ANDREW M PYUN PA-C
NPI 1144846247
Physician Assistant in Fort Campbell, KY

Q: What is Andrew Pyun's NPI number?

The NPI number for Andrew Pyun is 1144846247. It was assigned to this individual provider in the NPPES registry on June 24, 2020.

Q: What is Andrew Pyun's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Pyun was last updated on October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since June 24, 2020PECOS EnrolledAccepts Medicare Assignment

650 JOEL DR, FORT CAMPBELL, KY 42223(270) 798-5380 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 9, 2024, Sep 3, 2020, Jun 24, 2020 (3 updates tracked since 2020).

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About Andrew M Pyun Pa-c NPPES

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

ANDREW M PYUN PA-C (NPI 1144846247) is an individual physician assistant in Fort Campbell, Kentucky, licensed in (1174470) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fort Bragg, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1144846247

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameANDREW M PYUNCredential: PA-C

Location Address650 JOEL DRFort Campbell, KY 42223

Mailing Address650 Joel DrFort Campbell, KY 42222 · (270) 798-5380

Phone(270) 798-5380

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJune 24, 2020

Last NPPES UpdateOctober 9, 20243 updates tracked since enumeration

NPPES CertifiedOctober 4, 2024

✔ NPI 1144846247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed · 1174470

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

650 JOEL DR, Fort Campbell, KY 42223

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Secondary Practice Location 1

Location 1Robinson Health Clinic, 1722 Tagaay Dr.Fort Bragg, NC 28307 · Phone (910) 907-8282

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

Andrew M Pyun Pa-c 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 ID3274053046

PECOS Enrollment IDI20250224001659

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 42223 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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.

LISA RENEE CORDELL RN

Registered Nurse