DR. JAE YOON SHIN (D.P.M.) – Podiatrist, NPI 1396088803
Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
432 PODIATRY in GA
Provider Addresses for DR. JAE YOON SHIN (D.P.M.)
PO BOX 6007
WARNER ROBINS, GA 310956007
Phone: (478) 929-0036
Fax: (478) 929-1744
Type: Mailing
506 OSIGIAN BLVD STE 5
WARNER ROBINS, GA 310888985
Phone: (478) 988-4676
Fax: (478) 987-7907
Type: Location
4220 27TH ST APT 515
LONG ISLAND CITY, NY 111018618
Phone: (267) 269-7127
Type: Mailing
620 Cranbury Rd Ste 106
East Brunswick, NJ 088164000
Phone: (267) 269-7127
Type: Location
17 Brinkerhoff Ter # 202
Palisades Park, NJ 076501101
Phone: (267) 269-7127
Type: Location
283 Leonard Pl
Paramus, NJ 076524517
Phone: (267) 269-7127
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $105.
Total Amount is formed as General ($105) + Research ($0) + Ownership ($0) = $105.
Last reported payment date: 2023-03-23 • Largest payer in this snapshot: Organogenesis Inc. ($105).
Total Amount
$105
General + Research + Ownership
Payments
1
Total payment records
General Amount
$105
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organogenesis Inc. | $105 |
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: 2022-03-03
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 |
|---|---|---|---|---|
| I20220303001018 | I | Podiatry | NJ | 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 |
|---|---|---|---|---|
| 99347 | Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes | 781 | 293 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 743 | 270 | $0 |
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 647 | 234 | $0 |
| 11720 | Removal of fingernails or toenails, 1-5 nails | 300 | 101 | $0 |
| 11719 | Trimming of fingernails or toenails | 290 | 96 | $0 |
Insurance plans in this area (ZIP 31095)
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