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DR. PEI CHANG CHUNG M.D.
NPI 1669609988
Surgery in Maryville, IL

Active since June 12, 2009PECOS EnrolledAccepts Medicare Assignment
74.42/100
CMS Quality Rating
6810 STATE ROUTE 162 STE 100, MARYVILLE, IL 62062(618) 288-3616(618) 288-3647 Get Directions Write a Review

NPPES record last updated: April 9, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Pei Chang Chung M.d. NPPES

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

DR. PEI CHANG CHUNG M.D. (NPI 1669609988) is an individual surgery provider in Maryville, Illinois, licensed in Illinois (036.129090) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Anderson Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1669609988
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. PEI CHANG CHUNGCredential: M.D.
Location Address6810 STATE ROUTE 162 STE 100Maryville, IL 62062-8560
Mailing Address6810 State Route 162 Ste 100Maryville, IL 62062-8560 · (618) 288-3616 · Fax (618) 288-3647
Phone(618) 288-3616
Fax(618) 288-3647
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJune 12, 2009
Last NPPES UpdateApril 9, 2020
NPPES CertifiedApril 9, 2020
✔ NPI 1669609988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IL · 036.129090
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
6810 STATE ROUTE 162 STE 100, Maryville, IL 62062
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield 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

Dr. Pei Chang Chung 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 ID7810042827
PECOS Enrollment IDI20120316000723
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 Reassignment

Medicare enrollment records show Pei Chang Chung reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Anderson Medical Group, LLC
Same address
General Practice
6810 STATE ROUTE 162, SUITE 215
Maryville, IL 62062
  • Reassigned Medicare billing, Illinois enrollment
  • 145 clinicians in this Medicare group
NPI 1700807716 (618) 288-5711

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 6

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.
62 services34 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.
50 services48 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
26 services26 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
26 services19 patients
Removal of gallbladder using an endoscope 47562
This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.
14 services14 patients
Fluoroscopic guidance for insertion or removal of central vein access device 77001
Fluoroscopic guidance for central vein access device insertion or removal is a procedure where a special X-ray, called a fluoroscope, is used to help accurately place or remove a device in a central vein. This device aids in delivering medications or collecting blood samples.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Anderson Hospital

Acute Care Hospitals · Maryville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140289
Location6800 State Route 162Maryville, IL 62062 · Madison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62062 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
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.

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.

74.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.31
Promoting Interoperability85
Improvement Activities40
Cost56.92

Other Providers at the Same Location NPPES 5

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

DR. RICHARD HENRY WIKIERA D.O.
Surgery
6810 STATE ROUTE 162 STE 100
MARYVILLE, IL 62062
Madison County (618) 288-3616
CHARLES A. LANE MD
Surgery
6810 STATE ROUTE 162 STE 100
MARYVILLE, IL 62062
Madison County (618) 288-5711
SCOTT WONG MD
Surgery
6810 STATE ROUTE 162 STE 100
MARYVILLE, IL 62062
Madison County (618) 288-3616
KELSY BRIKAY WASMUTH FNP
Nurse Practitioner (Family)
6810 STATE ROUTE 162 STE 100
MARYVILLE, IL 62062
Madison County (618) 288-3616
DR. DANIEL STEVEN JOHNSON M.D.
Surgery
6810 STATE ROUTE 162 STE 100
MARYVILLE, IL 62062
Madison County (618) 288-3616

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 Pei Chang Chung's NPI number?

The NPI number for Pei Chang Chung is 1669609988. It was assigned to this individual provider in the NPPES registry on June 12, 2009.

Where is Pei Chang Chung located?

Pei Chang Chung practices at 6810 State Route 162 Ste 100, Maryville, IL 62062. The listed phone number is (618) 288-3616.

What is Pei Chang Chung's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Pei Chang Chung enrolled in Medicare?

Yes. Pei Chang Chung 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 organization bills Medicare for Pei Chang Chung's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pei Chang Chung reassigns Medicare benefits to Anderson Medical Group, LLC (Maryville, IL). The 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 Pei Chang Chung's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pei Chang Chung accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield and UnitedHealthcare list Pei Chang Chung 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 Pei Chang Chung affiliated with any hospitals?

According to CMS data, Pei Chang Chung is affiliated with Anderson Hospital.

When was this NPI record last updated?

The NPPES record for Pei Chang Chung was last updated on April 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.