PETER KISUK LEE MD PHD NPI 1750462198

NPI Information

  • NPI: 1750462198
  • Provider Name: PETER KISUK LEE, MD, PHD
  • Classification: Dermatology - 207ND0101X
  • Specialization: MOHS-Micrographic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2116 CRAIG RD
    MMC - EAU CLAIRE MEDICAL OFFICES
    EAU CLAIRE, WI
    ZIP 54701
  • Phone: (715) 858-4500

Map and Directions

Get Directions

NPI Details

Peter Kisuk Lee, MD, PHD is a mohs-micrographic surgery dermatology in Eau Claire, WI with 32 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 precancer skin growth, 2-14 growths (HCPCS:17003)
  • Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks (HCPCS:17311)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Biopsy of related skin growth, first growth (HCPCS:11102)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks (HCPCS:17312)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • Biopsy of related skin growth, each additional growth (HCPCS:11103)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm (HCPCS:12032)
  • Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks (HCPCS:17313)
  • Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm (HCPCS:13132)
  • Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm (HCPCS:12052)
  • Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less (HCPCS:14060)
  • Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm (HCPCS:14061)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less (HCPCS:15260)
  • Shaving of skin growth of body, arms, or legs, 0.5 cm or less (HCPCS:11300)
  • Pathology examination of specimen during surgery, first tissue block (HCPCS:88331)
  • Biopsy of ear (HCPCS:69100)
  • Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm (HCPCS:14041)
  • Repair of wound by transferring skin, 30.1-60.0 sq cm (HCPCS:14301)
  • Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm (HCPCS:11301)
  • Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm (HCPCS:13121)
  • Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm (HCPCS:12042)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Biopsy of lip (HCPCS:40490)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.