Medicare Enrolled

Dr. Scott Lee, M.D.

Ophthalmology · Pinole, CA
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
Low-engagement
1289 PINOLE VALLEY ROAD, Pinole, CA 94564
5107241768
In practice since 2006 (19 years)
NPI: 1699720946 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Lee from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Lee? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Lee

Dr. Scott Lee is an ophthalmology specialist in Pinole, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Lee performed 2,814 Medicare services across 2,138 unique beneficiaries.

Between the years covered by Open Payments, Dr. Lee received a total of $1,729 from 22 pharmaceutical and/or device companies across 45 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in ophthalmology. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Lee is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 19 years in practice ▲ Top 35% volume in CA $1,729 industry payments

Medicare Practice Summary

Medicare Utilization ↗
2,814
Medicare services
Top 35% in CA for ophthalmology
2,138
Unique beneficiaries
$148
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~148 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Eye exam, established patient, focused
A limited examination of the visual system for an existing patient. The provider focuses on a specific eye-related concern or symptom.
696 $90 $115
Retinal photography (fundus photo)
This procedure involves taking photographs of the retina, the light-sensitive tissue at the back of the eye. It is used to document the condition of the eye's interior structures.
417 $37 $49
Comprehensive eye exam, established patient
A comprehensive examination of the visual system performed for a patient who has previously been seen by the provider.
351 $124 $161
Comprehensive eye exam, new patient
A comprehensive examination of the visual system performed for a new patient.
216 $144 $190
Visual field test, extended
A test that maps your complete field of vision to detect blind spots or peripheral vision loss. Extended testing provides a more detailed assessment than a standard visual field exam.
170 $64 $82
Corneal topography and eye depth measurement
This procedure measures the curvature and depth of the cornea, the clear front surface of the eye.
137 $41 $53
Cataract surgery with lens implant
Surgical removal of the clouded natural lens of the eye and replacement with an artificial prosthetic lens to restore vision.
122 $468 $674
Optic nerve imaging (OCT scan)
Imaging of the optic nerve.
111 $36 $47
Eye photography
Photographic imaging of the interior structures of the eye.
94 $20 $33
Insertion of drug delivery implant into tear duct
A small implant containing medication is placed into the tear duct of the eye to deliver drugs directly to the eye over time.
77 $15 $47
Removal of excessive skin and fat of upper eyelid 64 $540 $780
Laser removal of recurring cataract
A laser procedure to remove a recurring cataract within the lens capsule.
63 $310 $422
Upper eyelid tendon repair
Surgical repair of the tendon in the upper eyelid to restore its function and structure.
52 $574 $947
Laser repair to improve eye fluid flow
A laser procedure used to enhance the drainage of fluid within the eye.
41 $195 $303
Eyelid margin removal and repair, over 1/4
Surgical removal of more than one-quarter of the eyelid margin followed by repair of the eyelid.
36 $611 $981
Retinal imaging (OCT scan)
This procedure involves imaging the retina to visualize its structure. It is used to examine the back of the eye.
34 $41 $51
Incision to improve eye fluid flow
A surgical procedure involving an incision to enhance the drainage of fluid within the eye.
30 $824 $1,035
Nasal tear duct probing
A procedure to examine and clear the tear ducts in the nose. It helps restore normal drainage of tears from the eye.
28 $184 $293
Eyelid growth removal
A procedure to remove a growth from the eyelid.
21 $130 $368
Amniotic membrane placement on eye surface
This procedure involves placing amniotic membrane on the surface of the eye to promote wound healing.
15 $1,474 $1,853
Partial removal of nasal sinus
A surgical procedure to partially remove tissue from a nasal sinus. The specific sinus and extent of removal are not detailed in this description.
13 $652 $816
Endoscopic tear duct incision
A surgical procedure to open a tear duct using an endoscope. The endoscope allows the surgeon to view the inside of the duct during the incision.
13 $290 $726
Nasal tear duct probing with tube or stent insertion
A procedure to open a blocked tear duct by probing the area and inserting a tube or stent to maintain drainage.
13 $109 $492
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
4.8% high complexity
5.2% medium
90.0% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$1,729
Total received (2018-2024)
Avg $247/year across 7 years
Top 45% in CA for ophthalmology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
22
Companies
45
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$1,579 (91.3%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$150 (8.7%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$110
2023
$521
2022
$322
2021
$110
2020
$100
2019
$192
2018
$373

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Alcon Vision LLC
$40
SUN PHARMACEUTICAL INDUSTRIES INC.
$26
Tarsus Pharmaceuticals, Inc.
$23
Thea Pharma Inc.
$20
Top 3 companies account for 81.8% of 2024 payments
All-time payments by company (2018-2024) ›
Alcon Vision LLC
$676
Alcon Laboratories Inc
$166
Shire North American Group Inc
$150
RxSight Inc
$133
BioTissue Holdings, Inc.
$64
Carl Zeiss Meditec, Inc.
$58
Omeros Corporation
$57
Johnson & Johnson Surgical Vision, Inc.
$56
Glaukos Corporation
$54
Sun Pharmaceutical Industries Inc.
$51
Genentech USA, Inc.
$27
SUN PHARMACEUTICAL INDUSTRIES INC.
$26
Allergan, Inc.
$25
TissueTech, Inc.
$23
Tarsus Pharmaceuticals, Inc.
$23
Horizon Therapeutics plc
$23
Ocular Therapeutix, Inc.
$22
Mallinckrodt Enterprises LLC
$21
Bausch & Lomb, a division of Bausch Health US, LLC
$20
Thea Pharma Inc.
$20
Carl Zeiss Meditec AG
$19
Sight Sciences, Inc.
$14
Top 3 companies account for 57.4% of all-time payments
Associated products mentioned in payments ›
ACTHAR · AcrySof IQ PanOptix · AcrySof IQ VIVITY · AcrySof IQ VIVITY IOL · Centurion · Cequa · Clareon · Constellation · DEXTENZA · DURYSTA · HYDRUS Microstent · IYUZEH · None Specified · OMNI Surgical System · OPMI Lumera · Omidria · PROKERA · Prokera · RXSIGHT CONTACT LENS · ReSTOR · STELLARIS · Simbrinza · TEPEZZA · Tecnis 1-piece IOL · Tecnis Multifocal Family of 1-piece IOLS · Tecnis Symfony IOL · Vabysmo · XDEMVY · iStent Inject Trabecular Micro-Bypass System
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (91%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for an ophthalmology specialist in Pinole?
Compare ophthalmologists in the Pinole area by procedure volume, costs, and industry payment transparency.
Browse ophthalmologists nearby

Geographic Context

Ophthalmologists within 10 mi
332
Per 100K population
28.6
County median income
$125,727
Nearest hospital
CONTRA COSTA REGIONAL MEDICAL CENTER
6.3 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Lee is a mixed practice specialist, with moderate Medicare volume, with low-engagement industry engagement, with 19 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Lee experienced with eye exam, established patient, focused?
Based on Medicare claims data, Dr. Lee performed 696 eye exam, established patient, focused services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Lee receive payments from pharmaceutical companies?
Yes. Dr. Lee received a total of $1,729 from 22 companies across 45 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Lee's costs compare to other ophthalmologists in Pinole?
Dr. Lee's average Medicare payment per service is $148. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Lee) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

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Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →