ANDREW GLEN YUN (MD) – Orthopaedic Surgery Physician, NPI 1083674410

ANDREW GLEN YUN (MD) is a healthcare provider. based in Santa monica, California. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. A79179 (CA). The NPI Number for ANDREW GLEN YUN (MD) is 1083674410

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW GLEN YUN (MD)
NPI
1083674410
Phone
(310) 582-7474
Address
2001 SANTA MONICA BLVD STE 760W
Enumeration Date
28 March 2006
Last Update Date
1 August 2024

Doctor Profile

Medical School Name
STANFORD UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6268988000
Graduation Year
1995 (31 years ago)
PAC ID
7113913179
Group Practice PAC ID
0446157747
Professional Enrollment ID
I20040427001066
Address ID
CA910073402AR300XXDRXX400
Telehealth
Yes

Contacts

Secure Messaging
ayun472846@oc.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

3,024 ORTHOPEDIC SURGERY in CA

Provider Addresses for ANDREW GLEN YUN (MD)

  • 2001 SANTA MONICA BLVD STE 760W

    SANTA MONICA, CA 904042102

    Phone: (310) 582-7474

    Fax: (310) 582-7481

    Type: Location

  • PO BOX 31309

    LOS ANGELES, CA 900310309

    Phone: (310) 601-3366

    Type: Mailing

  • 122, Sheldon Street, El Segundo, Los Angeles County, California, 90245, United States

    EL SEGUNDO, CA 902453915

    Phone: (310) 322-4278

    Fax: (310) 322-8251

    Type: Mailing

  • 9033 WILSHIRE BLVD STE 360

    BEVERLY HILLS, CA 902111846

    Phone: (310) 601-3366

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 39 Open Payments records for all available years, with a total value of $149,316.

Total Amount is formed as General ($149,316) + Research ($0) + Ownership ($0) = $149,316.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Smith+Nephew, Inc. ($145,937).

Total Amount

$149,316

General + Research + Ownership

Payments

39

Total payment records

General Amount

$149,316

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2004-04-27

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
I20040427001066IOrthopedic SurgeryCATBD

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
99204New patient office or other outpatient visit, 45-59 minutes845845$0
99214Established patient office or other outpatient visit, 30-39 minutes727627$0
27447Replacement of knee joint, both sides of knee356343$0
27130Replacement of thigh bone and hip joint with prosthesis335328$0
99213Established patient office or other outpatient visit, 20-29 minutes109101$0
View full utilization report →

Insurance plans in this area (ZIP 90404)

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Provider's Procedures

ANDREW GLEN YUN (MD) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYCA20610Aspiration and/or injection of large joint or joint capsule1816
ORTHOPEDIC SURGERYCA27447Repair of knee joint346333

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: 0446157747View full group profile
NameSpecialtyState
-CA
U R O L O G YCA
Diagnostic RadiologyNY
Diagnostic RadiologyCA
-CA
-CA
H E M A T O L O G Y/ O N C O L O G YCA
General SurgeryCA
Certified Registered Nurse Anesthetist (Crna)CA
-CA

Reviews

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Frequently asked questions

How do I look up ANDREW GLEN YUN (MD) by NPI?
Use NPI 1083674410 when you need to reference ANDREW GLEN YUN (MD) in forms, claims, or directories.
Is ANDREW GLEN YUN (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is ANDREW GLEN YUN (MD)?
The page reflects Orthopaedic Surgery Physician for ANDREW GLEN YUN (MD). Clinical services aligned with this taxonomy classification.
Where is ANDREW GLEN YUN (MD)'s primary listing?
We display Santa Monica, California because that is what the record indicates for ANDREW GLEN YUN (MD).
How can I contact ANDREW GLEN YUN (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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