Deactivated NPI 1568625176 Deactivated / Inactive NPI Male Practitioner

Dr. John Ching-Yi Lee , MD

Plastic Surgery • Waterford, CT

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Lee has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 03, 2008

NPI Deactivation Date August 23, 2021

Total Practice Duration ~13 Years of Practice (2008 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. John Lee, MD was a registered Plastic Surgery practicing in Waterford, CT. Throughout an active medical career spanning 13 years, Dr. Lee provided care at the practice location at 914 HARTFORD TPKE until profile deactivation on 2021-08-23.

Historical Medicare Part B clinical services included established patient outpatient office visit, new patient outpatient office visit, intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

914 Hartford Tpke
Suite 202

Waterford, CT 063854263

Telephone 8602394808

Fax 8602394809

Associated Practice Facility / Clinic

🏢 Robert D. Rosenberg, D.d.s., P.c. Facility NPI 1003037953

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Waterford, CT

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 39.0 Yrs

State Avg: 31.1 Yrs

Regional Practice Density

2 Specialists

Practicing in Waterford, CT (73 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

78.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	25	15	$389.22	$98.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$882.39	$180.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	49	37	$389.22	$81.65
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	41	35	$1711.40	$356.02
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	30	27	$1555.37	$160.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	15	$234.92	$49.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$882.39	$178.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$449.87	$116.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	33	$234.92	$48.74
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	33	16	$943.13	$145.63
99213 Established patient office or other outpatient visit, typically 15 minutes	32	27	$341.82	$79.64
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	25	24	$1498.51	$161.95
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	21	21	$1715.62	$342.14
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	19	19	$3024.99	$436.17
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	13	11	$1183.79	$157.38
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	13	13	$2852.44	$486.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	54	41	$200.00	$44.86
99202 New patient office or other outpatient visit, typically 20 minutes	41	41	$236.59	$76.36
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	32	26	$825.00	$147.40
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	28	28	$2050.00	$318.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$300.00	$109.84
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	20	19	$2000.00	$313.95
99213 Established patient office or other outpatient visit, typically 15 minutes	13	11	$300.00	$73.90
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	12	11	$775.00	$128.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	69	46	$200.00	$45.72
99202 New patient office or other outpatient visit, typically 20 minutes	57	57	$219.30	$78.09
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	29	28	$2096.55	$311.95
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	28	20	$703.57	$150.62
99213 Established patient office or other outpatient visit, typically 15 minutes	28	25	$300.00	$76.00
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	27	24	$2333.33	$306.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$300.00	$112.79
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	12	11	$745.83	$131.96

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License NY 225766

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Francis Mayeda , MD

Obstetrics & Gynecology

NPI 1083631055

Doctor of Medicine (M.D.)

Dr. Anita Hwang , MD

Ophthalmology

NPI 1407056559

Doctor of Medicine (M.D.)

Dr. Teresa Grochowski , OD

Optometrist

NPI 1871214544

Doctor of Optometry

Career & Practice History Timeline

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

8 Historical Events

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NPI Profile Deactivated August 23, 2021

Record deactivated on August 23, 2021

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Updated Business Mailing Address September 11, 2019

Registered at PO BOX 909, OLD LYME, CT 063710909 (Tel: 8602694808)

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NPI Profile Active November 09, 2016

NPI status registered as active in NPPES database

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Updated Practice Location November 09, 2016

Registered at 914 HARTFORD TPKE, SUITE 202, WATERFORD, CT 063854263 (Tel: 8602394808)

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Updated Business Mailing Address November 09, 2016

Registered at 914 HARTFORD TPKE, SUITE 202, WATERFORD, CT 063854263 (Tel: 8602394808)

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Provider Name / Credentials Updated November 09, 2016

Recorded as JOHN LEE, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2016

Plastic Surgery (License #225766 in NY)

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Initial NPI Registration & Enumeration July 03, 2008

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: 1568625176

Entity Type:

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

Enumeration Date: July 03, 2008

Last Update: November 09, 2016

Deactivation Date: August 23, 2021

Update or Correct Profile

Mailing Address

914 Hartford Tpke, Suite 202

Waterford, CT 063854263

Phone: 8602394808

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.