DR. SIMON SUNG MD
NPI 1093159329
Pathology - Anatomic Pathology in New York, NY

Q: What is Simon Sung's NPI number?

The NPI number for Simon Sung is 1093159329. It was assigned to this individual provider in the NPPES registry on April 17, 2013.

Q: What is Simon Sung's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology, with taxonomy code 207ZP0101X.

Q: When was this NPI record last updated?

The NPPES record for Simon Sung was last updated on June 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 April 17, 2013PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

622 W 168TH ST, NEW YORK, NY 10032(212) 305-8533 Get Directions Write a Review

NPPES record last updated: June 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 7, 2019, Jul 18, 2018, Mar 14, 2016 (3 updates tracked since 2016).

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About Dr. Simon Sung Md NPPES

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

DR. SIMON SUNG MD (NPI 1093159329) is an individual anatomic pathology provider in New York, New York, licensed in New York (282777) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Temple Health - Chestnut Hill Hospital, and is a graduate of Columbia University College Of Physicians And Surgeons (2013).

NPPES Registry Identity

NPI1093159329

Entity TypeIndividualMale

Primary Taxonomy207ZP0101X

Provider Legal NameDR. SIMON SUNGCredential: MD

Location Address622 W 168TH STNew York, NY 10032

Mailing Address630 W 168th St, Department Of Pathology And Cell Biology, Ps16-404New York, NY 10032-4650 · (212) 305-2500

Phone(212) 305-8533

Sole ProprietorYes

Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2013

Enumeration DateApril 17, 2013

Last NPPES UpdateJune 3, 20223 updates tracked since enumeration

NPPES CertifiedJune 3, 2022

✔ NPI 1093159329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0101X

License✔ Licensed in NY · 282777

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Also ListedPathology · CytopathologyTaxonomy 207ZC0500X · License 282777 (NY)

622 W 168TH ST, New York, NY 10032

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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

Dr. Simon Sung 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 ID2365710548

PECOS Enrollment IDI20240220004663

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 16

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

500 services292 patients

Cell examination of specimen, selective cellular enhancement technique 88112

Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.

265 services249 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

241 services60 patients

Pap test, evaluation of fine needle aspirate, immediate, each additional evaluation episode 88177

A Pap test is a procedure that checks for abnormal cells in the body, which could indicate a serious condition. The evaluation of a fine needle aspirate is a process where a small sample is taken with a thin needle for examination. This can be done multiple times for a thorough analysis.

175 services49 patients

Surgical pathology consultation and report on referred slides prepared elsewhere 88321

A surgical pathology consultation involves reviewing slides prepared at a different lab to confirm or clarify a diagnosis. It's a second opinion to ensure accuracy. A report with findings and interpretations is then provided for your doctor's reference.

102 services101 patients

Evaluation of fine needle aspirate with interpretation and report 88173

This procedure involves using a thin needle to collect a small sample from an abnormal area or lump. The sample is then examined under a microscope to identify any potential issues. A report of the findings is provided for further analysis.

97 services81 patients

Pathology examination of tissue using a microscope, moderately high complexity 88307

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

94 services53 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

76 services70 patients

Evaluation of fine needle aspirate 88172

Evaluation of fine needle aspirate is a diagnostic procedure where a thin needle is used to collect cells from a lump or mass. This sample is then examined under a microscope to determine the nature of the lump, whether it's benign (non-cancerous) or malignant (cancerous).

69 services55 patients

Special stained specimen slides to identify organisms including interpretation and report 88312

This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.

48 services22 patients

Pap test 88141

A Pap test is a routine exam that checks for changes in cells that could signal a health concern. During this test, a small sample of cells is gently collected from the lower region of the body. The sample is then examined under a microscope to ensure everything looks normal.

42 services40 patients

Pathology examination of tissue using a microscope, limited examination 88300

A pathology examination of tissue using a microscope is a procedure where a small sample of your tissue is observed under a microscope. This limited examination helps identify any abnormal cells or signs of disease, aiding in accurate diagnosis and treatment planning.

24 services21 patients

Microscopic genetic analysis of tumor, manual 88360

Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.

24 services14 patients

Cell examination of specimen, concentration technique 88108

Cell examination of a specimen using a concentration technique is a lab process that enhances the detection of cells in a sample. This method helps to focus on key areas of the sample, making it easier to spot abnormalities or changes. It's a crucial part of diagnosing and monitoring certain health conditions.

20 services18 patients

Cell examination of specimen, selective cellular enhancement technique 88112

17 services17 patients

Cell examination of body fluid, smears 88104

Cell examination of body fluid, or smear, is a laboratory test where a sample of your body fluid is taken. It's then thinly spread on a glass slide and examined under a microscope to check for abnormalities. This can help diagnose various health conditions.

14 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Temple Health - Chestnut Hill Hospital

Acute Care Hospitals · Philadelphia, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390026

Location8835 Germantown AvenuePhiladelphia, PA 19118 · Philadelphia County

Emergency services

Temple University Hospital

Acute Care Hospitals · Philadelphia, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390027

Location3401 North Broad StreetPhiladelphia, PA 19140 · Philadelphia County

Emergency services Birthing friendly

Grand View Health

Acute Care Hospitals · Sellersville, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390057

Location700 Lawn AvenueSellersville, PA 18960 · Bucks County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10032 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

$150.24 typical visit price

range $65.69 – $198.19

Typical copayment $37.56 (range $16.42 – $49.54)

Most-billed visit code 99204

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.8

Promoting Interoperability

100

Improvement Activities

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.

DR. PIETRO ALESSANDRO AMBROGIO CANETTA M.D.

Internal Medicine (Nephrology)

622 W 168TH ST, PH4-124
NEW YORK, NY 10032

New York County (212) 305-5020

CHARLES D RESOR

Internal Medicine