DR. EDWARD C PYUN JR. MD
NPI 1386748473
Surgery in Rockford, IL
About Dr. Edward C Pyun Jr. Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. EDWARD C PYUN JR. MD (NPI 1386748473) is an individual surgery provider in Rockford, Illinois, licensed in Illinois (036111344) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Northeastern Ohio University College Of Medicine (1994).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
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. Edward C Pyun Jr. 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.
Medicare Billing Reassignment
Medicare enrollment records show Edward Pyun reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Brighton, CO 80601
- Reassigned Medicare billing, Colorado enrollment
- 1,270 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 61108 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
ROCKFORD, IL 61108
ROCKFORD, IL 61108
ROCKFORD, IL 61108
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 Edward Pyun's NPI number?
The NPI number for Edward Pyun is 1386748473. It was assigned to this individual provider in the NPPES registry on September 11, 2006.
Where is Edward Pyun located?
Edward Pyun practices at 5668 E State St, Rockford, IL 61108. The listed phone number is (815) 229-7580.
What is Edward Pyun's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Edward Pyun enrolled in Medicare?
Yes. Edward Pyun 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 Edward Pyun's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edward Pyun reassigns Medicare benefits to Intermountain Medical Group Denver, LLC (Brighton, CO). 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 Edward Pyun'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 Edward Pyun was last updated on October 2, 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.
# Dr. Edward C Pyun Jr., MD · NPI 1386748473
Surgery physician in Rockford, Illinois. Individual provider, active in the CMS NPPES registry since September 11, 2006.
## Identity
- **NPI:** 1386748473 (Entity type: Individual)
- **Enumerated:** September 11, 2006
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 036111344 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 5668 E STATE ST, Rockford, IL 61108-2464
- **Phone:** (815) 229-7580
## 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:** Intermountain Medical Group Denver, LLC (NPI 1164195673, Brighton, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Northeastern Ohio University College Of Medicine, class of 1994
## Record status
- **NPPES last updated:** October 2, 2015
- **Other identifiers:** Medicaid 036111344 (IL); Other P00198742; Medicare PIN K09351 (IL); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1386748473) · Data from the CMS NPPES public registry.