DR. GRACE H. JEON M.D.
NPI 1174521306
Surgery in Anaheim, CA
About Dr. Grace H. Jeon M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GRACE H. JEON M.D. (NPI 1174521306) is an individual surgery provider in Anaheim, California, licensed in California (G84081) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS and is a graduate of Northwestern University Feinberg Medical School (1990).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Grace H. Jeon M.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Grace Jeon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Anaheim, CA 92801
- Reassigned Medicare billing, California enrollment
- 3 clinicians in this Medicare group
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 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ANAHEIM, CA 92801
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 Grace Jeon's NPI number?
The NPI number for Grace Jeon is 1174521306. It was assigned to this individual provider in the NPPES registry on July 12, 2005.
Where is Grace Jeon located?
Grace Jeon practices at 1211 W La Palma Ave Ste 705, Anaheim, CA 92801. The listed phone number is (714) 772-6701.
What is Grace Jeon's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Grace Jeon enrolled in Medicare?
Yes. Grace Jeon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Grace Jeon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Grace Jeon reassigns Medicare benefits to Anaheim Surgical Associates (Anaheim, CA). The 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 Grace Jeon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Grace Jeon was last updated on October 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr. Grace H. Jeon, M.D. · NPI 1174521306
Surgery physician in Anaheim, California. Individual provider, active in the CMS NPPES registry since July 12, 2005.
## Identity
- **NPI:** 1174521306 (Entity type: Individual)
- **Enumerated:** July 12, 2005
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** G84081 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1211 W LA PALMA AVE STE 705, Anaheim, CA 92801-2814
- **Phone:** (714) 772-6701 · **Fax:** (714) 772-5240
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Anaheim Surgical Associates (NPI 1598899718, Anaheim, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Northwestern University Feinberg Medical School, class of 1990
## Record status
- **NPPES last updated:** October 28, 2020
- **Other identifiers:** Medicaid 00G840810 (CA); Other G84081 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1174521306) · Data from the CMS NPPES public registry.