NPPES file of Aug 9, 2026

Caroline Lee, MD

Pediatric Cardiology Physician · Saint Louis, MO

Caroline Lee, MD is a pediatric cardiology physician with a practice address in Saint Louis, Missouri, and NPI 1205875036, issued on Jun 6, 2006. Check the license (Missouri 2008010185, as entered in NPPES) on the Missouri Board of Registration for the Healing Arts; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1205875036
Name
Caroline Lee
Credential
MD
Primary taxonomy
Pediatric Cardiology Physician 2080P0202X
License number
2008010185 MO
Self-reported in NPPES; status is on the state search
Practice location
1 Childrens PL, Saint Louis, MO 63110
Phone
(314) 454-6095
Enumerated
Jun 6, 2006
Record last updated
Feb 9, 2026
Fax
(314) 884-6008
Medicaid ID
204616809 MO
Medicare enrollment
Enrolled (PECOS I20080628000054); accepts Medicare assignment
Medical or professional school
University Of Virginia School Of Medicine, 1999
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1 Childrens PL

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Mohamed Abdelbaki, MDPediatric Hematology & Oncology Physician1508021361
  2. Christi Abeln, PNPPediatric Nurse Practitioner1023034253
  3. Loren Abernathy, PNPPediatric Nurse Practitioner1215583117
  4. Freddy-May Abisamra, CGCGenetic Counselor (M.S.)1306538111
  5. Manjusha Abraham, MDPediatric Critical Care Medicine Physician1508126699
  6. Philip Abraham, MDHospitalist Physician1720309016

Verify Caroline Lee in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersMissouri Board of Registration for the Healing Arts
    Search for license 2008010185
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Missouri license search

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The practice group's MIPS final score for 2023 (Medicare payment program): 79.3 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.

  1. Qualityout of 100 · 30% of the final score71.5
  2. Costout of 100 · 30%59.5
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. Washington UniversitySaint Louis, MO

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Caroline Lee among 123 pediatric cardiology physician records in Missouri

Caroline Lee, MD is one of 123 pediatric cardiology physician records with a practice address in Missouri. 61% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 7% of them.

  • NPI issued2006 · 7% of these records are older, 72% newer
  • In a Medicare fileYes · 61% of these records are
  • In the CMS Doctors and Clinicians fileYes · 49% of these records are
  • Graduated1999 · median 2009 among the 60 with a school on file
  • Record last updated2026 · 35% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2080P0202X and a Missouri practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Pediatric Cardiology Physician providers in Missouri

There are 123 pediatric cardiology physician records in Missouri.

The 8 pediatric cardiology physician records with the nearest ZIP codes

  1. David Balzer, MDSaint Louis, MO 631101134147572
  2. Priya Bhat, MDSaint Louis, MO 631101659428522
  3. Charles Canter, MDSaint Louis, MO 631101063453504
  4. Mayte Figueroa, MDSaint Louis, MO 631101609986199
  5. Andrew Glatz, MDSaint Louis, MO 631101053496463
  6. Ronald Grady, MDSaint Louis, MO 631101821036716
  7. Patrick Jay, MDSaint Louis, MO 631101447241336
  8. Mark Johnson, MDSaint Louis, MO 631101497796957

Common questions

What is Caroline Lee, MD's NPI number?

Caroline Lee, MD's National Provider Identifier (NPI) is 1205875036, issued on Jun 6, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Caroline Lee, MD located?

The NPPES record lists a practice address at 1 Childrens PL, Saint Louis, MO, 63110. Phone: (314) 454-6095. Providers update this record themselves, so call before visiting.

How can I verify Caroline Lee, MD's license?

NPPES lists Missouri license number 2008010185, as entered by the provider. Search the Missouri Board of Registration for the Healing Arts at https://www.fsmb.org/contact-a-state-medical-board/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

What is Caroline Lee, MD's MIPS final score?

The 2023 MIPS final score is 79.3 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.