DR. EDWARD SUNG MD
NPI 1710976618
Ophthalmology - Glaucoma Specialist in Wheaton, IL

Active since October 14, 2005PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
2015 N MAIN ST, WHEATON, IL 60187(630) 668-8250(630) 668-8916 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Edward Sung Md NPPES

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

DR. EDWARD SUNG MD (NPI 1710976618) is an individual glaucoma specialist in Wheaton, Illinois, licensed in Illinois (036-110784) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Michigan Medical School (1999).

NPPES Registry Identity

NPI1710976618
Entity TypeIndividualMale
Primary Taxonomy207WX0009X
Provider Legal NameDR. EDWARD SUNGCredential: MD
Location Address2015 N MAIN STWheaton, IL 60187-3190
Mailing Address2015 N Main StWheaton, IL 60187-3190 · (630) 668-8250 · Fax (630) 668-8916
Fax(630) 668-8916
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1999
Enumeration DateOctober 14, 2005
Last NPPES UpdateAugust 27, 2024
NPPES CertifiedAugust 27, 2024
NPI 1710976618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmology · Glaucoma SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0009X
License Licensed in IL · 036-110784
Definition
An ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions.
Also ListedOphthalmologyTaxonomy 207W00000X · License 036-110784 (IL)
2015 N MAIN ST, Wheaton, IL 60187

Other Identifiers 2

OtherP00137636IL · Rr Medicare
Medicaid036-110784IL

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. Edward Sung 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 ID2860470473
PECOS Enrollment IDI20040709001397
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 15

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.

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.
1,261 services884 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
1,026 services713 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
902 services876 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
847 services840 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
137 services82 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
117 services77 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60187 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%38 patients5/55-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

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

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
5 suppliers12 claims12 services$49.67 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.

Ophthalmology (Retina Specialist)
2015 N MAIN ST
WHEATON, IL 60187
Optometrist
2015 N MAIN ST
WHEATON, IL 60187
Ophthalmology (Glaucoma Specialist)
2015 N MAIN ST
WHEATON, IL 60187
Ophthalmology
2015 N MAIN ST
WHEATON, IL 60187
Ophthalmology (Glaucoma Specialist)
2015 N MAIN ST
WHEATON, IL 60187
Ophthalmology
2015 N MAIN ST
WHEATON, IL 60187
Ophthalmology (Pediatric Ophthalmology and Strabismus Specialist)
2015 N MAIN ST
WHEATON, IL 60187
Ophthalmology
2015 N MAIN ST
WHEATON, IL 60187

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 Edward Sung's NPI number?

The NPI number for Edward Sung is 1710976618. It was assigned to this individual provider in the NPPES registry on October 14, 2005.

Where is Edward Sung located?

Edward Sung practices at 2015 N Main St, Wheaton, IL 60187. The listed phone number is (630) 668-8250.

What is Edward Sung's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Glaucoma Specialist, with taxonomy code 207WX0009X.

Is Edward Sung enrolled in Medicare?

Yes. Edward Sung 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.

When was this NPI record last updated?

The NPPES record for Edward Sung was last updated on August 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.