DR. JAE H PAK (M.D.) – Geriatric Psychiatry Physician, NPI 1740280551
Geriatric Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
832 PSYCHIATRY in GA
Provider Addresses for DR. JAE H PAK (M.D.)
2160 FOUNTAIN DR
SUITE 200
SNELLVILLE, GA 300787022
Phone: (770) 982-1111
Fax: (770) 982-7280
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 41 Open Payments records for all available years, with a total value of $765.
Total Amount is formed as General ($765) + Research ($0) + Ownership ($0) = $765.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($339).
Total Amount
$765
General + Research + Ownership
Payments
41
Total payment records
General Amount
$765
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $339 |
| Corium, LLC | $92 |
| Alkermes, Inc. | $86 |
| Lundbeck LLC | $68 |
| Teva Pharmaceuticals USA, Inc. | $46 |
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: 2005-05-13
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 |
|---|---|---|---|---|
| I20050513000051 | I | Psychiatry | GA | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 3,929 | 386 | $0 |
| 90832 | Psychotherapy, 30 minutes | 346 | 162 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 315 | 289 | $0 |
| 99238 | Hospital discharge day management, 30 minutes or less | 286 | 255 | $0 |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 47 | 11 | $0 |
Insurance plans in this area (ZIP 30078)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHIATRY | GA | 90792 | Psychiatric diagnostic evaluation with medical services | 69 | 69 |
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