PETER YOON DDS
NPI 1073916789
Dentist in Fort Eisenhower, GA

Q: What is Peter Yoon's NPI number?

The NPI number for Peter Yoon is 1073916789. It was assigned to this individual provider in the NPPES registry on October 8, 2014.

Q: What is Peter Yoon's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Peter Yoon was last updated on March 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 08, 2014PECOS Enrolled

300 E HOSPITAL RD, FORT EISENHOWER, GA 30905(706) 787-2516 Get Directions Write a Review

NPPES record last updated: March 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 20, 2017, Feb 2, 2017 (2 updates tracked since 2017).

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About Peter Yoon Dds NPPES

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

PETER YOON DDS (NPI 1073916789) is an individual dentist in Fort Eisenhower, Georgia, licensed in California (100212) and active in the NPI registry since October 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073916789

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NamePETER YOONCredential: DDS

Location Address300 E HOSPITAL RDFort Eisenhower, GA 30905

Mailing Address4301 Boca Raton DrThe Colony, TX 75056-4046 · (214) 587-6505

Phone(706) 787-2516

Sole ProprietorYes

Enumeration DateOctober 8, 2014

Last NPPES UpdateMarch 13, 20242 updates tracked since enumeration

NPPES CertifiedMarch 11, 2024

✔ NPI 1073916789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in CA · 100212✔ Licensed in IL · 019.030065

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

300 E HOSPITAL RD, Fort Eisenhower, GA 30905

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peter Yoon Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30905 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MATTHEW JAMES DELLEN MD

Student in an Organized Health Care Education/Training Program

300 E HOSPITAL RD
FORT GORDON, GA 30905

Richmond County (706) 787-5811

JAMES G PAIRMORE PA

Physician Assistant (Medical)

300 E HOSPITAL RD
FT. EISENHOWER, GA 30905

Richmond County (067) 787-0300

MISS AMRUTHA ELIZABETH MATHEW M.D.

Pediatrics

300 E HOSPITAL RD
FORT EISENHOWER, GA 30905

Richmond County (706) 787-9399

DR. WAQAS HAQ MD

Internal Medicine

300 E HOSPITAL RD
FORT GORDON, GA 30905

Richmond County (706) 787-5811

SCOTT WALTON M.D.

Otolaryngology

300 E HOSPITAL RD
FT. GORDON, GA 30905

Richmond County (801) 400-5439

NICHOLAS CARROLL DESTEFANO MD

General Practice

300 E HOSPITAL RD
FORT GORDON, GA 30905

Richmond County (706) 383-5299

CHRISTOPHER BARRETT JONES M.D.

Emergency Medicine

300 E HOSPITAL RD
FORT EISENHOWER, GA 30905

Richmond County (706) 721-9289

AMANDA NICHOLE ELEY APRN, MSN, FNP-C

Nurse Practitioner (Family)

300 E HOSPITAL RD
FORT EISENHOWER, GA 30905

Richmond County (210) 473-8162

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 Peter Yoon's NPI number?

The NPI number for Peter Yoon is 1073916789. It was assigned to this individual provider in the NPPES registry on October 8, 2014.

Where is Peter Yoon located?

Peter Yoon practices at 300 E Hospital Rd, Fort Eisenhower, GA 30905. The listed phone number is (706) 787-2516.

What is Peter Yoon's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Peter Yoon enrolled in Medicare?

Yes. Peter Yoon is registered in the Medicare PECOS enrollment system.

What insurance does Peter Yoon accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Renaissance Dental list Peter Yoon 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 Peter Yoon was last updated on March 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.