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DR. JIN PYUN M.D.
NPI 1073599866
Emergency Medicine in Fort Drum, NY

Active since December 22, 2005PECOS Enrolled
10506 2ND ST, FORT DRUM, NY 13602(315) 772-8443 Get Directions Write a Review

NPPES record last updated: October 17, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jin Pyun M.d. NPPES

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

DR. JIN PYUN M.D. (NPI 1073599866) is an individual emergency medicine provider in Fort Drum, New York, licensed in New York (232759) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073599866
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JIN PYUNCredential: M.D.
Location Address10506 2ND STFort Drum, NY 13602
Mailing Address10 Nw Valleybrook DrLawton, OK 73505-9525 · (917) 282-9646
Phone(315) 772-8443
Sole ProprietorNo
Enumeration DateDecember 22, 2005
Last NPPES UpdateOctober 17, 2007
✔ NPI 1073599866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · 232759
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
10506 2ND ST, Fort Drum, NY 13602
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jin Pyun M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Jin Pyun reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Providence Health & Services - Washington
2,208 mi
Family Medicine
19200 N KELSEY ST
Monroe, WA 98272
  • Reassigned Medicare billing, Washington enrollment
  • 705 clinicians in this Medicare group
NPI 1225289333 (360) 794-7994
North Sound Emergency Medicine PC
2,217 mi
Emergency Medicine
1700 13TH ST
Everett, WA 98201
  • Reassigned Medicare billing, Washington enrollment
  • 95 clinicians in this Medicare group
NPI 1114937919 (425) 261-2000

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

Areas of Expertise CMS Part B claims 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
191 services190 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
174 services159 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
36 services36 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
35 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13602 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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 Jin Pyun's NPI number?

The NPI number for Jin Pyun is 1073599866. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Where is Jin Pyun located?

Jin Pyun practices at 10506 2nd St, Fort Drum, NY 13602. The listed phone number is (315) 772-8443.

What is Jin Pyun's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jin Pyun enrolled in Medicare?

Yes. Jin Pyun is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jin Pyun's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jin Pyun reassigns Medicare benefits to 2 organizations: Providence Health & Services - Washington (Monroe, WA) and North Sound Emergency Medicine PC (Everett, WA). 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 Jin Pyun's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jin Pyun accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Jin Pyun 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.

When was this NPI record last updated?

The NPPES record for Jin Pyun was last updated on October 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.