DR. JAE YEON JUNG (M.D., PH.D.) – Dermatology Physician, NPI 1013946375

DR. JAE YEON JUNG (M.D., PH.D.) is a healthcare provider. based in Louisville, Kentucky. specializing in INTERNAL MEDICINE, DERMATOLOGY. They hold the professional credentials M.D., PH.D.. They hold a License No. 49240 (KY). The NPI Number for DR. JAE YEON JUNG (M.D., PH.D.) is 1013946375

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAE YEON JUNG (M.D., PH.D.)
NPI
1013946375
Phone
(888) 980-8992
Address
PO BOX 950132
Enumeration Date
30 June 2006
Last Update Date
17 July 2018

Doctor Profile

Medical School Name
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1995 (31 years ago)
PAC ID
9739346487
Group Practice PAC ID
9830001528
Professional Enrollment ID
I20161117001918
Address ID
KY402023700LO315XXBROA300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,216 INTERNAL MEDICINE in KY

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Provider Addresses for DR. JAE YEON JUNG (M.D., PH.D.)

  • Box Car Way, Louisville, Jefferson County, Kentucky, 40272, United States

    LOUISVILLE, KY 402950132

    Phone: (888) 980-8992

    Type: Mailing

  • Springhurst Boulevard, Freys Hill, Louisville, Jefferson County, Kentucky, 40241, United States

    LOUISVILLE, KY 40241

    Phone: (502) 583-1749

    Fax: (502) 329-8184

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $33,652.

Total Amount is formed as General ($33,652) + Research ($0) + Ownership ($0) = $33,652.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($33,359).

Total Amount

$33,652

General + Research + Ownership

Payments

28

Total payment records

General Amount

$33,652

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

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: 2016-11-17

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
I20161117001918IDermatologyKYTBD

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
17003Destruction of precancer skin growth, 2-14 growths33953$0
99213Established patient office or other outpatient visit, 20-29 minutes289182$0
99214Established patient office or other outpatient visit, 30-39 minutes15188$0
17000Destruction of precancer skin growth, 1 growth9366$0
99203New patient office or other outpatient visit, 30-44 minutes6767$0
View full utilization report →

Insurance plans in this area (ZIP 40295)

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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: 9830001528View full group profile
NameSpecialtyState
Radiation OncologyKY
Nurse PractitionerKY
Medical OncologyKY
Gynecological OncologyNY
Nurse PractitionerIL
Anesthesiology, Pain Management, Pain ManagementKY
Internal Medicine, Hematology/OncologyOH
Physician AssistantKY
O B S T E T R I C S/ G Y N E C O L O G YKY
-IL

Reviews

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Frequently asked questions

Can I use this page to confirm DR. JAE YEON JUNG (M.D., PH.D.)'s NPI?
Yes. DR. JAE YEON JUNG (M.D., PH.D.) is listed with NPI 1013946375 in the public NPI dataset.
Can I rely on DR. JAE YEON JUNG (M.D., PH.D.) being an active provider?
As of the registry snapshot, DR. JAE YEON JUNG (M.D., PH.D.) is marked active.
What is DR. JAE YEON JUNG (M.D., PH.D.) best known for clinically?
Directory data describes DR. JAE YEON JUNG (M.D., PH.D.) with Dermatology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. JAE YEON JUNG (M.D., PH.D.)?
DR. JAE YEON JUNG (M.D., PH.D.)'s geographic hint is Louisville, Kentucky in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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