LUKE SUNGHOON HONG MD
NPI 1497371256
Family Medicine in Covington, KY

Q: What is Luke Hong's NPI number?

The NPI number for Luke Hong is 1497371256. It was assigned to this individual provider in the NPPES registry on June 17, 2020.

Q: What is Luke Hong's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Luke Hong was last updated on May 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 17, 2020PECOS EnrolledAccepts Medicare Assignment

1500 JAMES SIMPSON JR WAY, COVINGTON, KY 41011(859) 655-4111(859) 655-4815 Get Directions Write a Review

NPPES record last updated: May 2, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 2, 2024, Jul 3, 2023, Jun 17, 2020 (3 updates tracked since 2020).

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About Luke Sunghoon Hong Md NPPES

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

LUKE SUNGHOON HONG MD (NPI 1497371256) is an individual family medicine provider in Covington, Kentucky, licensed in Kentucky (57424) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Edgewood, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1497371256

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameLUKE SUNGHOON HONGCredential: MD

Location Address1500 JAMES SIMPSON JR WAYCovington, KY 41011-0801

Mailing AddressPo Box 635283Cincinnati, OH 45263-5283 · (859) 655-4111 · Fax (859) 655-4815

Phone(859) 655-4111

Fax(859) 655-4815

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJune 17, 2020

Last NPPES UpdateMay 2, 20243 updates tracked since enumeration

NPPES CertifiedMay 2, 2024

✔ NPI 1497371256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in KY · 57424

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.

1500 JAMES SIMPSON JR WAY, Covington, KY 41011

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

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

Luke Sunghoon Hong 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 ID8224492616

PECOS Enrollment IDI20230919001555

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

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

Summit Medical Group, Inc.

4.3 mi

Urgent Care

2626 ALEXANDRIA PIKE
Highland Heights, KY 41076

Reassigned Medicare billing, Kentucky enrollment
946 clinicians in this Medicare group

NPI 1881026169 (859) 757-0434

Usacs Integrated Acute Care Services Of Ohio, LLC

70 mi

Internal Medicine

100 MEDICAL CENTER DR
Springfield, OH 45504

Reassigned Medicare billing, Ohio enrollment
494 clinicians in this Medicare group

NPI 1043805690 (844) 474-4019

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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

143 services53 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.

92 services66 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

60 services50 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

42 services39 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

35 services20 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.

16 services16 patients

Hospital Affiliations CMS Care Compare

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

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number180035

Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41011 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

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.

KENNETRA BRADSHAW RD

Dietitian, Registered

1500 JAMES SIMPSON JR WAY
COVINGTON, KY 41011

Kenton County (859) 655-8910

DR. EUGENE JAMES BURCHELL JR. M.D.

Obstetrics & Gynecology

1500 JAMES SIMPSON JR WAY, WOULD CARE DEPT.
COVINGTON, KY 41011

Kenton County (859) 655-1100

WAEL E EID MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

1500 JAMES SIMPSON JR WAY, SUITE 301
COVINGTON, KY 41011

Kenton County (859) 655-8910

MR. ERIC R WOOD PA-C

Physician Assistant

1500 JAMES SIMPSON JR WAY
COVINGTON, KY 41011

Kenton County (859) 655-1100

MRS. BRIANA L. VITUCCI RD

Dietitian, Registered

1500 JAMES SIMPSON JR WAY
COVINGTON, KY 41011

Kenton County (859) 655-8910

RAE ELIZAGARAY RD

Dietitian, Registered

1500 JAMES SIMPSON JR WAY
COVINGTON, KY 41011

Kenton County (859) 655-8910

DR. NED MEHLMAN M.D.

Internal Medicine (Cardiovascular Disease)

1500 JAMES SIMPSON JR WAY
COVINGTON, KY 41011

Kenton County (859) 655-9500

IRINA KORABLEVA MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

1500 JAMES SIMPSON JR WAY
COVINGTON, KY 41011

Kenton County (859) 655-8910

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 Luke Hong's NPI number?

The NPI number for Luke Hong is 1497371256. It was assigned to this individual provider in the NPPES registry on June 17, 2020.

Where is Luke Hong located?

Luke Hong practices at 1500 James Simpson Jr Way, Covington, KY 41011. The listed phone number is (859) 655-4111.

What is Luke Hong's specialty?

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

Is Luke Hong enrolled in Medicare?

Yes. Luke Hong 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 organizations bill Medicare for Luke Hong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Luke Hong reassigns Medicare benefits to 2 organizations: Summit Medical Group, Inc. (Highland Heights, KY) and Usacs Integrated Acute Care Services Of Ohio, LLC (Springfield, OH). 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 Luke Hong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Luke Hong accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Luke Hong 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.

Is Luke Hong affiliated with any hospitals?

According to CMS data, Luke Hong is affiliated with St Elizabeth Edgewood.

When was this NPI record last updated?

The NPPES record for Luke Hong was last updated on May 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.