JUSTIN JONG (MD) – Surgery Physician, NPI 1689179657

JUSTIN JONG (MD) is a healthcare provider. based in Huntsville, Alabama. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. MD.46459 (AL). The NPI Number for JUSTIN JONG (MD) is 1689179657

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
JUSTIN JONG (MD)
NPI
1689179657
Phone
(256) 880-4510
Address
4704 WHITESBURG DR SW STE 200
Enumeration Date
29 March 2018
Last Update Date
2 November 2023

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
2563275005
Graduation Year
2018 (8 years ago)
PAC ID
5991055089
Group Practice PAC ID
2264327022
Professional Enrollment ID
I20230811000771
Address ID
AL358021681HU4704XSWXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

859 GENERAL SURGERY in TN

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Provider Addresses for JUSTIN JONG (MD)

  • 4704 WHITESBURG DR SW STE 200

    HUNTSVILLE, AL 358021681

    Phone: (256) 880-4510

    Fax: (256) 880-4512

    Type: Mailing

  • Alcoa Highway, Fort Sanders, Knoxville, Knox County, Tennessee, 37920, United States

    KNOXVILLE, TN 379201511

    Phone: (865) 305-9230

    Fax: (865) 305-6958

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $3,002.

Total Amount is formed as General ($3,002) + Research ($0) + Ownership ($0) = $3,002.

Last reported payment date: 2024-07-23 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($2,824).

Total Amount

$3,002

General + Research + Ownership

Payments

19

Total payment records

General Amount

$3,002

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-23

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230811000771IGeneral SurgeryALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 35802)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264327022View full group profile
NameSpecialtyState
General SurgeryAL
General SurgeryAL
General SurgeryAL
General SurgeryAL
General SurgeryAL
General SurgeryAL
-AL

Reviews

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Frequently asked questions

What federal number belongs to JUSTIN JONG (MD)?
The federal identifier for JUSTIN JONG (MD) is NPI 1689179657.
Is JUSTIN JONG (MD)'s NPI currently valid?
The extract we use shows JUSTIN JONG (MD) as active.
What kind of provider is JUSTIN JONG (MD)?
The page reflects Surgery Physician for JUSTIN JONG (MD). Clinical services aligned with this taxonomy classification.
Does JUSTIN JONG (MD) practice in Alabama?
You will see Huntsville, Alabama on file for JUSTIN JONG (MD) alongside any extra practice locations.
Is JUSTIN JONG (MD) a real provider?
This page reflects official NPPES data for NPI 1689179657. Always confirm identity and privileges with the practice and licensing boards.

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