JAE GYUN MAENG MD
NPI 1881344349
Pediatrics in Knoxville, TN

Active since March 28, 2022PECOS Enrolled
9017 CROSS PARK DR STE 200, KNOXVILLE, TN 37923(865) 690-1161(865) 381-1509 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 13, 2026, Jun 25, 2025 (2 updates tracked since 2025).

About Jae Gyun Maeng Md NPPES

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

JAE GYUN MAENG MD (NPI 1881344349) is an individual pediatrics provider in Knoxville, Tennessee, licensed in Tennessee (73979) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Knoxville.

NPPES Registry Identity

NPI1881344349
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJAE GYUN MAENGCredential: MD
Location Address9017 CROSS PARK DR STE 200Knoxville, TN 37923-8605
Mailing Address1275 Dick Lonas Rd Unit 101Knoxville, TN 37909-1383 · (865) 584-4747 · Fax (865) 381-1509
Fax(865) 381-1509
Sole ProprietorYes
Enumeration DateMarch 28, 2022
Last NPPES UpdateMay 13, 20262 updates tracked since enumeration
NPPES CertifiedMay 13, 2026
NPI 1881344349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in TN · 73979
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

9017 CROSS PARK DR STE 200, Knoxville, TN 37923

Secondary Practice Location 1

Location 12201 Clinch AveKnoxville, TN 37916-2203 · Phone (865) 525-0228 · Fax (865) 381-1509

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jae Gyun Maeng Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37923 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 2

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

Pediatrics
9017 CROSS PARK DR STE 200
KNOXVILLE, TN 37923
Pediatrics
9017 CROSS PARK DR STE 200
KNOXVILLE, TN 37923

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881344349, enumerated as an "individual" on March 28, 2022.

The provider is located at 9017 CROSS PARK DR STE 200 KNOXVILLE, TN 37923 and the phone number is (865) 690-1161.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: BlueCross BlueShield of Tennessee. Please consult your insurance carrier or call the provider to verify.