JERRY SOUNG (M.D.) – Nephrology Physician, NPI 1154318764
Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for JERRY SOUNG (M.D.)
1610, North El Dorado Street, Stockton, San Joaquin County, California, 95202, United States
SUITE 17
STOCKTON, CA 952045930
Phone: (209) 465-5107
Fax: (209) 465-7653
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 200 Open Payments records for all available years, with a total value of $3,836.
Total Amount is formed as General ($3,836) + Research ($0) + Ownership ($0) = $3,836.
Last reported payment date: 2024-08-30 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($512).
Total Amount
$3,836
General + Research + Ownership
Payments
200
Total payment records
General Amount
$3,836
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $512 |
| Amgen Inc. | $441 |
| Travere Therapeutics, Inc. | $237 |
| Ascendis Pharma Inc | $183 |
| Horizon Therapeutics plc | $167 |
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: 2004-08-31
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040831000573 | I | Nephrology | CA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 516 | 55 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 471 | 196 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 329 | 51 | $0 |
| 90935 | Hemodialysis procedure with physician evaluation | 167 | 33 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 71 | 49 | $0 |
Insurance plans in this area (ZIP 95204)
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Provider's Procedures
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