SUNG OK JEON (MD) – Neurocritical Care Physician, NPI 1669979654
Neurocritical Care Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
505 NEUROLOGY in CO
Provider Addresses for SUNG OK JEON (MD)
777 BANNOCK ST
DENVER, CO 802044597
Phone: (303) 436-4949
Fax: (303) 602-6190
Type: Location
11215 Metro Pkwy Ste 1
Fort Myers, FL 339661206
Phone: (239) 208-2212
Type: Location
2801 N Gantenbein Ave
Portland, OR 972271623
Phone: (503) 413-2200
Type: Location
University of Colorado Health Sciences Center Administration, 13001, East 17th Place, Aurora, Adams County, Colorado, 80045, United States
AURORA, CO 800452570
Phone: (037) 241-7923
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2024-11-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20230901002471 | I | Neurology | CA | TBD |
| I20231017001195 | I | Neurology | SC | TBD |
| I20231019000984 | I | Neurology | FL | TBD |
| I20240717004566 | I | Neurology | CO | TBD |
| I20241121002338 | I | Neurology | OR | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 80204)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Clinical Nurse Specialist (Cns) | CO | |
| - | CO | |
| - | CO | |
| P A T H O L O G Y | CO | |
| Physician Assistant | CO | |
| Internal Medicine | CO | |
| P A T H O L O G Y | GA | |
| - | CO | |
| Internal Medicine | CO | |
| Interventional Radiology | NY |
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