Active NPI 1679745418 Individual Practitioner Male Practitioner

Dr. Lee Theodore Bottem , DO

Ophthalmology • Broken Arrow, OK

Professional Overview & Biography Verified Profile Summary

Dr. Lee Bottem, DO is a registered healthcare professional specializing in Ophthalmology in Broken Arrow, OK. Practice services are available at 4700 W URBANA ST under active NPI credentials.

Frequently performed procedures and clinical services include new patient outpatient office visit, exam of visual field with limited testing, photography of content of eyes. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4700 W Urbana St

Broken Arrow, OK 740125997

Telephone 9182902300

Fax 9182902310

Associated Practice Facility / Clinic

🏢 Lee Bottem, D.o., Plc Facility NPI 1104157296

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Broken Arrow, OK

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 30.8 Yrs

Regional Practice Density

2 Specialists

Practicing in Broken Arrow, OK (217 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

32.6% 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 (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	83	83	$232.70	$154.56
92081 Exam of visual field with limited testing	61	61	$45.29	$26.95
92285 Photography of content of eyes	61	61	$30.83	$20.42
67904 Repair of tendon of upper eyelid	38	38	$1049.77	$801.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$154.56	$101.41
67840 Removal of eyelid growth	22	19	$376.83	$228.17
67917 Extensive repair of turning-outward eyelid defect	12	11	$845.61	$510.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$77.91	$51.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	228	228	$200.00	$155.46
92285 Photography of content of eyes	158	157	$60.00	$20.41
92081 Exam of visual field with limited testing	157	156	$70.00	$27.13
67904 Repair of tendon of upper eyelid	122	122	$1800.00	$796.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$130.42	$104.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	33	$55.00	$52.30
67840 Removal of eyelid growth	38	34	$355.00	$245.80
67900 Repair of brow paralysis	38	38	$1573.68	$359.82
67917 Extensive repair of turning-outward eyelid defect	25	24	$1375.20	$541.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$135.00	$119.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	201	201	$200.00	$156.40
92285 Photography of content of eyes	145	145	$60.00	$20.36
92081 Exam of visual field with limited testing	145	145	$70.00	$26.96
67904 Repair of tendon of upper eyelid	118	118	$1783.90	$805.33
67900 Repair of brow paralysis	55	55	$1600.00	$352.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$130.43	$105.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	32	$55.00	$52.69
67840 Removal of eyelid growth	33	27	$355.00	$246.17
67917 Extensive repair of turning-outward eyelid defect	26	25	$1203.85	$519.28
67924 Extensive repair of turning-inward eyelid defect	14	14	$900.00	$451.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$135.00	$120.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	216	215	$200.00	$161.00
92285 Photography of content of eyes	179	178	$60.00	$20.88
92081 Exam of visual field with limited testing	163	162	$70.00	$28.34
67904 Repair of tendon of upper eyelid	127	126	$1768.50	$829.29
67900 Repair of brow paralysis	69	69	$1565.22	$372.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$130.00	$104.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	24	$55.00	$53.28
67840 Removal of eyelid growth	24	20	$355.00	$238.26
67924 Extensive repair of turning-inward eyelid defect	19	18	$1273.68	$465.03
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$90.00	$87.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$135.00	$123.87
67917 Extensive repair of turning-outward eyelid defect	13	13	$1484.62	$563.66
67800 Removal of eyelid growth	12	12	$250.00	$121.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	208	205	$199.69	$158.12
92285 Photography of content of eyes	147	144	$60.00	$19.93
92081 Exam of visual field with limited testing	140	137	$70.00	$28.51
67904 Repair of tendon of upper eyelid	118	117	$1788.14	$835.45
67900 Repair of brow paralysis	63	63	$1607.94	$376.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$130.00	$103.23
11440 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less	29	23	$170.00	$118.53
99213 Established patient office or other outpatient visit, typically 15 minutes	29	27	$90.00	$71.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	21	$55.00	$43.08
67917 Extensive repair of turning-outward eyelid defect	22	21	$1627.27	$498.93
11900 Injection into skin growth, 1-7 growths	14	14	$100.00	$52.24
67840 Removal of eyelid growth	13	12	$355.00	$253.03
67800 Removal of eyelid growth	11	11	$250.00	$122.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	276	276	$200.00	$154.94
92285 Photography of content of eyes	228	225	$60.00	$19.51
92081 Exam of visual field with limited testing	218	215	$70.00	$28.41
67904 Repair of tendon of upper eyelid	165	165	$1784.24	$836.26
67900 Repair of brow paralysis	100	100	$1593.00	$371.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$130.00	$101.36
99213 Established patient office or other outpatient visit, typically 15 minutes	47	41	$91.28	$70.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	33	$55.00	$42.24
67917 Extensive repair of turning-outward eyelid defect	29	28	$1172.41	$562.69
67840 Removal of eyelid growth	24	21	$355.00	$232.34
11440 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less	17	13	$210.00	$105.45
67800 Removal of eyelid growth	15	13	$250.00	$112.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	217	217	$200.00	$148.42
92285 Photography of content of eyes	186	185	$60.00	$14.89
92081 Exam of visual field with limited testing	175	175	$70.00	$30.25
67904 Repair of tendon of upper eyelid	146	146	$1781.51	$799.83
67900 Repair of brow paralysis	74	74	$1600.00	$349.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	64	64	$130.00	$96.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	51	41	$55.00	$39.13
11440 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less	28	20	$170.00	$87.25
67917 Extensive repair of turning-outward eyelid defect	24	24	$1029.17	$553.19
99213 Established patient office or other outpatient visit, typically 15 minutes	24	24	$90.00	$65.57
67840 Removal of eyelid growth	21	20	$405.71	$261.92
68801 Dilation of tear drainage opening	12	11	$200.00	$77.19
11900 Injection into skin growth, 1-7 growths	12	11	$73.33	$50.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	258	258	$200.00	$144.16
92285 Photography of content of eyes	206	205	$60.00	$14.69
92081 Exam of visual field with limited testing	189	188	$70.00	$29.16
67904 Repair of tendon of upper eyelid	140	140	$1761.43	$769.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	105	105	$130.00	$94.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	66	51	$55.00	$37.67
67900 Repair of brow paralysis	59	59	$1572.88	$372.53
11440 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less	34	29	$170.00	$98.40
67840 Removal of eyelid growth	29	24	$379.48	$222.41
67917 Extensive repair of turning-outward eyelid defect	25	24	$1008.00	$494.66
68801 Dilation of tear drainage opening	15	15	$200.00	$76.26
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$90.00	$63.96
67924 Extensive repair of turning-inward eyelid defect	12	12	$816.67	$457.46
11900 Injection into skin growth, 1-7 growths	12	11	$60.00	$48.24

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License OK 4175

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.

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active May 16, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location May 16, 2016

Registered at 4700 W URBANA ST, BROKEN ARROW, OK 740125997 (Tel: 9182902300)

📍

Updated Business Mailing Address May 16, 2016

Registered at 4700 W URBANA ST, BROKEN ARROW, OK 740125997 (Tel: 9182902300)

👤

Provider Name / Credentials Updated May 16, 2016

Recorded as LEE BOTTEM, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2016

Ophthalmology (License #4175 in OK)

🟢

Initial NPI Registration & Enumeration April 01, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1679745418

Entity Type:

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

Enumeration Date: April 01, 2008

Last Update: September 06, 2019

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

4700 W Urbana St

Broken Arrow, OK 740125997

Phone: 9182902300

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.