JAEHOON BANG (M.D.) – Diagnostic Radiology Physician, NPI 1073856852
Diagnostic Radiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,259 DIAGNOSTIC RADIOLOGY in NJ
Provider Addresses for JAEHOON BANG (M.D.)
579A CRANBURY RD
EAST BRUNSWICK, NJ 088165426
Phone: (732) 390-0040
Fax: (732) 955-8874
Type: Mailing
483 CRANBURY RD
EAST BRUNSWICK, NJ 088163610
Phone: (732) 390-0040
Fax: (732) 955-8874
Type: Location
2623 MEANDER CV
WESLEY CHAPEL, FL 335437092
Phone:
Type: Mailing
1600 LAKELAND HILLS BLVD
LAKELAND, FL 338053019
Phone: (863) 680-7000
Fax: (866) 264-8519
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: 2025-07-10
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 |
|---|---|---|---|---|
| I20201216001437 | I | Diagnostic Radiology | FL | TBD |
| I20250710001120 | I | Diagnostic Radiology | CT | 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 |
|---|---|---|---|---|
| A9585 | Injection, gadobutrol, 0.1 ml | 2,075 | 24 | $0 |
| 77063 | Screening 3d breast mammography | 823 | 823 | $0 |
| 77067 | Screening mammography | 820 | 820 | $0 |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 658 | 614 | $0 |
| 77066 | Diagnostic mammography of both breasts | 375 | 373 | $0 |
Insurance plans in this area (ZIP 08816)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | MA | |
| Diagnostic Radiology | VT | |
| Diagnostic Radiology, Interventional Radiology | NY | |
| Diagnostic Radiology, Interventional Radiology | CT | |
| - | CT | |
| Diagnostic Radiology | MA | |
| Diagnostic Radiology | MA | |
| Diagnostic Radiology | PA | |
| - | CT | |
| - | CT |
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