SEONG GON BAE (M.D.) – Surgery Physician, NPI 1114122769
Surgery Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
2,163 GENERAL SURGERY in FL
Provider Addresses for SEONG GON BAE (M.D.)
4106 W LAKE MARY BLVD STE 330
LAKE MARY, FL 327463383
Phone: (407) 833-9195
Type: Mailing
15211 Vanowen St Unit 200
Van Nuys, CA 914053606
Phone: (818) 782-3255
Fax: (818) 782-7026
Type: Location
West Olympic Boulevard, Mid-Wilshire, Los Angeles, Los Angeles County, California, 90064, United States
SUITE 201
LOS ANGELES, CA 900062567
Phone: (305) 542-7792
Fax: (213) 797-5925
Type: Mailing
230 S JACKSON ST APT 309
GLENDALE, CA 912051592
Phone: (818) 782-3255
Fax: (818) 782-7026
Type: Mailing
15211 VANOWEN ST UNIT 200
VAN NUYS, CA 914053606
Phone: (818) 782-3255
Fax: (818) 782-7026
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $87.
Total Amount is formed as General ($87) + Research ($0) + Ownership ($0) = $87.
Last reported payment date: 2023-09-06 • Largest payer in this snapshot: Karyopharm Therapeutics Inc. ($29).
Total Amount
$87
General + Research + Ownership
Payments
4
Total payment records
General Amount
$87
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-06
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: 2022-10-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20121228000420 | I | General Surgery | CA | TBD |
| I20221013001690 | I | General Surgery | FL | 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 |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 180 | 97 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 108 | 99 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 26 | 26 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 20 | 16 | $0 |
| 47562 | Removal of gallbladder using an endoscope | 17 | 17 | $0 |
Insurance plans in this area (ZIP 32746)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery, Surgical Oncology | CA | |
| General Surgery, Surgical Oncology | CA | |
| Diagnostic Radiology | CA | |
| Peripheral Vascular Disease, Vascular Surgery | CA | |
| General Surgery | CA | |
| Nuclear Medicine | CA | |
| General Surgery | CA | |
| Peripheral Vascular Disease, Vascular Surgery | CA | |
| General Surgery | CA |
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