JIYEON JEON MD
NPI 1902223050
Family Medicine in Seaside, OR
About Jiyeon Jeon Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JIYEON JEON MD (NPI 1902223050) is an individual family medicine provider in Seaside, Oregon, licensed in Oregon (MD190569) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jiyeon Jeon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jiyeon Jeon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Barrow, AK 99723
- Reassigned Medicare billing, Alaska enrollment
- 118 clinicians in this Medicare group
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 97138 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SEASIDE, OR 97138
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 Jiyeon Jeon's NPI number?
The NPI number for Jiyeon Jeon is 1902223050. It was assigned to this individual provider in the NPPES registry on March 26, 2014.
Where is Jiyeon Jeon located?
Jiyeon Jeon practices at 727 S Wahanna Rd, Seaside, OR 97138. The listed phone number is (503) 717-7060.
What is Jiyeon Jeon's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jiyeon Jeon enrolled in Medicare?
Yes. Jiyeon Jeon is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jiyeon Jeon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jiyeon Jeon reassigns Medicare benefits to Arctic Slope Native Association Ltd (Barrow, AK). 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 Jiyeon Jeon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jiyeon Jeon was last updated on September 28, 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.
# Jiyeon Jeon, MD · NPI 1902223050
Family Medicine physician in Seaside, Oregon. Individual provider, active in the CMS NPPES registry since March 26, 2014.
## Identity
- **NPI:** 1902223050 (Entity type: Individual)
- **Enumerated:** March 26, 2014
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD190569 (Oregon)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 727 S WAHANNA RD, Seaside, OR 97138-7735
- **Phone:** (503) 717-7060
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Arctic Slope Native Association Ltd (NPI 1306933643, Barrow, AK), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 28, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1902223050) · Data from the CMS NPPES public registry.