SHIE-PON TZUNG MD PHD
NPI 1023096252
Internal Medicine - Gastroenterology in Bellevue, WA

Active since January 06, 2006PECOS EnrolledAccepts Medicare Assignment
80.46/100
CMS Quality Rating
1135 116TH AVE NE, #560, BELLEVUE, WA 98004(425) 454-4768(425) 462-8021 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 25, 2023, Apr 10, 2023 (2 updates tracked since 2023).

About Shie-pon Tzung Md Phd NPPES

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

SHIE-PON TZUNG MD PHD (NPI 1023096252) is an individual gastroenterology provider in Bellevue, Washington, licensed in Washington (31810) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Samaritan Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1023096252
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameSHIE-PON TZUNGCredential: MD PHD
Location Address1135 116TH AVE NE, #560Bellevue, WA 98004
Mailing Address1135 116th Ave Ne, #560Bellevue, WA 98004 · (425) 454-4768 · Fax (425) 462-8021
Fax(425) 462-8021
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateJanuary 6, 2006
Last NPPES UpdateOctober 25, 20232 updates tracked since enumeration
NPPES CertifiedOctober 25, 2023
✔ NPI 1023096252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in WA · 31810✔ Licensed in MT · 99746
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1135 116TH AVE NE, Bellevue, WA 98004

Secondary Practice Locations 2

Location 11101 26th St SGreat Falls, MT 59405-5161 · Phone (406) 731-8888 · Fax (406) 731-8318
Location 2201 16th Ave ESeattle, WA 98112-5226 · Phone (206) 326-3000 · Fax (877) 515-2975

Other Identifiers 2

Other145887WA · L & I
Medicaid8218612WA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shie-pon Tzung Md Phd 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 ID446343669
PECOS Enrollment IDI20101202000604, I20220512001779
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Shie-pon Tzung reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
320 WESTLAKE AVE. N., SUITE 100
Seattle, WA 98109
  • Reassigned Medicare billing, Washington enrollment
  • 2,678 clinicians in this Medicare group
Rural Health
8420 ASPI BLVD
Moses Lake, WA 98837
  • Reassigned Medicare billing, Washington enrollment
  • 158 clinicians in this Medicare group
Family Medicine
3330 PTARMIGAN LN
Helena, MT 59602
  • Reassigned Medicare billing, Montana enrollment
  • Medicare enrollment name: St Peters Health
  • 304 clinicians in this Medicare group
Multi-Specialty
1401 25TH ST S
Great Falls, MT 59405
  • Reassigned Medicare billing, Montana enrollment
  • 637 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Samaritan Hospital

Acute Care Hospitals · Moses Lake, WA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500033
Location801 East Wheeler RoadMoses Lake, WA 98837 · Grant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98004 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

80.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.1
Promoting Interoperability75
Improvement Activities40
Cost62.61

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.

Internal Medicine (Cardiovascular Disease)
1135 116TH AVE NE, SUITE 600
BELLEVUE, WA 98004
Specialist
1135 116TH AVE NE, STE 260
BELLEVUE, WA 98004
Internal Medicine (Gastroenterology)
1135 116TH AVE NE, #560
BELLEVUE, WA 98004
Clinic/Center (Radiology)
1135 116TH AVE NE, SUITE 255
BELLEVUE, WA 98004
Internal Medicine
1135 116TH AVE NE, SUITE 110A
BELLEVUE, WA 98004
Orthopaedic Surgery
1135 116TH AVE NE, SUITE 510
BELLEVUE, WA 98004
Pharmacy (Community/Retail Pharmacy)
1135 116TH AVE NE, STE 105
BELLEVUE, WA 98004
Plastic Surgery
1135 116TH AVE NE, SUITE 630
BELLEVUE, WA 98004

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 Shie-pon Tzung's NPI number?

The NPI number for Shie-pon Tzung is 1023096252. It was assigned to this individual provider in the NPPES registry on January 6, 2006.

Where is Shie-pon Tzung located?

Shie-pon Tzung practices at 1135 116th Ave NE #560, Bellevue, WA 98004. The listed phone number is (425) 454-4768.

What is Shie-pon Tzung's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Shie-pon Tzung enrolled in Medicare?

Yes. Shie-pon Tzung 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.

Which organizations bill Medicare for Shie-pon Tzung's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shie-pon Tzung reassigns Medicare benefits to 4 organizations: Kaiser Foundation Health Plan Of Washington (Seattle, WA), Grant County Public Hospital District 1 (Moses Lake, WA), St Peter's Medical Group North (Helena, MT) and Benefis Hospitals Inc (Great Falls, MT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shie-pon Tzung's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shie-pon Tzung accept?

Health plans from Blue Cross and Blue Shield of Montana, PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Shie-pon Tzung as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Shie-pon Tzung affiliated with any hospitals?

According to CMS data, Shie-pon Tzung is affiliated with Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Shie-pon Tzung was last updated on October 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.