JACQUELINE TAM KUNG (MD) – Internal Medicine Physician, NPI 1518120872
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
549 ENDOCRINOLOGY in MA
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Provider Addresses for JACQUELINE TAM KUNG (MD)
268, Washington Street, Dorchester Center, Dorchester, Boston, Suffolk County, Massachusetts, 02124, United States
BOSTON, MA 021111552
Phone: (617) 636-5689
Fax: (617) 636-4719
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)
No Open Payments data available for this provider.
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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: 2011-09-09
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 |
|---|---|---|---|---|
| I20110909002490 | I | Endocrinology | MA | 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 |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 77 | 58 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 59 | 48 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 16 | 14 | $0 |
| 10005 | Fine needle aspiration biopsy using ultrasound guidance, first growth | 15 | 15 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 02111)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ENDOCRINOLOGY | MA | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 17 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MA | |
| E N D O C R I N O L O G Y | MA | |
| Nurse Practitioner | VA | |
| Internal Medicine | MA | |
| Internal Medicine | MA | |
| - | MA | |
| Internal Medicine, Hematology/Oncology | MA | |
| Internal Medicine | MA | |
| Internal Medicine | MA | |
| Internal Medicine, Nephrology | MA |
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