DR. EDWARD JUNG MD NPI 1003011941

Radiology (Radiation Oncology) in Hagerstown, MD

NPI 1003011941 Individual Male Years of Experience 17 Radiology Radiation Oncology PECOS Enrolled Accepts Medicare Approved Payment MIPS Quality Score 83

NPI Profile for DR. EDWARD JUNG MD

Edward Jung is a provider established in Hagerstown, Maryland and his medical specialization is radiology (radiation oncology) with more than 17 years of experience. The NPI number of Edward Jung is 1003011941 and was 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 4 years ago.

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.

Edward Jung is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 83, 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.

NPI

1003011941

Provider NameDR. EDWARD JUNG MD
Provider Location Address11110 MEDICAL CAMPUS RD SUITE 129 HAGERSTOWN, MD 21742
Provider Mailing Address10400 SOUTHWEST HWY LOWR LEVEL CHICAGO RIDGE, IL 60415
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2006
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date06-20-2007
Last Update Date03-22-2018


Primary Taxonomy

Taxonomy Code2085R0001X
ClassificationRadiology
TypeAllopathic & Osteopathic Physicians
SpecializationRadiation Oncology
License No.D0076271
License StateMD
Taxonomy DescriptionA radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

Business Address

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

Get Directions


Mailing Address

DR. EDWARD JUNG MD
10400 SOUTHWEST HWY LOWR LEVEL
CHICAGO RIDGE, IL
ZIP 60415
Phone: (708) 581-7308



PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID5597909366
PECOS Enrollment IDI20220311001684
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 order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 21742 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99205
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$60.77 $183.88 $183.88
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$15.19 $45.97 $45.97
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$18.98 $150.13 $75.85
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.74 $37.53 $18.96

* The physician office visit costs information is obtained by Medicare's 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 Medicare's 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.

MIPS Measure Score Weight Score
Quality 40% 80.6
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 (PI) 25% N/A
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 15% 40
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 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 20% 65.1
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.
MIPS Final Score - 83
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.

Clinician Utilization

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 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 328Radiation treatment management, 5 treatments (HCPCS:77427)
  • 172Radiation treatment devices, design and construction, complex (HCPCS:77334)
  • 164Calculation of radiation therapy dose (HCPCS:77300)
  • 14Diagnostic examination of voice box using flexible endoscope (HCPCS:31575)
  • 14Management of radiation therapy, complex (HCPCS:77263)
  • 14Management of radiation therapy, simulation, complex (HCPCS:77290)

NPI Validation Check Digit Calculation


The following table explains step by step the 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

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Dr. Edward Jung Md is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.