Jaeyoung Yoon, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

115101 Issued in MO

Practice address

1060 Meyer Rd
Wentzville, MO 63385-3800

Phone

(314) 230-1500

Fax

(314) 230-1122

NPI assigned

May 6, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Saint Louis University School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Yoon Dermatology, LLCGroup PAC ID 5799101465, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

26.08 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

86.94

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/89787a16-eaf7-491e-bab0-d804157796a5/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Yoon Dermatology LLC

  • Dermatology Physician
  • Wentzville, MO
  • NPI 1811510886
  Medicare reassignment Care Compare group NPD Authorized official
• Pike County Memorial Hospital

  • Rural Health Clinic/Center
  • Bowling Green, MO
  • NPI 1124030424
  Medicare reassignment NPD
• Pike County Memorial Hospital

  • Critical Access Hospital
  • Louisiana, MO
  • NPI 1205837218
  Medicare reassignment NPD
• Pike County Memorial Hospital

  • Rural Health Clinic/Center
  • Vandalia, MO
  • NPI 1033578588
  NPD
• Pike County Memorial Hospital

  • Rural Health Clinic/Center
  • Bowling Green, MO
  • NPI 1134633456
  NPD
• Pike County Memorial Hospital

  • Critical Access Hospital
  • Louisiana, MO
  • NPI 1346464450
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1205885563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 MEYER RD",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853800",
            "telephone_number": "314-230-1500",
            "fax_number": "314-230-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 MEYER RD",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853800",
            "telephone_number": "314-230-1500",
            "fax_number": "314-230-1122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "509 W 18th St",
            "address_purpose": "LOCATION",
            "city": "Hermann",
            "state": "MO",
            "postal_code": "650411547",
            "country_code": "US",
            "telephone_number": "573-486-2191",
            "fax_number": "573-486-3743",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1015 W Adams St",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "MO",
            "postal_code": "633341974",
            "country_code": "US",
            "telephone_number": "573-324-5300",
            "fax_number": "573-324-6059",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2325 Dougherty Ferry Rd Ste 207",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631223356",
            "country_code": "US",
            "telephone_number": "314-230-1500",
            "fax_number": "314-230-1122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOON",
        "first_name": "JAEYOUNG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-06",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "115101",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MO",
            "license": "115101",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Wright, PHARMD
• Kristen Leigh Wurth, LPC
• X Chiropractic & Acupuncture LLC
• Xephyr M Day DC LLC
• Yoon Dermatology LLC
• Tiffany Young
• Samantha Marie Youngblood, DDS
• Brian Zellers, PHARMD
• Bernice Ziganto
• Jessica Zwicky

• Dermatology Physician in Wentzville, MO
• Providers in Wentzville, MO by specialty
• Dermatology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.