289 Pinole Valley Road

Pinole, CA 945642530

Phone: 5107241768

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

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.