DR. EDWARD JUNG MD
NPI 1003011941
Radiology - Radiation Oncology in Hagerstown, MD


Quality Rating: 8.25 out of 100 score

NPI Status: Active since June 20, 2007

Contact Information

11110 MEDICAL CAMPUS RD
SUITE 129
HAGERSTOWN, MD
ZIP 21742
Phone: (301) 665-4650

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  • Individual
  • Male
  • Years of Experience 18
  • Radiology
  • Radiation Oncology
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About EDWARD JUNG

Edward Jung is a provider established in Hagerstown, Maryland and his medical specialization is Radiology with a focus in radiation oncology with more than 18 years of experience. The healthcare provider is registered in the NPI registry with number 1003011941 assigned on June 2007. The practitioner's primary taxonomy code is 2085R0001X with license number D0076271 (MD). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1003011941
Provider Name
DR. EDWARD JUNG MD
Gender
Male
Entity Type
Individual
Location Address
11110 MEDICAL CAMPUS RD SUITE 129 HAGERSTOWN, MD 21742
Location Phone
(301) 665-4650
Mailing Address
10400 SOUTHWEST HWY LOWR LEVEL CHICAGO RIDGE, IL 60415
Mailing Phone
(708) 581-7308
Medical School Name
OTHER
Graduation Year
2006
Is Sole Proprietor?
No
Enumeration Date
06-20-2007
Last Update Date
03-22-2018
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Edward Jung is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 8.25, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The typical physician office visit costs for Medicare beneficiaries in this area are: $45.97 for a new patient copayment and $18.96 for an established patient copayment.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Radiation Oncology

Taxonomy Code
2085R0001X
Type
Allopathic & Osteopathic Physicians
License No.
D0076271
License State
MD
Taxonomy Description
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Ambetter from Arizona Complete Health

    • Choice Bronze HSA - HMO
    • Choice Bronze HSA + Vision + Adult Dental - HMO
    • Clear Gold - HMO
    • Clear Gold + Vision + Adult Dental - HMO
    • Clear Silver - HMO
    • Clear Silver + Vision + Adult Dental - HMO
    • Complete Gold - HMO
    • Complete Gold + Vision + Adult Dental - HMO
    • Complete Silver - HMO
    • Complete Silver + Vision + Adult Dental - HMO
    • Elite Bronze - HMO
    • Elite Bronze + Vision + Adult Dental - HMO
    • Elite Gold - HMO
    • Elite Gold + Vision + Adult Dental - HMO
    • Everyday Bronze - HMO
  • Ambetter from Sunshine Health

    • Clear VALUE Silver - HMO
    • Complete VALUE Gold - HMO
    • Complete VALUE Silver - HMO
    • Elite VALUE Bronze - HMO
    • Focused VALUE Silver - HMO
    • Standard Expanded Bronze VALUE - HMO
    • Standard Gold VALUE - HMO
    • Standard Silver VALUE - HMO
  • Ambetter from Superior HealthPlan

    • Clear VALUE Silver - HMO
    • Complete VALUE Silver - HMO
    • Everyday VALUE Gold - HMO
    • Focused VALUE Silver - HMO
    • Standard Gold VALUE - HMO
    • Standard Silver VALUE - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

PECOS Enrollment and Medicare Participation Status

Edward Jung is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 5597909366

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20220311001684

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 21742 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99205

  • Average New Patient Price $183.88
  • Minimum New Patient Price $60.77
  • Maximum New Patient Price $183.88
  • Average New Patient Copayment $45.97
  • Minimum New Patient Copayment $15.19
  • Maximum New Patient Copayment $45.97

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $75.85
  • Minimum Established Patient Price $18.98
  • Maximum Established Patient Price $150.13
  • Average Established Patient Copayment $18.96
  • Minimum Established Patient Copayment $4.74
  • Maximum Established Patient Copayment $37.53

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 8.25 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 15

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 0

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 0

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 491

    Ct scan guidance for insertion of radiation therapy fields (HCPCS:77014)

  • 146

    Calculation of radiation therapy dose (HCPCS:77300)

  • 136

    Radiation treatment management, 5 treatments (HCPCS:77427)

  • 71

    Radiation treatment devices, design and construction, complex (HCPCS:77334)

  • 35

    Management of radiation therapy, complex (HCPCS:77263)

  • 27

    Insertion of needle into vein for collection of blood sample (HCPCS:36415)

Reviews for DR. EDWARD JUNG MD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003011941
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200301298
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 2 + 9 + 8 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1003011941 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1801898002DR. JARL THOMAS WATHNE M. D.
Individual
Otolaryngology11110 MEDICAL CAMPUS RD STE 126
HAGERSTOWN, MD 21742
(301) 714-4375
1982606190DR. MICHAEL JOSEPH SAYLOR M. D.
Individual
Otolaryngology11110 MEDICAL CAMPUS RD STE 126
HAGERSTOWN, MD 21742
(301) 714-4375
1962404152DR. ANDREW ROBERT CUKIER M. D.
Individual
Otolaryngology11110 MEDICAL CAMPUS RD STE 126
HAGERSTOWN, MD 21742
(301) 714-4375
1376549774STEPHEN M. SACHS, MD PA
Organization
Surgery11110 MEDICAL CAMPUS RD SUITE 225
HAGERSTOWN, MD 21742
(301) 714-4325
1245224401 MARK JOSEPH YACYK D.O.
Individual
Physical Medicine & Rehabilitation (Pain Medicine)11110 MEDICAL CAMPUS RD SUITE 205
HAGERSTOWN, MD 21742
(301) 665-4950
1679563746DR. NELSON L FERREIRA M.D.
Individual
Internal Medicine (Gastroenterology)11110 MEDICAL CAMPUS RD SUITE 246
HAGERSTOWN, MD 21742
(301) 665-4585
1659361723DR. CHRISTINE P LEWIS M.D.
Individual
Internal Medicine (Gastroenterology)11110 MEDICAL CAMPUS RD SUITE 246
HAGERSTOWN, MD 21742
(301) 665-4585
1356332480DR. ANTHONY CHRISTOPHER MANILLA D.O.
Individual
Otolaryngology11110 MEDICAL CAMPUS RD SUTIE 126
HAGERSTOWN, MD 21742
(301) 714-4375
1467435032DR. TARA ANN RUMBARGER M.D.
Individual
Dermatology11110 MEDICAL CAMPUS RD SUITE 123
HAGERSTOWN, MD 21742
(301) 739-4900
1437132008DR. JAMES ANTHONY SCHIRO M.D.
Individual
Dermatology11110 MEDICAL CAMPUS RD SUITE 123
HAGERSTOWN, MD 21742
(301) 739-4900
1154300671PODIATRY ASSOCIATES OF HAGERSTOWN
Organization
Podiatrist11110 MEDICAL CAMPUS RD SUITE 100
HAGERSTOWN, MD 21742
(301) 739-1575
1417917352DR. MICHAEL A WINSLOW M.D.
Individual
Orthopaedic Surgery11110 MEDICAL CAMPUS RD SUITE 205
HAGERSTOWN, MD 21742
(301) 665-4950
1467415000 MARGARET TROCHLIL EACKLES MS, CCC-A
Individual
Audiologist11110 MEDICAL CAMPUS RD SUITE 126
HAGERSTOWN, MD 21742
(301) 714-4375
1093778813 JENNIFER LYNN CAMPBELL M.A., CCC-A
Individual
Audiologist11110 MEDICAL CAMPUS RD SUITE 126
HAGERSTOWN, MD 21742
(301) 714-4375
1205891033 ANGELA C. STONEBRAKER MD
Individual
Otolaryngology11110 MEDICAL CAMPUS RD SUITE 126
HAGERSTOWN, MD 21742
(301) 714-4375
1992760409 JASON T MCELROY PT
Individual
Physical Therapist11110 MEDICAL CAMPUS RD SUITE 205
HAGERSTOWN, MD 21742
(301) 665-4950
1922066273 ELIZABETH NICHOLAS M.D.
Individual
Anesthesiology11110 MEDICAL CAMPUS RD SUITE 200
HAGERSTOWN, MD 21742
(301) 714-4300
1558319137 MICHAEL T MADSEN
Individual
Pharmacist11110 MEDICAL CAMPUS RD SUITE 129
HAGERSTOWN, MD 21742
(301) 665-4630
1770535320 JERRY LOYOLA CORRECES M.D.
Individual
Internal Medicine11110 MEDICAL CAMPUS RD SUITE 150
HAGERSTOWN, MD 21742
(301) 665-4825
1205888443ROBINWOOD ORTHOPAEDIC SPECIALTY CENTER
Organization
Orthopaedic Surgery11110 MEDICAL CAMPUS RD SUITE 205
HAGERSTOWN, MD 21742
(301) 665-4950

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003011941, enumerated in the NPI registry as an "individual" on June 20, 2007

The provider is located at 11110 Medical Campus Rd Suite 129 Hagerstown, Md 21742 and the phone number is (301) 665-4650

The provider's speciality is Radiology with taxonomy code 2085R0001X with a focus in Radiation Oncology

The provider has more than 18 years of experience.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of May 17, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $183.88 with an average copayment of $45.97 for new patient appointments. Established patients should expect a typical charge of $75.85 and an average copayment of 18.96. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Ct scan guidance for insertion of radiation therapy fields, Calculation of radiation therapy dose, Radiation treatment management, 5 treatments, Radiation treatment devices, design and construction, complex, Management of radiation therapy, complex and Insertion of needle into vein for collection of blood sample.

This NPI record was last updated on June 20, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.