Active NPI 1043294655 Individual Practitioner Male Practitioner

Dr. Samson Lee , MD

Otolaryngology • Bellevue, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Samson Lee, MD is a certified Otolaryngology practicing in Bellevue, WA. With approximately 27 years of clinical experience since graduating from Duke University School Of Medicine in 1999, Dr. Lee delivers high-quality medical care to the local community at 1231 116TH AVE NE.

Dr. Lee is affiliated with Proliance Surgeons Inc P S and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, injection, fluorouracil, 500 mg, injection into skin growth, 1-7 growths. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1231 116th Ave Ne
Suite 915

Bellevue, WA 980043804

Telephone 4254543938

Fax 4254542568

Associated Practice Facility / Clinic

🏢 Proliance Surgeons, Inc., P.s. Facility NPI 1205875382

Medicare Profile & Education

Medical School

Duke University School Of Medicine

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Otolaryngology in Bellevue, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs +4.2 yrs vs City Avg

City Avg: 22.8 Yrs

State Avg: 23.8 Yrs

Regional Practice Density

20 Specialists

Practicing in Bellevue, WA (318 Statewide)

Telehealth Adoption Rate

15.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lee (27 Years) 27 Yrs

Bellevue Specialty Average (22.8 Years) 22.8 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
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	244	99	$5.00	$0.98
J9190 Injection, fluorouracil, 500 mg	149	98	$9.00	$2.92
11900 Injection into skin growth, 1-7 growths	149	98	$151.77	$63.76
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	80	76	$2611.95	$799.53
99213 Established patient office or other outpatient visit, typically 15 minutes	80	61	$176.90	$99.23
17106 Destruction of skin growth (less than 10 sq centimeters)	72	60	$1074.86	$383.29
17110 Destruction of up to 14 skin growths	56	49	$359.43	$90.61
14302 Repair of wound by transferring skin, each additional 30.0 sq cm	42	29	$675.43	$225.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$366.43	$182.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$239.89	$122.59
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	37	33	$2361.51	$832.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	35	$250.86	$137.96
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	34	34	$1774.00	$602.90
15630 Transfer of skin flap to eyelids, nose, ears, or lips	32	32	$1120.84	$191.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$169.00	$85.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$292.04	$140.60
31231 Diagnostic examination of nasal passages using an endoscope	26	21	$682.85	$209.18
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	25	24	$2065.80	$623.76
15731 Creation of flap graft to nose, forehead, temple, or scalp	20	20	$2775.25	$1081.75
70486 CT scan of face	20	19	$679.40	$151.50
21235 Obtaining ear cartilage for grafting	19	19	$1831.37	$314.46
99213 Established patient office or other outpatient visit, typically 15 minutes	18	18	$126.00	$69.21
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	13	13	$2103.38	$818.90
15574 Creation of flap graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet	12	12	$2440.42	$433.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	107	77	$5.00	$1.06
11900 Injection into skin growth, 1-7 growths	107	77	$150.00	$63.68
J9190 Injection, fluorouracil, 500 mg	107	77	$9.00	$2.00
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	83	81	$2618.00	$744.86
17110 Destruction of up to 14 skin growths	67	58	$360.00	$124.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$169.00	$87.52
99213 Established patient office or other outpatient visit, typically 15 minutes	56	43	$175.00	$98.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$361.00	$181.48
14302 Repair of wound by transferring skin, each additional 30.0 sq cm	55	27	$679.00	$228.06
15630 Transfer of skin flap to eyelids, nose, ears, or lips	48	46	$1124.00	$191.45
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	48	47	$1756.00	$648.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$237.00	$123.09
99213 Established patient office or other outpatient visit, typically 15 minutes	32	31	$126.00	$69.93
15731 Creation of flap graft to nose, forehead, temple, or scalp	32	32	$2766.00	$1073.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	28	$249.00	$136.33
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	30	28	$2371.00	$858.70
31231 Diagnostic examination of nasal passages using an endoscope	23	18	$689.00	$216.41
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	22	20	$2771.00	$768.04
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	22	22	$2062.00	$629.88
21235 Obtaining ear cartilage for grafting	21	21	$1839.00	$315.64
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	20	18	$2549.00	$624.83
70486 CT scan of face	17	16	$701.00	$154.77
30520 Reshaping of nasal cartilage	15	15	$2027.00	$364.89
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	12	12	$2669.00	$820.65
15574 Creation of flap graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet	11	11	$2460.00	$400.68
30140 Removal of nasal air passage under lining tissue	11	11	$1448.00	$143.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11900 Injection into skin growth, 1-7 growths	94	63	$150.00	$62.59
J9190 Injection, fluorouracil, 500 mg	94	63	$9.00	$1.81
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	94	63	$5.00	$1.16
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	78	74	$2618.00	$801.11
14302 Repair of wound by transferring skin, each additional 30.0 sq cm	77	34	$679.00	$229.88
17110 Destruction of up to 14 skin growths	60	51	$360.00	$120.62
99213 Established patient office or other outpatient visit, typically 15 minutes	57	43	$175.00	$99.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	48	$249.00	$138.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$361.00	$183.33
31231 Diagnostic examination of nasal passages using an endoscope	42	24	$689.00	$219.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$169.00	$88.51
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	35	34	$1756.00	$582.11
15630 Transfer of skin flap to eyelids, nose, ears, or lips	32	32	$1124.00	$194.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$237.00	$123.58
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	22	21	$2062.00	$595.99
21235 Obtaining ear cartilage for grafting	21	21	$1839.00	$315.41
15731 Creation of flap graft to nose, forehead, temple, or scalp	18	18	$2766.00	$985.91
70486 CT scan of face	17	17	$701.00	$156.55
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	17	17	$2371.00	$834.34
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$126.00	$71.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$284.00	$144.83
15574 Creation of flap graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet	14	14	$2460.00	$433.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	12	$120.00	$63.06
21014 Removal of (2 centimeters or greater) muscle growth of face and scalp	13	11	$1522.00	$331.74
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	13	12	$2549.00	$632.11
15240 Relocation of patient skin to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (20 sq centimeters or less)	12	12	$2585.00	$561.27
30520 Reshaping of nasal cartilage	11	11	$2027.00	$414.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	138	60	$5.00	$1.31
J9190 Injection, fluorouracil, 500 mg	138	60	$9.00	$1.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	95	95	$340.79	$181.68
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	81	72	$2618.00	$830.59
14302 Repair of wound by transferring skin, each additional 30.0 sq cm	76	36	$679.00	$233.82
96405 Administration of chemotherapy into growth, 1-7	65	45	$293.00	$98.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	52	$224.86	$141.88
17106 Destruction of skin growth (less than 10 sq centimeters)	49	41	$1098.00	$390.59
17110 Destruction of up to 14 skin growths	46	39	$360.00	$67.00
99213 Established patient office or other outpatient visit, typically 15 minutes	40	32	$155.00	$101.78
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	33	31	$1756.00	$619.97
15630 Transfer of skin flap to eyelids, nose, ears, or lips	33	31	$1124.00	$187.10
11900 Injection into skin growth, 1-7 growths	27	21	$150.00	$63.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$223.58	$121.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	18	$95.27	$63.32
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	20	19	$2062.00	$587.09
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	18	17	$2371.00	$866.77
21235 Obtaining ear cartilage for grafting	15	14	$1839.00	$315.48
15574 Creation of flap graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet	14	14	$2460.00	$407.60
15731 Creation of flap graft to nose, forehead, temple, or scalp	13	13	$2766.00	$1018.92
70486 CT scan of face	13	13	$701.00	$153.99
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	12	12	$2771.00	$702.16
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	11	11	$2549.00	$726.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	251	64	$5.00	$1.43
J9190 Injection, fluorouracil, 500 mg	248	63	$9.00	$1.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	90	90	$329.00	$178.35
96405 Administration of chemotherapy into growth, 1-7	88	63	$293.00	$90.54
17106 Destruction of skin growth (less than 10 sq centimeters)	58	50	$1098.00	$367.51
99213 Established patient office or other outpatient visit, typically 15 minutes	58	47	$143.00	$82.31
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	54	53	$2618.00	$833.29
17110 Destruction of up to 14 skin growths	53	48	$360.00	$63.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	43	$214.00	$119.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	31	$86.00	$50.88
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	39	35	$1756.00	$572.79
14302 Repair of wound by transferring skin, each additional 30.0 sq cm	37	25	$679.00	$239.72
15630 Transfer of skin flap to eyelids, nose, ears, or lips	33	31	$1124.00	$186.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$214.00	$119.01
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	30	29	$2062.00	$533.63
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	19	18	$2549.00	$684.81
21235 Obtaining ear cartilage for grafting	15	15	$1839.00	$298.06
15731 Creation of flap graft to nose, forehead, temple, or scalp	14	14	$2766.00	$1069.18
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	12	12	$2771.00	$905.04
15574 Creation of flap graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet	12	12	$2460.00	$419.43
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	11	11	$2371.00	$863.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9190 Injection, fluorouracil, 500 mg	234	61	$9.00	$1.68
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	233	62	$5.00	$1.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$329.00	$173.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	69	40	$86.00	$48.44
96405 Administration of chemotherapy into growth, 1-7	62	46	$293.00	$90.60
99213 Established patient office or other outpatient visit, typically 15 minutes	52	38	$143.00	$79.50
17106 Destruction of skin growth (less than 10 sq centimeters)	48	44	$1098.00	$374.01
11900 Injection into skin growth, 1-7 growths	44	37	$150.00	$31.50
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	38	38	$2618.00	$947.54
17110 Destruction of up to 14 skin growths	37	35	$360.00	$63.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$214.00	$117.68
14302 Repair of wound by transferring skin, each additional 30.0 sq cm	33	20	$679.00	$238.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	30	$214.00	$118.07
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	30	30	$2549.00	$583.23
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	28	28	$1756.00	$594.52
15630 Transfer of skin flap to eyelids, nose, ears, or lips	23	21	$1124.00	$190.65
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	23	23	$2062.00	$514.41
21235 Obtaining ear cartilage for grafting	22	22	$1839.00	$311.70
15731 Creation of flap graft to nose, forehead, temple, or scalp	15	15	$2766.00	$1038.82
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	14	14	$2771.00	$911.48
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	12	12	$2371.00	$854.64
15574 Creation of flap graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet	11	11	$2460.00	$416.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	298	67	$5.00	$1.79
J9190 Injection, fluorouracil, 500 mg	215	50	$9.00	$1.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	96	96	$326.94	$176.97
11900 Injection into skin growth, 1-7 growths	92	61	$148.59	$39.31
96405 Administration of chemotherapy into growth, 1-7	73	50	$292.73	$85.61
99213 Established patient office or other outpatient visit, typically 15 minutes	73	53	$141.70	$79.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	65	46	$85.17	$48.07
17106 Destruction of skin growth (less than 10 sq centimeters)	63	56	$1088.60	$359.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	53	$212.31	$116.41
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	44	38	$1745.27	$581.60
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	43	38	$2037.58	$556.78
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	42	39	$2526.48	$597.63
17110 Destruction of up to 14 skin growths	35	34	$357.60	$61.36
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	32	31	$2601.31	$945.01
15630 Transfer of skin flap to eyelids, nose, ears, or lips	31	28	$1117.87	$190.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$211.93	$117.08
15731 Creation of flap graft to nose, forehead, temple, or scalp	22	20	$2753.18	$1090.50
21235 Obtaining ear cartilage for grafting	22	22	$1827.73	$307.98
31231 Diagnostic examination of nasal passages using an endoscope	21	13	$682.43	$236.09
14302 Repair of wound by transferring skin, each additional 30.0 sq cm	20	16	$672.10	$238.32
70486 CT scan of face	18	16	$699.67	$155.97
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	17	17	$2748.88	$914.28
92504 Exam of ear using a microscope	14	11	$63.29	$32.93
15574 Creation of flap graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet	13	12	$2428.08	$447.82
20912 Nasal cartilage graft	11	11	$1322.82	$256.95
30140 Removal of nasal air passage under lining tissue	11	11	$2165.36	$156.97
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	11	11	$2356.45	$811.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	310	64	$5.00	$1.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	106	106	$318.00	$172.89
11900 Injection into skin growth, 1-7 growths	103	62	$145.00	$59.71
99213 Established patient office or other outpatient visit, typically 15 minutes	77	58	$138.00	$77.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	47	$207.00	$115.01
15781 Scraping of skin of face	49	46	$1731.00	$606.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	39	$83.00	$46.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$207.00	$115.58
17106 Destruction of skin growth (less than 10 sq centimeters)	46	45	$1061.00	$185.99
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	41	38	$1992.00	$505.09
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	39	37	$2463.00	$613.67
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	35	31	$1697.00	$555.56
15630 Transfer of skin flap to eyelids, nose, ears, or lips	26	24	$1086.00	$188.27
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	24	24	$2529.00	$914.87
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	21	21	$2677.00	$885.30
21235 Obtaining ear cartilage for grafting	19	18	$1777.00	$305.94
15731 Creation of flap graft to nose, forehead, temple, or scalp	15	15	$2716.53	$1078.76
70486 CT scan of face	14	14	$677.00	$147.03
92504 Exam of ear using a microscope	14	12	$62.00	$33.28
31231 Diagnostic examination of nasal passages using an endoscope	13	11	$666.00	$233.45
11100 Biopsy of single growth of skin and/or tissue	13	13	$324.00	$90.28
20926 Tissue graft	11	11	$1167.00	$267.77
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	11	11	$2579.00	$847.84

Medical Specialties & State Licenses

Otolaryngology Primary Specialty

NUCC Taxonomy Code: 207Y00000X

State License WA MD00045831

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Specialist

NUCC Taxonomy Code: 174400000X

State License WA MD00045831

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Hospital & Practice Group Affiliations

Proliance Surgeons Inc P S

1231 116th Ave Ne, Bellevue, WA 980043804

Proliance Surgeons Inc P S

751 Ne Blakely Dr, Issaquah, WA 980296201

Phone: 4253135422

Proliance Surgeons Inc P S

751 Ne Blakely Dr, Issaquah, WA 980296201

Phone: 2066230922

Proliance Surgeons Inc P S

510 8th Ave Ne, Issaquah, WA 980295436

Practice Associates & Co-Workers

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

27 Associated Practitioners

Dr. Jonathan Kopelovich , MD

Otolaryngology

NPI 1023218617

Doctor of Medicine (M.D.)

Laura Menenberg , REGISTERED NURSE RN

Registered Nurse

NPI 1114536356

REGISTEREDNURSERN

Dr. Adrienne Laury , MD

Otolaryngology

NPI 1124260351

Doctor of Medicine (M.D.)

Rhonda Ravani , ARNP

Specialist

NPI 1154303667

Advanced Registered Nurse Practitioner

Dr. Julia Wood , AuD, CCC-A

Audiologist

NPI 1154841575

Doctor of Audiology, CCCA

Dr. Corina Peterson , AuD

Audiologist

NPI 1164695201

Doctor of Audiology

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 23, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location October 23, 2014

Registered at 1231 116TH AVE NE, SUITE 915, BELLEVUE, WA 980043804 (Tel: 4254543938)

📍

Updated Business Mailing Address October 23, 2014

Registered at 805 MADISON STREET, SUITE 901, SEATTLE, WA 981041172 (Tel: 2062648100)

👤

Provider Name / Credentials Updated October 23, 2014

Recorded as SAMSON LEE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2014

Specialist (License #MD00045831 in WA)

🟢

Initial NPI Registration & Enumeration December 06, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1043294655

Entity Type:

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

Enumeration Date: December 06, 2005

Last Update: October 23, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

805 Madison Street, Suite 901

Seattle, WA 981041172

Phone: 2062648100

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.