JERRY SOUNG M.D.
NPI 1154318764
Internal Medicine - Nephrology in Stockton, CA

Q: What is Jerry Soung's NPI number?

The NPI number for Jerry Soung is 1154318764. It was assigned to this individual provider in the NPPES registry on September 29, 2005.

Q: What is Jerry Soung's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Jerry Soung was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 September 29, 2005PECOS Enrolled

29.05/100

CMS Quality Rating

1610 N EL DORADO ST, SUITE 17, STOCKTON, CA 95204(209) 465-5107(209) 465-7653 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Jerry Soung M.d. NPPES

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

JERRY SOUNG M.D. (NPI 1154318764) is an individual nephrology provider in Stockton, California, licensed in California (A73550) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154318764

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameJERRY SOUNGCredential: M.D.

Location Address1610 N EL DORADO ST, SUITE 17Stockton, CA 95204-5930

Mailing Address1610 N El Dorado St, Suite 17Stockton, CA 95204-5930 · (209) 465-5107 · Fax (209) 465-7653

Phone(209) 465-5107

Fax(209) 465-7653

Sole ProprietorYes

Enumeration DateSeptember 29, 2005

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1154318764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in CA · A73550

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedInternal MedicineTaxonomy 207R00000X · License A73550 (CA)

1610 N EL DORADO ST, Stockton, CA 95204

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Other Identifiers 1

Medicaid00A735500CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jerry Soung 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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

228 services164 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

169 services40 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

47 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95204 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

$133.94 typical visit price

range $58.87 – $176.60

Typical copayment $33.48 (range $14.71 – $44.15)

Most-billed visit code 99204

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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.

29.05/100

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

Individually scored

Quality

Improvement Activities

Cost

96.83

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

8 suppliers20 claims54 services$5.65 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers14 claims22 services$1.09 avg. paid by Medicare

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

3 suppliers16 claims2,160 services$0.28 avg. paid by Medicare

Mycophenolate mofetil, oral, 250 mg J7517

Treatment-Treatment - Miscellaneous · category RX029N

2 suppliers13 claims1,680 services$0.16 avg. paid by Medicare

Mycophenolic acid, oral, 180 mg J7518

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier13 claims2,340 services$0.94 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

3 suppliers18 claims18 services$16.82 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIATHERESA G. ORONCE

Dentist (General Practice)

1610 N EL DORADO ST, SUITE 4
STOCKTON, CA 95204

San Joaquin County (209) 462-8361

GEORGE HERRON M.D.

Internal Medicine (Nephrology)

1610 N EL DORADO ST, SUITE 17
STOCKTON, CA 95204

San Joaquin County (209) 465-5107

LIAN SOUNG M.D.

Internal Medicine (Nephrology)

1610 N EL DORADO ST, SUITE 17
STOCKTON, CA 95204

San Joaquin County (209) 465-5107

MR. CLIFTON RANDALL GIBSON R.PH.

Pharmacist

1610 N EL DORADO ST
STOCKTON, CA 95204

San Joaquin County (209) 466-2381

JUDY LOPEZ MOJICA DDS

Dentist (General Practice)

1610 N EL DORADO ST, STE. 4
STOCKTON, CA 95204

San Joaquin County (209) 462-8361

IN HARMONY MUSIC THERAPY SERVICES

Music Therapist

1610 N EL DORADO ST, SUITE 12
STOCKTON, CA 95204

San Joaquin County (209) 482-6424

CHARLES ROWAND GREEN R.PH.

Pharmacist

1610 N EL DORADO ST, SUITE #1
STOCKTON, CA 95204

San Joaquin County (209) 466-2381

DR. FRANK A PORTALE D.D.S.

Dentist (General Practice)

1610 N EL DORADO ST, SUITE 7
STOCKTON, CA 95204

San Joaquin County (209) 464-7658

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 Jerry Soung's NPI number?

The NPI number for Jerry Soung is 1154318764. It was assigned to this individual provider in the NPPES registry on September 29, 2005.

Where is Jerry Soung located?

Jerry Soung practices at 1610 N El Dorado St Suite 17, Stockton, CA 95204. The listed phone number is (209) 465-5107.

What is Jerry Soung's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Jerry Soung enrolled in Medicare?

Yes. Jerry Soung is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jerry Soung was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.