JIAN WILSON DONG
NPI 1174977904
Radiology - Diagnostic Radiology in York, ME
About Jian Wilson Dong NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JIAN WILSON DONG (NPI 1174977904) is an individual diagnostic radiology provider in York, Maine, licensed in Maine (MD24325) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Chesapeake General Hospital, and maintains a secondary practice location in Lebanon.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
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
Jian Wilson Dong 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 Reassignments
5Medicare enrollment records show Jian Dong reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hampstead, NH 03841
- Reassigned Medicare billing, New Hampshire enrollment
- 2,620 clinicians in this Medicare group
Keene, NH 03431
- Reassigned Medicare billing, New Hampshire enrollment
- 2,999 clinicians in this Medicare group
Stafford, VA 22556
- Reassigned Medicare billing, Virginia enrollment
- 55 clinicians in this Medicare group
Fredericksburg, VA 22401
- Reassigned Medicare billing, New Hampshire enrollment
Chesapeake, VA 23320
- Reassigned Medicare billing, New Hampshire enrollment
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 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Chesapeake General Hospital
Acute Care Hospitals · Chesapeake, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 03909 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Jian Dong's NPI number?
The NPI number for Jian Dong is 1174977904. It was assigned to this individual provider in the NPPES registry on April 18, 2016.
Where is Jian Dong located?
Jian Dong practices at 15 Hospital Dr, York, ME 03909. The listed phone number is (207) 363-4321.
What is Jian Dong's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Jian Dong enrolled in Medicare?
Yes. Jian Dong 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 organizations bill Medicare for Jian Dong's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jian Dong reassigns Medicare benefits to 5 organizations: Mary Hitchcock Memorial Hospital (Hampstead, NH), Dartmouth-Hitchcock Clinic (Keene, NH), Medical Imaging Of Fredericksburg, LLC (Stafford, VA), Radiologic Associates Of Fredericksburg Ltd (Fredericksburg, VA) and Dominion Imaging LLC (Chesapeake, VA). Each 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 Jian Dong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jian Dong accept?
Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Texas, CareSource and Taro Health list Jian Dong 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.
Is Jian Dong affiliated with any hospitals?
According to CMS data, Jian Dong is affiliated with Chesapeake General Hospital.
When was this NPI record last updated?
The NPPES record for Jian Dong was last updated on March 29, 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.
# Jian Wilson Dong · NPI 1174977904
Diagnostic Radiology physician in York, Maine. Individual provider, active in the CMS NPPES registry since April 18, 2016.
## Identity
- **NPI:** 1174977904 (Entity type: Individual)
- **Enumerated:** April 18, 2016
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** MD24325 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 15 HOSPITAL DR, York, ME 03909-1099
- **Phone:** (207) 363-4321
## 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:** 5 organizations under Medicare reassignment (form CMS-855R): Mary Hitchcock Memorial Hospital (NPI 1699584219, Hampstead, NH); Dartmouth-Hitchcock Clinic (NPI 1174176861, Keene, NH); Medical Imaging Of Fredericksburg, LLC (NPI 1811193899, Stafford, VA); Radiologic Associates Of Fredericksburg Ltd (NPI 1699711093, Fredericksburg, VA); Dominion Imaging LLC (NPI 1336623123, Chesapeake, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New York University School Of Medicine, class of 2016
## Record status
- **NPPES last updated:** March 29, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1174977904) · Data from the CMS NPPES public registry.