SEUNGHWAN BYUN MD
NPI 1013399294
Hospitalist in Rio Rancho, NM

Active since June 23, 2015PECOS EnrolledAccepts Medicare Assignment
94.24/100
CMS Quality Rating
2400 UNSER BLVD SE, RIO RANCHO, NM 87124(505) 253-7878 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 18, 2024, Mar 29, 2023 (2 updates tracked since 2023).

About Seunghwan Byun Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SEUNGHWAN BYUN MD (NPI 1013399294) is an individual hospitalist provider in Rio Rancho, New Mexico, licensed in New York (319091) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Nyack Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1013399294
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameSEUNGHWAN BYUNCredential: MD
Location Address2400 UNSER BLVD SERio Rancho, NM 87124
Mailing Address2400 Unser Blvd SeRio Rancho, NM 87124-4740
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJune 23, 2015
Last NPPES UpdateNovember 18, 20242 updates tracked since enumeration
NPPES CertifiedNovember 18, 2024
NPI 1013399294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses Licensed in NY · 319091 Licensed in NM · MD2018-0297
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
2400 UNSER BLVD SE, Rio Rancho, NM 87124

Secondary Practice Locations 2

Location 1111 E 210th StBronx, NY 10467-2401 · Phone (718) 920-4321
Location 26511 Spring Brook AveRhinebeck, NY 12572-3709 · Phone (845) 876-3001

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Seunghwan Byun Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143537720
PECOS Enrollment IDI20230405000744
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
208 services200 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
197 services95 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
104 services72 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
83 services83 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
48 services48 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
45 services17 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Nyack Hospital

Acute Care Hospitals · Nyack, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330104
Location160 North Midland AvenueNyack, NY 10960 · Rockland County
Birthing friendly

White Plains Hospital Center

Acute Care Hospitals · White Plains, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330304
Location41 East Post R0adWhite Plains, NY 10601 · Westchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.26
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
7 suppliers93 claims93 services$15.93 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier15 claims15 services$5.26 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
6 suppliers91 claims91 services$74.52 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
3 suppliers18 claims18 services$34.52 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
2400 UNSER BLVD SE
RIO RANCHO, NM 87124
Internal Medicine
2400 UNSER BLVD SE
RIO RANCHO, NM 87124
Physician Assistant
2400 UNSER BLVD SE, STE 18200
RIO RANCHO, NM 87124
Peer Specialist
2400 UNSER BLVD SE
RIO RANCHO, NM 87124
Nurse Anesthetist, Certified Registered
2400 UNSER BLVD SE
RIO RANCHO, NM 87124
Registered Nurse (Medical-Surgical)
2400 UNSER BLVD SE
RIO RANCHO, NM 87124
Internal Medicine (Pulmonary Disease)
2400 UNSER BLVD SE
RIO RANCHO, NM 87124
Physician Assistant (Surgical)
2400 UNSER BLVD SE
RIO RANCHO, NM 87124

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Seunghwan Byun's NPI number?

The NPI number for Seunghwan Byun is 1013399294. It was assigned to this individual provider in the NPPES registry on June 23, 2015.

Where is Seunghwan Byun located?

Seunghwan Byun practices at 2400 Unser Blvd SE, Rio Rancho, NM 87124. The listed phone number is (505) 253-7878.

What is Seunghwan Byun's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Seunghwan Byun enrolled in Medicare?

Yes. Seunghwan Byun is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Seunghwan Byun affiliated with any hospitals?

According to CMS data, Seunghwan Byun is affiliated with Nyack Hospital and White Plains Hospital Center.

When was this NPI record last updated?

The NPPES record for Seunghwan Byun was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.