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DR. SUNGSIL CHO MD
NPI 1437611696
Family Medicine in Mystic, CT

Active since April 04, 2019PECOS EnrolledAccepts Medicare Assignment
93.27/100
CMS Quality Rating

NPPES record last updated: November 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 28, 2022, Aug 10, 2022, Apr 4, 2019 (3 updates tracked since 2019).

About Dr. Sungsil Cho Md NPPES

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

DR. SUNGSIL CHO MD (NPI 1437611696) is an individual family medicine provider in Mystic, Connecticut, licensed in Connecticut (72263) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Westerly Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1437611696
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SUNGSIL CHOCredential: MD
Location Address23 CLARA DRMystic, CT 06355-1959
Mailing Address99 Hawley Ln Fl 3Stratford, CT 06614-1202 · (860) 572-5782
Phone(860) 572-5782
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 4, 2019
Last NPPES UpdateNovember 28, 20223 updates tracked since enumeration
NPPES CertifiedNovember 28, 2022
✔ NPI 1437611696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CT · 72263
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
23 CLARA DR, Mystic, CT 06355
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Other Identifiers 2

Medicaid1437611696RI
Medicaid1437611696CT

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

Dr. Sungsil Cho 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 ID8820471907
PECOS Enrollment IDI20220823001715
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.

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.
217 services129 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
93 services93 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
24 services24 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.
24 services22 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
19 services19 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Westerly Hospital

Acute Care Hospitals · Westerly, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410013
Location25 Wells StreetWesterly, RI 02891 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06355 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
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.

93.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.72
Promoting Interoperability78.03
Improvement Activities40

Other Providers at the Same Location NPPES 9

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

MAIN MEDICAL-MYSTIC, LLC
Internal Medicine
23 CLARA DR, SUITE 201
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 536-1666
MRS. LAURA ANN WHITE OTRL
Occupational Therapist
23 CLARA DR, VISIONS SIGHT AND LEARNING CENTER
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 572-4805
JENNIFER FELICELLI PA-C
Physician Assistant
23 CLARA DR
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 536-1666
DR. ADRIENNE LYNNE MAROLD PARAD M.D.
Family Medicine
23 CLARA DR, SUITE 203
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 464-2028
MRS. GABRIELLE EDEN PIERCE PA-C
Physician Assistant
23 CLARA DR, SUITE 201
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 536-1666
BRUCE A. BERLOW M.D.
Specialist
23 CLARA DR, SUITE 204
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 536-2995
COASTAL CHIROPRACTIC & FAMILY WELLNESS CENTRE
Nurse Practitioner (Family)
23 CLARA DR, SUITE 105
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 572-7711
SANDY ZHANG APRN
Nurse Practitioner (Family)
23 CLARA DR
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 572-5782

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 Sungsil Cho's NPI number?

The NPI number for Sungsil Cho is 1437611696. It was assigned to this individual provider in the NPPES registry on April 4, 2019.

Where is Sungsil Cho located?

Sungsil Cho practices at 23 Clara Dr, Mystic, CT 06355. The listed phone number is (860) 572-5782.

What is Sungsil Cho's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sungsil Cho enrolled in Medicare?

Yes. Sungsil Cho 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.

Is Sungsil Cho affiliated with any hospitals?

According to CMS data, Sungsil Cho is affiliated with Westerly Hospital.

When was this NPI record last updated?

The NPPES record for Sungsil Cho was last updated on November 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.