JEAN S. BAE (M.D.) – Psychiatry Physician, NPI 1093870073

JEAN S. BAE (M.D.) is a healthcare provider. based in Madison, Wisconsin. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. 40078-020 (WI). The NPI Number for JEAN S. BAE (M.D.) is 1093870073

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
JEAN S. BAE (M.D.)
NPI
1093870073
Phone
(608) 276-9191
Address
700 RAY O VAC DR
Enumeration Date
27 December 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6082769191
Graduation Year
1997 (29 years ago)
PAC ID
8022902097
Group Practice PAC ID
1850285826
Professional Enrollment ID
I20101203001151
Address ID
WI537112476MA700XXDRXX501
Telehealth
Yes
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

677 PSYCHIATRY in WI

Provider Addresses for JEAN S. BAE (M.D.)

  • 700 RAY O VAC DR

    SUITE 220

    MADISON, WI 537112479

    Phone: (608) 276-9191

    Fax: (608) 276-9144

    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.

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: 2010-12-03

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
I20101203001151IPsychiatryWITBD

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
99213Established patient office or other outpatient visit, 20-29 minutes11726$0
View full utilization report →

Insurance plans in this area (ZIP 53711)

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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: 1850285826View full group profile
NameSpecialtyState
Marriage And Family TherapistWI
-WI
Mental Health CounselorWI
Mental Health CounselorWI
Clinical Social WorkerWI
Clinical PsychologistWI
-WI
-WI
-WI
-WI

Reviews

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Frequently asked questions

How is JEAN S. BAE (M.D.) identified in CMS data?
CMS-hosted NPPES data lists JEAN S. BAE (M.D.) with NPI 1093870073.
Is JEAN S. BAE (M.D.) listed as active for patients and plans?
The listing shows JEAN S. BAE (M.D.) as active in the NPI system.
What taxonomy line describes JEAN S. BAE (M.D.)?
For research purposes, treat JEAN S. BAE (M.D.) as Psychiatry Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for JEAN S. BAE (M.D.)?
JEAN S. BAE (M.D.)'s geographic hint is Madison, Wisconsin in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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