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DR. IVY D CHUNG M.D.
NPI 1477822757
Family Medicine in Commack, NY

Active since December 15, 2011PECOS Enrolled
45 MALL DR, COMMACK, NY 11725(631) 326-4563(631) 493-1865 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Ivy D Chung M.d. NPPES

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

DR. IVY D CHUNG M.D. (NPI 1477822757) is an individual family medicine provider in Commack, New York, licensed in New York (263721) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477822757
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. IVY D CHUNGCredential: M.D.
Location Address45 MALL DRCommack, NY 11725-5700
Mailing Address30 Whitney CirGlen Cove, NY 11542-1316 · (917) 292-6971
Phone(631) 326-4563
Fax(631) 493-1865
Sole ProprietorNo
Enumeration DateDecember 15, 2011
Last NPPES UpdateJuly 15, 2025
NPPES CertifiedJuly 15, 2025
✔ NPI 1477822757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 263721
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.
45 MALL DR, Commack, NY 11725
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ivy D Chung M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Ivy Chung reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Charles Evans Center, Inc.
0.7 mi
Federally Qualified Health Center (FQHC)
305 OSER AVE
Hauppauge, NY 11788
  • Reassigned Medicare billing, New York enrollment
  • 66 clinicians in this Medicare group
NPI 1598299356 (516) 622-8888
State Of New York Comptrollers Office
25 mi
Developmental Disabilities
FINESON DDSOO CLINIC, 80-45 WINCHESTER BLVD BLDG 80
Queens Village, NY 11428
  • Reassigned Medicare billing, New York enrollment
  • 342 clinicians in this Medicare group
NPI 1972084366 (518) 402-4333

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11725 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 5

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

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
2 suppliers32 claims960 services$2.51 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
2 suppliers48 claims1,404 services$3.99 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
2 suppliers16 claims6,162 services$0.26 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
2 suppliers53 claims24,392 services$0.24 avg. paid by Medicare
Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4153
Other-Enteral and Parenteral · category OB006N
2 suppliers13 claims3,367 services$0.96 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 2

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

PRABHA PILLAI M.D
Internal Medicine (Geriatric Medicine)
45 MALL DR
COMMACK, NY 11725
Suffolk County (914) 376-5555
LONG ISLAND DDSO
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
45 MALL DR, SUITE 1
COMMACK, NY 11725
Suffolk County (631) 493-1747

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 Ivy Chung's NPI number?

The NPI number for Ivy Chung is 1477822757. It was assigned to this individual provider in the NPPES registry on December 15, 2011.

Where is Ivy Chung located?

Ivy Chung practices at 45 Mall Dr, Commack, NY 11725. The listed phone number is (631) 326-4563.

What is Ivy Chung's specialty?

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

Is Ivy Chung enrolled in Medicare?

Yes. Ivy Chung is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ivy Chung's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ivy Chung reassigns Medicare benefits to 2 organizations: Charles Evans Center, Inc. (Hauppauge, NY) and State Of New York Comptrollers Office (Queens Village, NY). Each 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 Ivy Chung'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 Ivy Chung was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.