DR. JIN KONG M.D.
NPI 1376793208
Internal Medicine in Ada, OK

Active since September 29, 2008PECOS EnrolledAccepts Medicare Assignment
1921 STONECIPHER DR, ADA, OK 74820(580) 436-3980 Get Directions Write a Review

NPPES record last updated: March 20, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Jin Kong M.d. NPPES

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

DR. JIN KONG M.D. (NPI 1376793208) is an individual internal medicine provider in Ada, Oklahoma, licensed in Kansas (T-02232) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, is affiliated with Chickasaw Nation Medical Center, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1376793208
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JIN KONGCredential: M.D.
Location Address1921 STONECIPHER DRAda, OK 74820-3439
Mailing Address1921 Stonecipher DrAda, OK 74820-3439 · (580) 421-4570
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateSeptember 29, 2008
Last NPPES UpdateMarch 20, 2013
✔ NPI 1376793208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in KS · T-02232
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1921 STONECIPHER DR, Ada, OK 74820

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. Jin Kong 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.

PECOS PAC ID9537210190
PECOS Enrollment IDI20090623000149
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 Reassignment

Medicare enrollment records show Jin Kong reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
4913 W RENO AVE
Oklahoma City, OK 73127
  • Reassigned Medicare billing, Texas enrollment
  • 86 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 23

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
1,400 services11 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.
183 services96 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
176 services108 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
174 services115 patients
Thyroxine (thyroid chemical), free 84439
The Thyroxine (thyroid chemical), free test is a blood test that measures the level of free T4 in your body. T4 is a hormone produced by your thyroid gland and is essential for growth and metabolism. If your T4 levels are too high or too low, it could indicate a thyroid disorder.
135 services95 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
123 services87 patients

Hospital Affiliations CMS Care Compare

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

Chickasaw Nation Medical Center

Acute Care Hospitals · Ada, OK
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number370180
Location1921 Stonecipher BlvdAda, OK 74820 · Pontotoc County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74820 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier38 claims38 services$189.54 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 20

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

Physician Assistant
1921 STONECIPHER DR
ADA, OK 74820
Emergency Medicine
1921 STONECIPHER DR
ADA, OK 74820
Midwife
1921 STONECIPHER DR
ADA, OK 74820
Family Medicine
1921 STONECIPHER DR
ADA, OK 74820
Physician Assistant (Medical)
1921 STONECIPHER DR
ADA, OK 74820
Counselor
1921 STONECIPHER DR
ADA, OK 74820
Emergency Medicine
1921 STONECIPHER DR
ADA, OK 74820
Dentist
1921 STONECIPHER DR
ADA, OK 74820

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 Jin Kong's NPI number?

The NPI number for Jin Kong is 1376793208. It was assigned to this individual provider in the NPPES registry on September 29, 2008.

Where is Jin Kong located?

Jin Kong practices at 1921 Stonecipher Dr, Ada, OK 74820. The listed phone number is (580) 436-3980.

What is Jin Kong's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jin Kong enrolled in Medicare?

Yes. Jin Kong 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 Jin Kong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jin Kong reassigns Medicare benefits to Central Oklahoma American Indian Health Council, Inc. (Oklahoma City, OK). 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 Jin Kong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jin Kong affiliated with any hospitals?

According to CMS data, Jin Kong is affiliated with Chickasaw Nation Medical Center.

When was this NPI record last updated?

The NPPES record for Jin Kong was last updated on March 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.