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Dr. Peter Taejoo Jeong , DC

Chiropractor β€’ Fairfax, VA

Active NPI 1538391750 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

10721 Main St Ste G7
Fairfax, VA 220306913

Call 7038146650 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

10721 Main St Ste G7

Fairfax, VA 220306913

Telephone 7038146650
Organization at the Same NPPES Address or Phone
Myungmun Oriental Medicine Llc Facility NPI 1457710725

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Manassas, VA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Palmer College Chiropractic - Davenport

Graduation Year

2009

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

Years since graduation

17 years (graduated 2009)

CMS Doctors and Clinicians data list 2009 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2009

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Jeong has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Fairfax and Virginia

78 active clinicians are listed under Chiropractor with a practice address in Fairfax, VA (1,566 in Virginia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Fairfax

0% of these 78 clinicians have the CMS telehealth indicator.

32.1% of these 78 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-07-25
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

License # reported to NPPES VA 0104556735

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Virginia Department of Health Professions.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CHIROPRACTIC

Medicare Enrollment ID

I20210923003368

Enrollment State Jurisdiction

DC

PECOS Control ID

0042469264

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

7960 Donegan Dr Ste 233

Manassas, VA 201098236

Phone: 7033663199

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

14 Historical Events
πŸ“
Updated Practice Location July 25, 2021

Registered at 10721 MAIN ST STE G7, FAIRFAX, VA 220306913 (Tel: 7038146650)

πŸ“
Updated Business Mailing Address July 25, 2021

Registered at 10721 MAIN ST STE G7, FAIRFAX, VA 220306913 (Tel: 7038146650)

πŸ‘€
Provider Name / Credentials Updated July 25, 2021

Recorded as PETER JEONG, DC

βœ…
NPI Profile Active August 17, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location August 17, 2017

Registered at 7960 DONEGAN DR STE 233, MANASSAS, VA 201098236 (Tel: (703) 366-3199)

πŸ“
Updated Business Mailing Address August 17, 2017

Registered at 7960 DONEGAN DR, STE 233, MANASSAS, VA 201098236 (Tel: (703) 366-3199)

πŸ‘€
Provider Name / Credentials Updated August 17, 2017

Recorded as PETER JEONG, D.C.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2017

Chiropractor (license number reported to NPPES: VA 0104556735)

βœ…
NPI Profile Active December 05, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 05, 2016

Registered at 7806 SUDLEY RD, SUITE 205, MANASSAS, VA 201092859 (Tel: 7033663199)

πŸ“
Business Mailing Address (Initial Record) December 05, 2016

Registered at 7960 DONEGAN DR, STE 233, MANASSAS, VA 201098236 (Tel: 7033663199)

πŸ‘€
Provider Name / Credentials (Initial Record) December 05, 2016

Recorded as TAEJOO JEONG, D.C.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2016

Chiropractor (license number reported to NPPES: VA 0104556735)

🟒
Initial NPI Registration & Enumeration August 20, 2009

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1538391750
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 20, 2009
Last Update: July 21, 2022
Sole Proprietor: No

Other Chiropractors in Fairfax

All Chiropractors in Fairfax

Mailing Address

10721 Main St Ste G7

Fairfax, VA 220306913

Phone: 7038146650

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.