DR. JEANIE HEE-KYUNG CHUNG (M.D., PHD) – Dermatology Physician, NPI 1962582817
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
364 DERMATOLOGY in CO
Provider Addresses for DR. JEANIE HEE-KYUNG CHUNG (M.D., PHD)
1140 W South Boulder Rd
Suite 202
Lafayette, CO 800268910
Phone: (303) 604-1444
Fax: (303) 666-0911
Type: Location
7300 RANCH ROAD 2222, BUILDING 1, STE 200
AUSTIN, TX 78730
Phone: (512) 628-0465
Type: Mailing
925 RUSH DR
SALIDA, CO 812019665
Phone: (719) 539-4600
Fax: (719) 539-4629
Type: Location
1507, Old Tale Road, Boulder, Boulder County, Colorado, 80303, United States
BOULDER, CO 803031325
Phone: (720) 304-3517
Type: Mailing
Boulder Valley Center for Dermatology, 1140, West South Boulder Road, Lafayette, Boulder County, Colorado, 80026, United States
SUITE 202
LAFAYETTE, CO 800268910
Phone: (303) 604-1444
Fax: (303) 666-0911
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $165.
Total Amount is formed as General ($165) + Research ($0) + Ownership ($0) = $165.
Last reported payment date: 2023-08-07 • Largest payer in this snapshot: Paratek Pharmaceuticals, Inc. ($118).
Total Amount
$165
General + Research + Ownership
Payments
3
Total payment records
General Amount
$165
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-07
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2004-12-20
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 |
|---|---|---|---|---|
| I20041220000461 | I | Dermatology | CO | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,020 | 203 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 467 | 367 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 340 | 270 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 171 | 157 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 167 | 167 | $0 |
Insurance plans in this area (ZIP 80026)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| Dermatology, Pathology | TX | |
| D E R M A T O L O G Y | TX | |
| Nurse Practitioner | CO | |
| D E R M A T O L O G Y | CO | |
| D E R M A T O L O G Y | CO | |
| D E R M A T O L O G Y | CO | |
| Nurse Practitioner | CO | |
| D E R M A T O L O G Y | CO |
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