Carl Wesley Lee, MD
Otolaryngology Physician · Swansea, IL
Carl Wesley Lee, MD is an otolaryngology physician with a practice address in Swansea, Illinois, and NPI 1649273319, issued on May 24, 2005. Check the license (Illinois 036095348, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.
- Name
- Carl Wesley Lee
- Credential
- MD
- Primary taxonomy
- Otolaryngology Physician 207Y00000X
- License number
- 036095348 IL
Self-reported in NPPES; status is on the state search - Practice location
- 19 Wolf Creek Dr, Swansea, IL 62226
- Phone
- (618) 235-3687
- Enumerated
- May 24, 2005
- Record last updated
- Apr 21, 2025
- Fax
- (618) 239-9492
- Medicaid ID
- 200080460 MO
- Medicare enrollment
- Enrolled (PECOS I20100913000883); accepts Medicare assignment
- Medical or professional school
- Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University, 1992
- Entity
- Type 1 · individual
8 nearest otolaryngology physician records → All 482 in Illinois → Look up another NPI →
Also registered at 19 Wolf Creek Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Samantha Braden, AUDAudiologist1538896774
- Elizabeth Carter, AUDAudiologist1912466186
- Susan Hamilton, M.S.;CCC-A;AUDAudiologist1235319245
- Angela Long, FNPFamily Nurse Practitioner1639532609
- Melissa Marko, AUDAudiologist1699340984
- Murray McGrady, MDOtolaryngology Physician1942203617
Verify Carl Wesley Lee in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
Search for license 036095348Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
46% more Medicare Part D claims than the average otolaryngology physician in 2024
790 Medicare Part D claims for 320 beneficiaries, against an average of 541 among the 8,339 providers of this specialty who prescribed in Part D. Brand-name drugs were 4% of claims. 27 claims were for opioids.
Most prescribed
- Ipratropium Bromide148 claims
- Fluticasone Propionate73 claims
- Prednisone60 claims
- Amoxicillin-Clavulanate Potass47 claims
- Pantoprazole Sodium33 claims
- Cefdinir30 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 92.4 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $321.32
7 payments; by number, the most common kind was food and beverage; the largest payer was Genzyme Corporation. The 6,429 providers of this specialty with any payment received $1,922.50 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Washington University Physicians IN Illinois IncSwansea, IL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Carl Wesley Lee among 482 otolaryngology physician records in Illinois
Carl Wesley Lee, MD is one of 482 otolaryngology physician records with a practice address in Illinois. 78% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 88% newer
- In a Medicare fileYes · 78% of these records are
- In the CMS Doctors and Clinicians fileYes · 60% of these records are
- Graduated1992 · median 2005 among the 290 with a school on file
- Record last updated2025 · 46% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Y00000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Otolaryngology Physician providers in Illinois
There are 482 otolaryngology physician records in Illinois.
All 482 in Illinois → Every provider in Swansea → Otolaryngology Physician nationwide →
The 8 otolaryngology physician records with the nearest ZIP codes
- Murray McGrady, MDSwansea, IL 622261942203617
- Larry Dobbs, MDBelleville, IL 622231881628931
- Ketan Shah, M.D.Columbia, IL 622361841306693
- Lloyd Thompson, M.D.East St Louis, IL 622011659375087
- David Lesko, MDShiloh, IL 622691154858504
- Paul Conrad, MD FACSQuincy, IL 623011528028214
- Mary Doellman, DOQuincy, IL 623011417117854
- Warren Hagan, M.D.Quincy, IL 623011164458105
Common questions
What is Carl Wesley Lee, MD's NPI number?
Carl Wesley Lee, MD's National Provider Identifier (NPI) is 1649273319, issued on May 24, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Carl Wesley Lee, MD located?
The NPPES record lists a practice address at 19 Wolf Creek Dr, Swansea, IL, 62226. Phone: (618) 235-3687. Providers update this record themselves, so call before visiting.
How can I verify Carl Wesley Lee, MD's license?
NPPES lists Illinois license number 036095348, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Carl Wesley Lee, MD prescribe under Medicare Part D?
In 2024, Carl Wesley Lee, MD had 790 Medicare Part D claims for 320 beneficiaries; the average among otolaryngology physician prescribers was 541. Part D covers Medicare prescriptions only.
What is Carl Wesley Lee, MD's MIPS final score?
The 2023 MIPS final score is 92.4 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.