JESSE KONG (MMS, PA-C) – Surgical Physician Assistant, NPI 1396879672
Surgical Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for JESSE KONG (MMS, PA-C)
25 N WINFIELD RD
WINFIELD, IL 601901295
Phone: (630) 933-4056
Fax: (630) 933-4057
Type: Mailing
25 N Winfield Rd
Winfield, IL 601901295
Phone: (630) 933-4056
Fax: (630) 933-4057
Type: Location
29373 NETWORK PL
CHICAGO, IL 606731293
Phone: (847) 390-5900
Type: Mailing
3551 HIGHLAND AVE STE 200A
DOWNERS GROVE, IL 605152100
Phone: (844) 376-3876
Fax: (630) 929-0633
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $7,518.
Total Amount is formed as General ($518) + Research ($7,000) + Ownership ($0) = $7,518.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Hubly Incorporated ($7,061).
Total Amount
$7,518
General + Research + Ownership
Payments
17
Total payment records
General Amount
$518
General payments
Research Amount
$7,000
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Hubly Incorporated | $7,061 |
| Medtronic, Inc. | $176 |
| Stryker Corporation | $144 |
| Medical Device Business Services, Inc. | $103 |
| DJO, LLC | $20 |
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: 2007-06-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-10-31 (951 days ago).
Enrollment records
1
Earliest due date
2023-10-31
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 |
|---|---|---|---|---|
| I20070607000694 | I | Physician Assistant | IL | 2023-10-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 41 | 38 | $0 |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 19 | 13 | $0 |
Insurance plans in this area (ZIP 60190)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nephrology, Internal Medicine | IL | |
| A N E S T H E S I O L O G Y | IL | |
| - | MN | |
| - | IL | |
| - | IL | |
| Rheumatology, Internal Medicine | IL | |
| - | IL | |
| Internal Medicine | IL | |
| P S Y C H I A T R Y | IL | |
| - | IL |
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