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PETER KISUK LEE MD PHD NPI 1750462198


NPI Information

NPI: 1750462198
Provider Name: PETER KISUK LEE, MD, PHD
Classification: Dermatology - 207ND0101X
Entity Type: Individual

Specialization: MOHS-Micrographic Surgery

Organization: MARSHFIELD CLINIC INC

PECOS Registration: Yes

Address:
2116 CRAIG RD
MMC - EAU CLAIRE MEDICAL OFFICES
EAU CLAIRE, WI
ZIP 54701
Phone: (715) 858-4500
Get Directions

Peter Kisuk Lee, MD, PHD is a mohs-micrographic surgery dermatology in Eau Claire, WI with 31 years of experience. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. Peter Kisuk Lee, MD, PHD NPI is 1750462198. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year:1993

The provider's business location address is:

2116 CRAIG RD
MMC - EAU CLAIRE MEDICAL OFFICES
EAU CLAIRE, WI
ZIP 54701-149
Phone: (715) 858-4500
Fax: (715) 858-4502

The NPI 1750462198 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Destruction of 2-14 skin growths (HCPCS:17003)
  • Destruction of skin growth (HCPCS:17000)
  • Biopsy of single growth of skin and/or tissue (HCPCS:11100)
  • Biopsy of each additional growth of skin and/or tissue (HCPCS:11101)
  • Destruction of up to 14 skin growths (HCPCS:17110)
  • Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (HCPCS:13132)

The enumeration date for this NPI number is 10/18/2006 and was last updated on 12/21/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatology40742MINNESOTANo
2207ND0101XDermatologyMOHS-Micrographic Surgery40742MINNESOTANo
3207ND0101XDermatologyMOHS-Micrographic Surgery20286WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1HP27293OTHERMINNESOTAHEALTH PARTNERS
203-00010OTHERMINNESOTAMEDICA-PRIMARY
30300035OTHERMINNESOTAMEDICA-CHOICE
41018635OTHERMINNESOTAPREFERRED ONE
511G68LEOTHERMINNESOTABCBS
6121915OTHERMINNESOTAUCARE
70512590MEDICAIDIOWA
8070012427OTHERRR MEDICARE
9656310OTHERMINNESOTAARAZ
10383318600MEDICAIDMINNESOTA
11656310OTHERMINNESOTAFAIRVIEW

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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