DR. BYOL SHIN (D.O.) – Allergy & Immunology Physician, NPI 1669680401

DR. BYOL SHIN (D.O.) is a healthcare provider. based in Duluth, Georgia. specializing in ALLERGY/IMMUNOLOGY. They hold the professional credentials D.O.. They hold a License No. 061163 (GA). The NPI Number for DR. BYOL SHIN (D.O.) is 1669680401

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. BYOL SHIN (D.O.)
NPI
1669680401
Phone
Not provided
Address
10600 MEDLOCK BRIDGE RD
Enumeration Date
17 May 2007
Last Update Date
14 January 2023

Doctor Profile

Medical School Name
NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Secondary Phone
-
Graduation Year
2003 (23 years ago)
PAC ID
2769541150
Group Practice PAC ID
9436061801
Professional Enrollment ID
I20081029000787
Address ID
GA300468737LA475XXBLVD300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

137 ALLERGY/IMMUNOLOGY in GA

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Provider Addresses for DR. BYOL SHIN (D.O.)

  • 10600 MEDLOCK BRIDGE RD

    DULUTH, GA 300978404

    Phone:

    Type: Mailing

  • 475, Philip Boulevard, Lawrenceville, Gwinnett County, Georgia, 30046, United States

    STE 100

    LAWRENCEVILLE, GA 300468737

    Phone: (770) 995-3300

    Fax: (770) 995-3307

    Type: Mailing

  • Philip Boulevard, Lawrenceville, Gwinnett County, Georgia, 30046, United States

    LAWRENCEVILLE, GA 300468737

    Phone: (678) 226-6204

    Fax: (678) 225-4037

    Type: Location

  • 1740 LAWRENCEVILLE HWY

    LAWRENCEVILLE, GA 300444609

    Phone: (770) 995-5695

    Fax: (678) 205-8210

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 188 Open Payments records for all available years, with a total value of $3,781.

Total Amount is formed as General ($3,781) + Research ($0) + Ownership ($0) = $3,781.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($689).

Total Amount

$3,781

General + Research + Ownership

Payments

188

Total payment records

General Amount

$3,781

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2008-10-29

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
I20081029000787IAllergy/ImmunologyGATBD

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
95004Test for allergy using allergenic extract1,42025$0
99213Established patient office or other outpatient visit, 20-29 minutes278105$0
94010Test to measure expiratory airflow and volume8866$0
99203New patient office or other outpatient visit, 30-44 minutes6969$0
96372Injection of drug or substance under skin or into muscle3214$0
View full utilization report →

Insurance plans in this area (ZIP 30097)

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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: 9436061801View full group profile
NameSpecialtyState
-GA
Diagnostic RadiologyGA
Physical Therapist In Private PracticeGA
Internal MedicineGA
Family PracticeGA
Diagnostic RadiologyTX
Physician AssistantGA
Nurse PractitionerGA
Internal MedicineGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. BYOL SHIN (D.O.)?
DR. BYOL SHIN (D.O.) — NPI 1669680401 — is the standard way to identify this listing.
Does the file indicate DR. BYOL SHIN (D.O.) is practicing under active NPI?
Directory data currently reports DR. BYOL SHIN (D.O.) as active.
What is DR. BYOL SHIN (D.O.)'s primary classification?
Allergy & Immunology Physician is the headline specialty for DR. BYOL SHIN (D.O.) here. Clinical services aligned with this taxonomy classification.
Where should I expect DR. BYOL SHIN (D.O.) on a map?
Expect Duluth, Georgia as a primary anchor for DR. BYOL SHIN (D.O.) unless the record lists multiple sites.
Why does DR. BYOL SHIN (D.O.) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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