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DR. DONGXU SUN M.D.
NPI 1538353149
Hospitalist in Mt Pleasant, TX

Active since August 28, 2007PECOS EnrolledAccepts Medicare Assignment
2001 N JEFFERSON AVE, MT PLEASANT, TX 75455(903) 577-6000 Get Directions Write a Review

NPPES record last updated: March 18, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 18, 2019, Jan 3, 2017 (2 updates tracked since 2017).

About Dr. Dongxu Sun M.d. NPPES

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

DR. DONGXU SUN M.D. (NPI 1538353149) is an individual hospitalist provider in Mt Pleasant, Texas, licensed in Oklahoma (28082) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Comanche County Memorial Hospital, and maintains a secondary practice location in Mcalester.

NPPES Registry Identity

NPI1538353149
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. DONGXU SUNCredential: M.D.
Location Address2001 N JEFFERSON AVEMt Pleasant, TX 75455-2338
Mailing Address1370 N Interstate Dr, Suite 154Norman, OK 73072-3376 · (405) 307-6668 · Fax (405) 701-6170
Phone(903) 577-6000
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateAugust 28, 2007
Last NPPES UpdateMarch 18, 20192 updates tracked since enumeration
✔ NPI 1538353149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in OK · 28082
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 28082 (OK), N7972 (TX)
2001 N JEFFERSON AVE, Mt Pleasant, TX 75455
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Secondary Practice Location 1

Location 11 E Clark Bass BlvdMcAlester, OK 74501-4209 · Phone (918) 421-6743 · Fax (918) 421-6647

Other Identifiers 4

Medicaid220590807TX
Other75-2616977-042TX · Tricare
Other8DK100TX · Bcbs
OtherP01105249TX · Rail Road

Accepted Insurance

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

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. Dongxu Sun M.d. 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 ID4082896345
PECOS Enrollment IDI20170207002843
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 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.
425 services145 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.
184 services62 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
73 services71 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
70 services69 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.
64 services62 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
54 services26 patients

Hospital Affiliations CMS Care Compare

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

Comanche County Memorial Hospital

Acute Care Hospitals · Lawton, OK
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number370056
Location3401 West Gore BlvdLawton, OK 73505 · Comanche County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75455 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
84%32 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers42 claims42 services$17.45 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers42 claims42 services$89.76 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 20

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

DR. JOEL D. CHAPMAN M.D.
Pediatrics
2001 N JEFFERSON AVE, SUITE 300
MOUNT PLEASANT, TX 75455
Titus County (903) 572-9823
MR. DONALD ROSEBERRY PA-C
Physician Assistant
2001 N JEFFERSON AVE
MOUNT PLEASANT, TX 75455
Titus County (903) 577-6000
MS. LINDA MARIE MCDERMOTT-GONZALEZ PNP
Nurse Practitioner (Pediatrics)
2001 N JEFFERSON AVE, SUITE 300
MOUNT PLEASANT, TX 75455
Titus County (903) 572-9823
HUSSAIN HAIDERI M.D.
Internal Medicine (Nephrology)
2001 N JEFFERSON AVE
MT PLEASANT, TX 75455
Titus County (903) 577-6000
TITUS COUNTY HOSPITAL DISTRICT
Clinic/Center (Multi-Specialty)
2001 N JEFFERSON AVE
MOUNT PLEASANT, TX 75455
Titus County (903) 577-6000
TITUS COUNTY HOSPITAL DISTRICT
Ambulance (Land Transport)
2001 N JEFFERSON AVE
MOUNT PLEASANT, TX 75455
Titus County (903) 577-6000
CLINICAL PARTNERS - MT PLEASANT
Anesthesiology
2001 N JEFFERSON AVE
MT PLEASANT, TX 75455
Titus County (903) 663-3600
MOTHER FRANCES HOSPITAL-WINNSBORO
Psychiatric Unit
2001 N JEFFERSON AVE
MOUNT PLEASANT, TX 75455
Titus County (903) 577-6000

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 Dongxu Sun's NPI number?

The NPI number for Dongxu Sun is 1538353149. It was assigned to this individual provider in the NPPES registry on August 28, 2007.

Where is Dongxu Sun located?

Dongxu Sun practices at 2001 N Jefferson Ave, Mt Pleasant, TX 75455. The listed phone number is (903) 577-6000.

What is Dongxu Sun's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Dongxu Sun enrolled in Medicare?

Yes. Dongxu Sun 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.

What insurance does Dongxu Sun accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Medica and Mending Health list Dongxu Sun 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 Dongxu Sun affiliated with any hospitals?

According to CMS data, Dongxu Sun is affiliated with Comanche County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Dongxu Sun was last updated on March 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.