Active NPI
Mark A Jung, M.D.
- Family Medicine Physician
- Boerne, TX
National Provider Identifier
1528356565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- P6652
- Practice address
- 905 N Main Ste 105
Ste 105
Boerne, TX 78006 - Phone
- (830) 816-5800
- Fax
- (830) 816-5860
- NPI assigned
- Jul 12, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | P6652 | TX | Primary |
| Family Medicine Physician | 207Q00000X | BP10041429 | TX |
Addresses
Primary practice location
905 N Main Ste 105
Ste 105
Boerne, TX 78006
Mailing address
905 N Main Ste 105
Ste 105
Boerne, TX 78006
Phone (830) 816-5800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Texas Medical Branch at Galveston, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
905 N Main St
Boerne, TX 78006-1659
Phone (830) 816-5800
Hospital & facility affiliations
- Accentcare Home Health of Texas
- Mission Home Health
- Capitol Home Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.2 of 100
- Quality
- 88.17
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 89.18
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10041429 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports and Family Medicine of Boerne PA | Current | Accepting new patients |
Locations
905 N Main St
Ste 105
Boerne, TX 78006
Phone (830) 816-5800
Interoperability endpoints
- mark.jung.1@12476.direct.athenahealth.com
- https://api.platform.athenahealth.com/12476/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- Sports Medicine (Family Medicine) Physician
- Boerne, TX
- NPI 1033558028
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- San Antonio, TX
- NPI 1225472913
-
- Home Health Agency
- San Antonio, TX
- NPI 1194362350
-
- Home Health Agency
- San Antonio, TX
- NPI 1396968491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620172800000",
"number": "1528356565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 N MAIN STE 105",
"address_2": "STE 105",
"city": "BOERNE",
"state": "TX",
"postal_code": "78006",
"telephone_number": "830-816-5800",
"fax_number": "830-816-5860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 N MAIN STE 105",
"address_2": "STE 105",
"city": "BOERNE",
"state": "TX",
"postal_code": "78006",
"telephone_number": "830-816-5800",
"fax_number": "830-816-5860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUNG",
"first_name": "MARK",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-12",
"last_updated": "2021-05-05",
"certification_date": "2021-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "P6652",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "BP10041429",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boerne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.