TAE YU (DO) – Family Medicine Physician, NPI 1861440141

TAE YU (DO) is a healthcare provider. based in Perry, Florida. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. OS9772 (FL). The NPI Number for TAE YU (DO) is 1861440141

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
TAE YU (DO)
NPI
1861440141
Phone
(850) 584-3278
Address
PO BOX 719
Enumeration Date
5 May 2006
Last Update Date
25 June 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8505840643
Graduation Year
2003 (23 years ago)
PAC ID
6608871488
Group Practice PAC ID
5092614503
Professional Enrollment ID
I20060929000235
Address ID
FL323472300PE333XXPKWY500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

6,723 FAMILY PRACTICE in FL

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Provider Addresses for TAE YU (DO)

  • 719, Perry Rd, Ostwalt, Troutman, Iredell County, North Carolina, 28166, United States

    PERRY, FL 323480719

    Phone: (850) 584-3278

    Fax: (850) 584-8171

    Type: Mailing

  • 315, East Ash Street, Perry, Taylor County, Florida, 32347, United States

    PERRY, FL 323472029

    Phone: (850) 584-3278

    Fax: (850) 584-8171

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 68 Open Payments records for all available years, with a total value of $1,162.

Total Amount is formed as General ($1,162) + Research ($0) + Ownership ($0) = $1,162.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Amgen Inc. ($229).

Total Amount

$1,162

General + Research + Ownership

Payments

68

Total payment records

General Amount

$1,162

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2006-09-29

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
I20060929000235IFamily PracticeFLTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes11648$0
99239Hospital discharge day management, more than 30 minutes5550$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes5350$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1111$0
99316Nursing facility discharge management, more than 30 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 32348)

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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: 5092614503View full group profile
NameSpecialtyState
General SurgeryFL
Nurse PractitionerGA
Nurse PractitionerFL
Nurse PractitionerFL
-FL
Nurse PractitionerFL
-FL
Nurse PractitionerFL
Family PracticeFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Can I verify TAE YU (DO) with an NPI only?
You can start verification with NPI 1861440141 for TAE YU (DO), then check state licensing separately.
Can I rely on TAE YU (DO) being an active provider?
As of the registry snapshot, TAE YU (DO) is marked active.
What is TAE YU (DO)'s specialty?
The listing groups TAE YU (DO) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for TAE YU (DO)?
TAE YU (DO)'s geographic hint is Perry, Florida in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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