EDMUND Y CHUNG MD
NPI 1306804323
Internal Medicine - Gastroenterology in Middletown, CT

Active since May 01, 2006PECOS EnrolledAccepts Medicare Assignment
85.43/100
CMS Quality Rating
410 SAYBROOK RD, SUITE 201, MIDDLETOWN, CT 06457(860) 347-4620(860) 346-9687 Get Directions Write a Review

NPPES record last updated: March 25, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edmund Y Chung Md NPPES

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

EDMUND Y CHUNG MD (NPI 1306804323) is an individual gastroenterology provider in Middletown, Connecticut, licensed in Connecticut (041749) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with St Johns Medical Center, and is a graduate of New York University School Of Medicine (2000).

NPPES Registry Identity

NPI1306804323
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameEDMUND Y CHUNGCredential: MD
Location Address410 SAYBROOK RD, SUITE 201Middletown, CT 06457
Mailing Address410 Saybrook Rd, Suite 201Middletown, CT 06457 · (860) 347-4620 · Fax (860) 346-9687
Fax(860) 346-9687
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 2000
Enumeration DateMay 1, 2006
Last NPPES UpdateMarch 25, 2015
NPI 1306804323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in CT · 041749
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
410 SAYBROOK RD, Middletown, CT 06457

Accepted Insurance

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

Edmund Y Chung 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 ID9335150697
PECOS Enrollment IDI20250304001345
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 10

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
165 services55 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
78 services73 patients
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.
59 services53 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
53 services52 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
50 services50 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
42 services42 patients

Hospital Affiliations CMS Care Compare

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

St Johns Medical Center

Acute Care Hospitals · Jackson, WY
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number530015
Location625 East BroadwayJackson, WY 83001 · Teton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06457 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

85.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.3
Improvement Activities40
Cost65.24

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.

Dentist
410 SAYBROOK RD
MIDDLETOWN, CT 06457
Internal Medicine (Gastroenterology)
410 SAYBROOK RD
MIDDLETOWN, CT 06457
Specialist
410 SAYBROOK RD, SUITE 100
MIDDLETOWN, CT 06457
Dentist
410 SAYBROOK RD, SUITE 202
MIDDLETOWN, CT 06457
Internal Medicine (Gastroenterology)
410 SAYBROOK RD, SUITE 201
MIDDLETOWN, CT 06457
Physical Therapist
410 SAYBROOK RD
MIDDLETOWN, CT 06457
Physical Therapist
410 SAYBROOK RD
MIDDLETOWN, CT 06457
Physical Therapist
410 SAYBROOK RD
MIDDLETOWN, CT 06457

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 Edmund Chung's NPI number?

The NPI number for Edmund Chung is 1306804323. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Where is Edmund Chung located?

Edmund Chung practices at 410 Saybrook Rd Suite 201, Middletown, CT 06457. The listed phone number is (860) 347-4620.

What is Edmund Chung's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Edmund Chung enrolled in Medicare?

Yes. Edmund Chung 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.

What insurance does Edmund Chung accept?

Health plans from Blue Cross Blue Shield of Wyoming list Edmund Chung 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 Edmund Chung affiliated with any hospitals?

According to CMS data, Edmund Chung is affiliated with St Johns Medical Center.

When was this NPI record last updated?

The NPPES record for Edmund Chung was last updated on March 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.