JIYEON KOO
NPI 1881399335
Family Medicine in Gainesville, FL

Q: What is Jiyeon Koo's NPI number?

The NPI number for Jiyeon Koo is 1881399335. It was assigned to this individual provider in the NPPES registry on April 4, 2023.

Q: What is Jiyeon Koo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jiyeon Koo was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 04, 2023PECOS Enrolled

1707 N MAIN ST, GAINESVILLE, FL 32609(352) 265-9593 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 30, 2026, Apr 4, 2023 (2 updates tracked since 2023).

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About Jiyeon Koo NPPES

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

JIYEON KOO (NPI 1881399335) is an individual family medicine provider in Gainesville, Florida, licensed in Florida (ME179562) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Gainesville, and is a graduate of University Of South Florida College Of Medicine (2023).

NPPES Registry Identity

NPI1881399335

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameJIYEON KOO

Location Address1707 N MAIN STGainesville, FL 32609-3650

Mailing Address1707 N Main StGainesville, FL 32609-3650

Phone(352) 265-9593

Sole ProprietorNo

Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2023

Enumeration DateApril 4, 2023

Last NPPES UpdateJuly 30, 20262 updates tracked since enumeration

NPPES CertifiedJuly 30, 2026

✔ NPI 1881399335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · ME179562

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1707 N MAIN ST, Gainesville, FL 32609

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Secondary Practice Location 1

Location 11600 SW Archer RdGainesville, FL 32610-3003 · Phone (352) 265-8200

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) 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 (PECOS)

Jiyeon Koo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810342532

PECOS Enrollment IDI20260811005144

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 Jiyeon Koo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Florida Clinical Practice Association Inc

2.2 mi

Surgery

1600 SW ARCHER RD
Gainesville, FL 32610

Reassigned Medicare billing, Florida enrollment
3,324 clinicians in this Medicare group

NPI 1063463768 (352) 265-7922

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32609 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 20

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

DR. SAMUEL TRINGALI DO

Family Medicine