DR. EDWARD JUNG MD NPI 1003011941
Radiology - Radiation Oncology in Hagerstown, MD
About DR. EDWARD JUNG MD
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 NPI number of this provider 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 6 years ago.
| NPI | 1003011941 |
| Provider Name | DR. EDWARD JUNG MD |
| 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 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 2006 |
| Is Sole Proprietor? | No |
| Enumeration Date | 06-20-2007 |
| Last Update Date | 03-22-2018 |
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 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.
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.
| Taxonomy Code | 2085R0001X |
| Classification | Radiology |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Radiation Oncology |
| 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. |
Business Address
11110 MEDICAL CAMPUS RD
SUITE 129
HAGERSTOWN, MD
ZIP 21742
Phone: (301) 665-4650
Mailing Address
10400 SOUTHWEST HWY LOWR LEVEL
CHICAGO RIDGE, IL
ZIP 60415
Phone: (708) 581-7308
Location Map
PECOS Enrollment and Medicare Participation Status
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 Medicare providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in the Medicare program need to enroll in PECOS with their NPI number to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 5597909366 |
| PECOS Enrollment ID | I20220311001684 |
| 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 Imaging | Yes |
| Eligible order or refer Durable Medical Equipment (DMEPOS) | Yes |
| Eligible order r refer Home Health Agency (HHA) | Yes |
| Eligible order r refer Power Mobility Devices | Yes |
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% | 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. |
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| Promoting Interoperability (PI) | 25% | 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 | 15% | 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 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. |
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| Cost | 20% | 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. |
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| MIPS Final Score | - | 8.25 | |
| 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.
- 491Ct scan guidance for insertion of radiation therapy fields (HCPCS:77014)
- 146Calculation of radiation therapy dose (HCPCS:77300)
- 136Radiation treatment management, 5 treatments (HCPCS:77427)
- 71Radiation treatment devices, design and construction, complex (HCPCS:77334)
- 35Management of radiation therapy, complex (HCPCS:77263)
- 27Insertion of needle into vein for collection of blood sample (HCPCS:36415)
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. | |||||||||
| 1 | 0 | 0 | 3 | 0 | 1 | 1 | 9 | 4 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 1 | 2 | 9 | 8 | |
| 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 = 1 | 1 | ||||||||
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 |
|---|---|---|---|
| 1801898002 | DR. JARL THOMAS WATHNE M. D. Individual | Otolaryngology | 11110 MEDICAL CAMPUS RD STE 126 HAGERSTOWN, MD 21742 (301) 714-4375 |
| 1982606190 | DR. MICHAEL JOSEPH SAYLOR M. D. Individual | Otolaryngology | 11110 MEDICAL CAMPUS RD STE 126 HAGERSTOWN, MD 21742 (301) 714-4375 |
| 1962404152 | DR. ANDREW ROBERT CUKIER M. D. Individual | Otolaryngology | 11110 MEDICAL CAMPUS RD STE 126 HAGERSTOWN, MD 21742 (301) 714-4375 |
| 1376549774 | STEPHEN M. SACHS, MD PA Organization | Surgery | 11110 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 |
| 1679563746 | DR. NELSON L FERREIRA M.D. Individual | Internal Medicine (Gastroenterology) | 11110 MEDICAL CAMPUS RD SUITE 246 HAGERSTOWN, MD 21742 (301) 665-4585 |
| 1659361723 | DR. CHRISTINE P LEWIS M.D. Individual | Internal Medicine (Gastroenterology) | 11110 MEDICAL CAMPUS RD SUITE 246 HAGERSTOWN, MD 21742 (301) 665-4585 |
| 1356332480 | DR. ANTHONY CHRISTOPHER MANILLA D.O. Individual | Otolaryngology | 11110 MEDICAL CAMPUS RD SUTIE 126 HAGERSTOWN, MD 21742 (301) 714-4375 |
| 1467435032 | DR. TARA ANN RUMBARGER M.D. Individual | Dermatology | 11110 MEDICAL CAMPUS RD SUITE 123 HAGERSTOWN, MD 21742 (301) 739-4900 |
| 1437132008 | DR. JAMES ANTHONY SCHIRO M.D. Individual | Dermatology | 11110 MEDICAL CAMPUS RD SUITE 123 HAGERSTOWN, MD 21742 (301) 739-4900 |
| 1154300671 | PODIATRY ASSOCIATES OF HAGERSTOWN Organization | Podiatrist | 11110 MEDICAL CAMPUS RD SUITE 100 HAGERSTOWN, MD 21742 (301) 739-1575 |
| 1417917352 | DR. MICHAEL A WINSLOW M.D. Individual | Orthopaedic Surgery | 11110 MEDICAL CAMPUS RD SUITE 205 HAGERSTOWN, MD 21742 (301) 665-4950 |
| 1467415000 | MARGARET TROCHLIL EACKLES MS, CCC-A Individual | Audiologist | 11110 MEDICAL CAMPUS RD SUITE 126 HAGERSTOWN, MD 21742 (301) 714-4375 |
| 1093778813 | JENNIFER LYNN CAMPBELL M.A., CCC-A Individual | Audiologist | 11110 MEDICAL CAMPUS RD SUITE 126 HAGERSTOWN, MD 21742 (301) 714-4375 |
| 1205891033 | ANGELA C. STONEBRAKER MD Individual | Otolaryngology | 11110 MEDICAL CAMPUS RD SUITE 126 HAGERSTOWN, MD 21742 (301) 714-4375 |
| 1992760409 | JASON T MCELROY PT Individual | Physical Therapist | 11110 MEDICAL CAMPUS RD SUITE 205 HAGERSTOWN, MD 21742 (301) 665-4950 |
| 1922066273 | ELIZABETH NICHOLAS M.D. Individual | Anesthesiology | 11110 MEDICAL CAMPUS RD SUITE 200 HAGERSTOWN, MD 21742 (301) 714-4300 |
| 1558319137 | MICHAEL T MADSEN Individual | Pharmacist | 11110 MEDICAL CAMPUS RD SUITE 129 HAGERSTOWN, MD 21742 (301) 665-4630 |
| 1770535320 | JERRY LOYOLA CORRECES M.D. Individual | Internal Medicine | 11110 MEDICAL CAMPUS RD SUITE 150 HAGERSTOWN, MD 21742 (301) 665-4825 |
| 1205888443 | ROBINWOOD ORTHOPAEDIC SPECIALTY CENTER Organization | Orthopaedic Surgery | 11110 MEDICAL CAMPUS RD SUITE 205 HAGERSTOWN, MD 21742 (301) 665-4950 |
Frequently Asked Questions
What is Dr. Edward Jung MD NPI number?
The NPI number assigned to this healthcare provider is 1003011941, registered as an "individual" on June 20, 2007
Where is the provider located?
The provider is located at 11110 Medical Campus Rd Suite 129 Hagerstown, Md 21742 and the phone number is (301) 665-4650
What is the provider specialty code?
The provider's speciality is Radiology with taxonomy code 2085R0001X with a focus in Radiation Oncology
How many years of experience does Dr. Edward Jung MD have?
The provider has more than 18 years of experience.
Is Dr. Edward Jung MD registered in PECOS?
Yes, as of September 14, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare 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.
How much is a visit to Dr. Edward Jung MD?
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.
What are some of the services provided by Dr. Edward Jung MD?
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.
How do I update my NPI information?
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].
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