PHILLIP YUNMOGEE CHUNG MD
NPI 1639165947
Internal Medicine - Gastroenterology in Kenosha, WI

Active since September 22, 2005Opted out of Medicare · through Oct 1, 2026
79.61/100
CMS Quality Rating
6308 8TH AVE STE 202, KENOSHA, WI 53143(262) 653-5330(262) 653-5346 Get Directions Write a Review

NPPES record last updated: July 20, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 19, 2025, Jul 20, 2018, Jul 5, 2018 (3 updates tracked since 2018).

About Phillip Yunmogee Chung Md NPPES

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

PHILLIP YUNMOGEE CHUNG MD (NPI 1639165947) is an individual gastroenterology provider in Kenosha, Wisconsin, licensed in Wisconsin (45462) and active in the NPI registry since September 2005. He has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1639165947
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NamePHILLIP YUNMOGEE CHUNGCredential: MD
Location Address6308 8TH AVE STE 202Kenosha, WI 53143
Mailing Address6308 8th AveKenosha, WI 53143-5031 · (262) 653-5330 · Fax (262) 653-5346
Fax(262) 653-5346
Sole ProprietorNo
Enumeration DateSeptember 22, 2005
Last NPPES UpdateJuly 20, 20183 updates tracked since enumeration
NPI 1639165947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in WI · 45462
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
6308 8TH AVE STE 202, Kenosha, WI 53143

Other Identifiers 2

Medicaid34359700WI
Medicaid1639165947WI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Phillip Yunmogee Chung Md 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 October 1, 2024 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2024
Opt-Out In Effect ThroughOctober 1, 2026Opt-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 53143 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

79.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.88
Promoting Interoperability100
Improvement Activities40
Cost61.15

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 Phillip Chung's NPI number?

The NPI number for Phillip Chung is 1639165947. It was assigned to this individual provider in the NPPES registry on September 22, 2005.

Where is Phillip Chung located?

Phillip Chung practices at 6308 8th Ave Ste 202, Kenosha, WI 53143. The listed phone number is (262) 653-5330.

What is Phillip Chung's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Phillip Chung enrolled in Medicare?

No. Phillip Chung has opted out of Medicare through October 1, 2026. 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.

When was this NPI record last updated?

The NPPES record for Phillip Chung was last updated on July 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.