SIMON SINMIN CHUNG (MD) – Urology Physician, NPI 1386636579
Urology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
320 UROLOGY in VA
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Provider Addresses for SIMON SINMIN CHUNG (MD)
Prosperity Medical Center, 8503, Arlington Boulevard, Pine Ridge, Annandale, Fairfax (city), Virginia, 22031, United States
#310
FAIRFAX, VA 220314628
Phone: (703) 208-4200
Fax: (703) 876-1799
Type: Mailing
Innovation Park Drive, Annandale, Fairfax, Virginia, 22037, United States
FAIRFAX, VA 220314867
Phone: (571) 472-4724
Fax: (571) 472-0241
Type: Location
8503 Arlington Blvd
#310
Fairfax, VA 220314628
Phone: (703) 208-4200
Fax: (703) 876-1799
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 50 Open Payments records for all available years, with a total value of $11,165.
Total Amount is formed as General ($11,165) + Research ($0) + Ownership ($0) = $11,165.
Last reported payment date: 2024-11-10 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($10,131).
Total Amount
$11,165
General + Research + Ownership
Payments
50
Total payment records
General Amount
$11,165
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $10,131 |
| Medtronic, Inc. | $913 |
| BIOPROTECT MEDICAL, INC. | $121 |
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: 2018-10-03
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 |
|---|---|---|---|---|
| I20060324000343 | I | Urology | DC | TBD |
| I20181003000185 | I | Urology | VA | 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 |
|---|---|---|---|---|
| J9030 | Bcg live intravesical instillation, 1 mg | 2,225 | 24 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 970 | 622 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 115 | 115 | $0 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 98 | 77 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 51 | 45 | $0 |
Insurance plans in this area (ZIP 22031)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | HI | |
| H E M A T O L O G Y | WA | |
| - | VIR | |
| - | IL | |
| Orthopedic Surgery | VA | |
| - | VA | |
| Diagnostic Radiology | VA | |
| General Surgery | CT | |
| - | VA | |
| N E U R O S U R G E R Y | VA |
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