JERRY YUAN (M.D.) – Urology Physician, NPI 1104895762

JERRY YUAN (M.D.) is a healthcare provider. based in Johns creek, Georgia. specializing in UROLOGY. They hold the professional credentials M.D.. They hold a License No. 042495 (GA). The NPI Number for JERRY YUAN (M.D.) is 1104895762

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
JERRY YUAN (M.D.)
NPI
1104895762
Phone
(678) 417-0400
Address
11459 JOHNS CREEK PKWY
Enumeration Date
16 March 2006
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
BAYLOR COLLEGE OF MEDICINE
Secondary Phone
7708443200
Graduation Year
1986 (40 years ago)
PAC ID
8325119985
Group Practice PAC ID
9638391717
Professional Enrollment ID
I20080625000564
Address ID
GA300417659CU1200XDRXX400

Contacts

Secure Messaging
jerry.yuan.p1@direct.gupa.nextgenshare.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

362 UROLOGY in GA

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Provider Addresses for JERRY YUAN (M.D.)

  • 11459, Johns Creek Parkway, Johns Creek, Fulton County, Georgia, 30097, United States

    SUITE 170

    JOHNS CREEK, GA 300973515

    Phone: (678) 417-0400

    Fax: (678) 417-0483

    Type: Location

  • 1930 BRANNAN RD

    MCDONOUGH, GA 302534310

    Phone: (678) 284-4040

    Fax: (678) 284-4076

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 64 Open Payments records for all available years, with a total value of $1,445.

Total Amount is formed as General ($1,445) + Research ($0) + Ownership ($0) = $1,445.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($255).

Total Amount

$1,445

General + Research + Ownership

Payments

64

Total payment records

General Amount

$1,445

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

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: 2008-06-25

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
I20080625000564IUrologyGATBD

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
81003Automated urinalysis test547410$0
99213Established patient office or other outpatient visit, 20-29 minutes291247$0
99214Established patient office or other outpatient visit, 30-39 minutes247202$0
84153Psa (prostate specific antigen) measurement, total198153$0
51798Ultrasound measurement of bladder capacity after voiding147131$0
View full utilization report →

Insurance plans in this area (ZIP 30097)

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Provider's Procedures

JERRY YUAN (M.D.) performs procedures in UROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
UROLOGYGA51798Ultrasound measurement of bladder capacity after voiding2020

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: 9638391717View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to JERRY YUAN (M.D.)?
NPI 1104895762 is assigned to JERRY YUAN (M.D.) under the national enumeration system.
Is JERRY YUAN (M.D.) currently active in the NPI registry?
CMS-published data lists JERRY YUAN (M.D.) as an active registrant.
What field does JERRY YUAN (M.D.) work in?
You can think of JERRY YUAN (M.D.) as practicing within Urology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for JERRY YUAN (M.D.)?
The page summarizes Johns Creek, Georgia for JERRY YUAN (M.D.); expand the address list for detail.
Is JERRY YUAN (M.D.) a real provider?
This page reflects official NPPES data for NPI 1104895762. Always confirm identity and privileges with the practice and licensing boards.

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