DR. BRYAN SU-HYUN JEUN (MD) – Neuroradiology Physician, NPI 1063674216
Neuroradiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
927 DIAGNOSTIC RADIOLOGY in CO
Provider Addresses for DR. BRYAN SU-HYUN JEUN (MD)
PO BOX 9007
SPRINGFIELD, MO 658089007
Phone: (417) 875-3000
Type: Mailing
PO BOX 802843
KANSAS CITY, MO 641802843
Phone: (417) 875-3000
Type: Mailing
5162 S Hanover St
Englewood, CO 801116242
Phone: (417) 875-3000
Type: Location
Cox Medical Center South, 3801, South National Avenue, Springfield, Greene County, Missouri, 65807, United States
SPRINGFIELD, MO 658075210
Phone: (417) 269-4056
Type: Location
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.
This can happen when there are no reportable CMS Open Payments records.
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: 2022-09-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20140624001116 | I | Diagnostic Radiology | MO | TBD |
| I20220928003252 | I | Diagnostic Radiology | CO | 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 |
|---|---|---|---|---|
| 70450 | Ct scan head or brain without contrast | 356 | 338 | $0 |
| 72148 | Mri scan of lower spinal canal without contrast | 150 | 149 | $0 |
| 70553 | Mri scan of brain before and after contrast | 147 | 144 | $0 |
| 70551 | Mri scan of brain without contrast | 136 | 136 | $0 |
| 72125 | Ct scan of upper spine without contrast | 84 | 84 | $0 |
Insurance plans in this area (ZIP 65808)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O T O L A R Y N G O L O G Y | IL | |
| - | NC | |
| Nurse Practitioner | MO | |
| Physician Assistant | MO | |
| Nurse Practitioner | MO | |
| General Surgery | MO | |
| O T O L A R Y N G O L O G Y | WA | |
| N E P H R O L O G Y | MO | |
| Physician Assistant | MO | |
| Nurse Practitioner | MO |
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