Active NPI 1790017085 Individual Practitioner Male Practitioner

Lee Michael De Dore , PA

Physician Assistant - Surgical • Winfield, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Lee De Dore, PA is a certified Physician Assistant - Surgical practicing in Winfield, IL. With approximately 17 years of clinical experience since completing medical education in 2009, Lee De Dore delivers high-quality medical care to the local community at 25 N WINFIELD ROAD.

Lee De Dore is affiliated with Orthomidwest, Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include x-ray of shoulder, minimum of 2 views, established patient outpatient office visit, injection, methylprednisolone acetate, 40 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

25 N Winfield Road
Suite 505

Winfield, IL 60190

Telephone 6306825653

Fax 6306828946

Associated Practice Facility / Clinic

🏢 Winfield Pathology Consultants, S.c. Facility NPI 1528147071

Medicare Profile & Education

Medical School

Other

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Winfield, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs +1.5 yrs vs City Avg

City Avg: 15.5 Yrs

State Avg: 12.7 Yrs

Regional Practice Density

4 Specialists

Practicing in Winfield, IL (609 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. De Dore (17 Years) 17 Yrs

Winfield Specialty Average (15.5 Years) 15.5 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
73030 X-ray of shoulder, minimum of 2 views	42	38	$65.59	$7.24
99213 Established patient office or other outpatient visit, typically 15 minutes	20	19	$215.00	$74.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$318.00	$105.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73030 X-ray of shoulder, minimum of 2 views	41	32	$45.61	$8.69
J1030 Injection, methylprednisolone acetate, 40 mg	24	12	$30.00	$6.82
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$215.00	$74.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$318.00	$107.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73030 X-ray of shoulder, minimum of 2 views	24	24	$79.83	$8.35
J1030 Injection, methylprednisolone acetate, 40 mg	22	11	$21.00	$6.13
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$166.00	$74.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$245.00	$107.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73030 X-ray of shoulder, minimum of 2 views	16	15	$73.88	$8.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
23472 Prosthetic repair of shoulder joint, total shoulder	16	16	$13005.00	$224.47
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	11	11	$1729.00	$23.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	24	23	$166.00	$63.51
23472 Prosthetic repair of shoulder joint, total shoulder	16	15	$13005.00	$220.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	82	13	$21.00	$1.81
99213 Established patient office or other outpatient visit, typically 15 minutes	19	18	$166.00	$66.25
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	15	14	$1729.00	$28.08
23430 Anchoring of biceps tendon	12	12	$7808.00	$58.62
73020 X-ray of shoulder, 1 view	12	12	$38.50	$8.11
29827 Repair of shoulder rotator cuff using an endoscope	12	12	$9818.00	$165.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	106	12	$21.00	$1.82
73020 X-ray of shoulder, 1 view	38	33	$40.27	$7.70
99213 Established patient office or other outpatient visit, typically 15 minutes	35	31	$166.00	$60.96
73030 X-ray of shoulder, minimum of 2 views	27	21	$45.01	$8.82

Medical Specialties & State Licenses

Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License IL 085003692

Definition to come...

Hospital & Practice Group Affiliations

Orthomidwest, Pllc

770 Beloit Rd, Belvidere, IL 610081745

Phone: 8153989491

Orthomidwest, Pllc

9200 Calumet Ave, Munster, IN 463212885

Phone: 8776326637

Orthomidwest, Pllc

1611 W Harrison St, Chicago, IL 606124861

Phone: 8776326637

Orthomidwest, Pllc

9601 Calumet Ave, Munster, IN 463212871

Phone: 8776326637

Orthomidwest, Pllc

2450 Wolf Rd, Westchester, IL 601545643

Phone: 8776326637

Orthomidwest, Pllc

2011 York Rd, Oak Brook, IL 605231992

Phone: 8776326637

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Scott Sporer , MD

Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery

NPI 1043299795

Doctor of Medicine (M.D.)

Dr. Joshua Blomgren , DO

Family Medicine - Sports Medicine

NPI 1194981019

Doctor of Osteopathic Medicine (D.O.)

Dr. Trevor Murray , MD

Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery

NPI 1194992297

Doctor of Medicine (M.D.)

Dr. Darwin Chen , MD

Orthopaedic Surgery

NPI 1295993517

Doctor of Medicine (M.D.)

Dr. Wayne Paprosky , MD

Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery

NPI 1407835135

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active June 16, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address June 16, 2017

Registered at 1 WESTBROOK CORPORATE CTR, STE 240, WESTCHESTER, IL 601545745 (Tel: 6306825653)

📍

Updated Practice Location June 16, 2017

Registered at 25 N WINFIELD ROAD, SUITE 505, WINFIELD, IL 60190 (Tel: 6306825653)

👤

Provider Name / Credentials Updated June 16, 2017

Recorded as LEE DE DORE, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2017

Physician Assistant (License #085003692 in IL)

✅

NPI Profile Active December 09, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location December 09, 2011

Registered at 25 N WINFIELD ROAD, SUITE 505, WINFIELD, IL 60190 (Tel: 6306825653)

📍

Updated Business Mailing Address December 09, 2011

Registered at 1 WESTBROOK CORPORATE CTR, SUITE 240, WESTCHESTER, IL 601545701 (Tel: 6306825653)

👤

Provider Name / Credentials Updated December 09, 2011

Recorded as LEE DE DORE, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2011

Physician Assistant (License #085003692 in IL)

🟢

Initial NPI Registration & Enumeration February 11, 2010

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: 1790017085

Entity Type:

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

Enumeration Date: February 11, 2010

Last Update: June 16, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1 Westbrook Corporate Ctr, Ste 240

Westchester, IL 601545745

Phone: 6306825653

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.