DAVID TAEWOONG CHUNG (MD) – Family Medicine Physician, NPI 1417914557

DAVID TAEWOONG CHUNG (MD) is a healthcare provider. based in Sparta, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 036103251 (IL). The NPI Number for DAVID TAEWOONG CHUNG (MD) is 1417914557

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DAVID TAEWOONG CHUNG (MD)
NPI
1417914557
Phone
(618) 443-3084
Address
1300 N MARKET ST
Enumeration Date
1 May 2006
Last Update Date
8 August 2023

Doctor Profile

Medical School Name
NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Secondary Phone
6184433084
Graduation Year
2001 (25 years ago)
PAC ID
5092722165
Group Practice PAC ID
6709870462
Professional Enrollment ID
I20060314000682
Address ID
IL622861867SP207XXAVEX400

Contacts

Secure Messaging
nch@spartahospital.hin.us
Secure Messaging
fhc@spartahospital.hin.us
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

5,041 FAMILY PRACTICE in IL

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Provider Addresses for DAVID TAEWOONG CHUNG (MD)

  • North Market Street, Sparta, Randolph County, Illinois, 62286, United States

    SPARTA, IL 622861048

    Phone: (618) 443-3084

    Fax: (618) 443-2956

    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 7 Open Payments records for all available years, with a total value of $272.

Total Amount is formed as General ($272) + Research ($0) + Ownership ($0) = $272.

Last reported payment date: 2024-10-16 • Largest payer in this snapshot: W. L. Gore & Associates, Inc. ($149).

Total Amount

$272

General + Research + Ownership

Payments

7

Total payment records

General Amount

$272

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-16

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: 2006-03-14

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
I20060314000682IFamily PracticeILTBD

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
99238Hospital discharge day management, 30 minutes or less2928$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1816$0
View full utilization report →

Insurance plans in this area (ZIP 62286)

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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: 6709870462View full group profile
NameSpecialtyState
Nurse PractitionerIL
-IL
Family PracticeIL
R H E U M A T O L O G YIL
Nurse PractitionerIL
P O D I A T R YIL
Family PracticeIL
Pain Management, Physical Medicine And Rehabilitation, Physical Medicine And Rehabilitation, Pain ManagementMO
-MO
Physician AssistantIL

Reviews

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Frequently asked questions

What unique ID ties claims to DAVID TAEWOONG CHUNG (MD)?
NPI 1417914557 is assigned to DAVID TAEWOONG CHUNG (MD) under the national enumeration system.
Is DAVID TAEWOONG CHUNG (MD)'s NPI currently valid?
The extract we use shows DAVID TAEWOONG CHUNG (MD) as active.
What kind of provider is DAVID TAEWOONG CHUNG (MD)?
The page reflects Family Medicine Physician for DAVID TAEWOONG CHUNG (MD). Clinical services aligned with this taxonomy classification.
Does DAVID TAEWOONG CHUNG (MD) practice in Illinois?
You will see Sparta, Illinois on file for DAVID TAEWOONG CHUNG (MD) alongside any extra practice locations.
Is DAVID TAEWOONG CHUNG (MD) a real provider?
This page reflects official NPPES data for NPI 1417914557. Always confirm identity and privileges with the practice and licensing boards.

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