JINGSHUO SUN MD
NPI 1194285544
Radiology - Diagnostic Radiology in Boston, MA

Active since March 21, 2019PECOS EnrolledAccepts Medicare Assignment
75 FRANCIS ST, BOSTON, MA 02115(617) 732-5500 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 3, 2025, Jan 3, 2025, Jun 3, 2020 and 1 more (4 updates tracked since 2019).

About Jingshuo Sun Md NPPES

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

JINGSHUO SUN MD (NPI 1194285544) is an individual diagnostic radiology provider in Boston, Massachusetts, licensed in Ohio (35.152249) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Marcum And Wallace Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1194285544
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameJINGSHUO SUNCredential: MD
Location Address75 FRANCIS STBoston, MA 02115-6106
Mailing AddressPo Box 725Cooperstown, NY 13326-0725 · (607) 547-3456 · Fax (607) 547-6612
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 21, 2019
Last NPPES UpdateNovember 3, 20254 updates tracked since enumeration
NPPES CertifiedNovember 3, 2025
✔ NPI 1194285544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in OH · 35.152249
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
75 FRANCIS ST, Boston, MA 02115

Other Names 1

Other Name (5)Derek Sun Md

Secondary Practice Locations 2

Location 11 Atwell RdCooperstown, NY 13326-1301 · Phone (607) 547-3456 · Fax (607) 547-6612
Location 24805 Montgomery Rd Ste 150Cincinnati, OH 45212-2280 · Phone (513) 721-7226 · Fax (513) 721-6330

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

Jingshuo Sun 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 ID2163959768
PECOS Enrollment IDI20241220000765, I20250213000968, I20250217001001, I20250721001700
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Jingshuo Sun reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Radiology
4677 COLUMBUS ST STE 101
Virginia Beach, VA 23462
  • Reassigned Medicare billing, Virginia enrollment
  • 31 clinicians in this Medicare group
Diagnostic Radiology
9825 KENWOOD RD STE 105
Blue Ash, OH 45242
  • Reassigned Medicare billing, Kentucky, Massachusetts and Ohio enrollments
  • 35 clinicians in this Medicare group
Neurology
4805 MONTGOMERY RD STE 410
Cincinnati, OH 45212
  • Reassigned Medicare billing, Ohio enrollment
  • 59 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.

Hospital Affiliations CMS Care Compare 4

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

Marcum And Wallace Memorial Hospital

Critical Access Hospitals · Irvine, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number181301
Location60 Mercy CourtIrvine, KY 40336 · Estill County
Emergency services

Mercy Health-Anderson Hospital

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360001
Location7500 State RoadCincinnati, OH 45255 · Hamilton County
Emergency services Birthing friendly

The Jewish Hospital-Mercy Health

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360016
Location4777 East Galbraith RoadCincinnati, OH 45236 · Hamilton County
Emergency services

Christ Hospital

Acute Care Hospitals · Cincinnati, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360163
Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02115 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

Internal Medicine (Gastroenterology)
75 FRANCIS ST
BOSTON, MA 02115
Neurological Surgery
75 FRANCIS ST
BOSTON, MA 02115
Student in an Organized Health Care Education/Training Program
75 FRANCIS ST
BOSTON, MA 02115
Radiology (Diagnostic Radiology)
75 FRANCIS ST, DEPARTMENT OF RADIOLOGY
BOSTON, MA 02115
Surgery (Vascular Surgery)
75 FRANCIS ST, BRIGHAM AND WOMEN'S HOSPITAL
BOSTON, MA 02115
Emergency Medicine
75 FRANCIS ST, BWH DEPT. OF EMERGENCY MEDICINE
BOSTON, MA 02115
Physician Assistant
75 FRANCIS ST
BOSTON, MA 02115
Nurse Practitioner (Family)
75 FRANCIS ST
BOSTON, MA 02115

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 Jingshuo Sun's NPI number?

The NPI number for Jingshuo Sun is 1194285544. It was assigned to this individual provider in the NPPES registry on March 21, 2019. The provider is also known as Derek Sun MD.

Where is Jingshuo Sun located?

Jingshuo Sun practices at 75 Francis St, Boston, MA 02115. The listed phone number is (617) 732-5500.

What is Jingshuo Sun's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Jingshuo Sun enrolled in Medicare?

Yes. Jingshuo Sun 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 Jingshuo Sun's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jingshuo Sun reassigns Medicare benefits to 3 organizations: Town Center Imaging 2 LLC (Virginia Beach, VA), Professional Radiology Inc. (Blue Ash, OH) and Riverhills Healthcare Inc (Cincinnati, OH). 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 Jingshuo Sun's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jingshuo Sun accept?

Health plans from CareSource list Jingshuo Sun 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 Jingshuo Sun affiliated with any hospitals?

According to CMS data, Jingshuo Sun is affiliated with Marcum And Wallace Memorial Hospital, Mercy Health-Anderson Hospital, The Jewish Hospital-Mercy Health and Christ Hospital.

When was this NPI record last updated?

The NPPES record for Jingshuo Sun was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.