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DR. JU YON SOPHIE YI MD, DDS
NPI 1447461173
Dentist - Oral and Maxillofacial Surgery in Issaquah, WA

Active since May 24, 2007Opted out of Medicare · through Nov 10, 2027
450 NW GILMAN BLVD STE 101, ISSAQUAH, WA 98027(425) 961-9600(425) 961-9601 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 27, 2026, Nov 6, 2018, Mar 17, 2018 and 2 more (5 updates tracked since 2016).

About Dr. Ju Yon Sophie Yi Md, Dds NPPES

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

DR. JU YON SOPHIE YI MD, DDS (NPI 1447461173) is an individual oral and maxillofacial surgery provider in Issaquah, Washington, licensed in Washington (DENT.DE.60286345) and active in the NPI registry since May 2007. She has opted out of Medicare through November 10, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1447461173
Entity TypeIndividualFemale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JU YON SOPHIE YICredential: MD, DDS
Location Address450 NW GILMAN BLVD STE 101Issaquah, WA 98027-2483
Mailing Address450 Nw Gilman Blvd Ste 101Issaquah, WA 98027-2483 · (425) 961-9600 · Fax (425) 961-9601
Phone(425) 961-9600
Fax(425) 961-9601
Sole ProprietorYes
Enumeration DateMay 24, 2007
Last NPPES UpdateMarch 27, 20265 updates tracked since enumeration
NPPES CertifiedMarch 27, 2026
✔ NPI 1447461173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in WA · DENT.DE.60286345✔ Licensed in WA · MD.MD.60287405
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X · License MD.MD.60287405 (WA)
450 NW GILMAN BLVD STE 101, Issaquah, WA 98027
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Other Identifiers 1

Medicaid2033733WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. Ju Yon Sophie Yi Md, Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 10, 2017 through November 10, 2027.

Opt-Out Effective DateNovember 10, 2017
Opt-Out In Effect ThroughNovember 10, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98027 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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 2

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

DYNACARE NORTHWEST INC.
Clinical Medical Laboratory
450 NW GILMAN BLVD STE 101
ISSAQUAH, WA 98027
King County (425) 391-0752
JU YON SOPHIE YI, MD, DDS, PLLC
Clinic/Center (Oral and Maxillofacial Surgery)
450 NW GILMAN BLVD STE 101
ISSAQUAH, WA 98027
King County (426) 961-9600

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 Ju Yon Yi's NPI number?

The NPI number for Ju Yon Yi is 1447461173. It was assigned to this individual provider in the NPPES registry on May 24, 2007.

Where is Ju Yon Yi located?

Ju Yon Yi practices at 450 NW Gilman Blvd Ste 101, Issaquah, WA 98027. The listed phone number is (425) 961-9600.

What is Ju Yon Yi's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Ju Yon Yi enrolled in Medicare?

No. Ju Yon Yi has opted out of Medicare through November 10, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Ju Yon Yi accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 7 other insurers list Ju Yon Yi 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.

When was this NPI record last updated?

The NPPES record for Ju Yon Yi was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.