Active NPI
Jaewon Chang
- Orthopaedic Surgery Physician
- Elmira, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 317210
- Practice address
- 300 Hoffman St
Elmira, NY 14905-2263 - Phone
- (607) 734-4110
- NPI assigned
- Jun 21, 2016
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 317210 | NY | Primary |
| Orthopaedic Surgery Physician | 207X00000X | OT017024 | PA |
Addresses
Primary practice location
300 Hoffman St
Elmira, NY 14905-2263
Mailing address
571 Saint Josephs Blvd FL 2
Elmira, NY 14901-3230
Phone (607) 271-2050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- 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
- Orthopedic Surgery
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Phoenix Rehabilitation and Health Services Inc
Practice addresses (Care Compare)
200 Madison Ave
Suite 1a
Elmira, NY 14901-3219
Phone (607) 734-4110
2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238
Hospital & facility affiliations
- Chemung Co Dept Health Chha
- Arnot Ogden Medical Center
- Ira Davenport Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.64 of 100
- Quality
- 55.31
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 76.8
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.15 of 100
- Quality
- 46.76
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.08
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 13 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 36 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT017024 | PA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arnot Ogden Medical Center | Current | Accepting new patients | |
| Arnot Ogden Medical Center | Current | Accepting new patients | |
| Arnot Medical Services PLLC | Orthopaedic Surgery | Current | Accepting new patients |
Locations
123 Conhocton St
Ste 103
Corning, NY 14830
Phone (607) 438-1200
600 Roe Ave
Ste 1F
Elmira, NY 14905
Phone (607) 795-8161
200 Madison Ave
Ste 1A
Elmira, NY 14901
Phone (607) 734-4110
300 Hoffman St
Elmira, NY 14905
Phone (607) 734-4110
571 Saint Josephs Blvd
Fl 2
Elmira, NY 14901
Phone (607) 271-2050
571 Saint Josephs Blvd
Ste 304
Elmira, NY 14901
Phone (607) 271-2050
600 Roe Ave
Elmira, NY 14905
Phone (607) 733-3639
100 John Roemmelt Dr
Ste 102
Horseheads, NY 14845
Phone (607) 795-1666
Interoperability endpoints
- jaewon.chang@arn.eclinicaldirectplus.com
- jchang25189@direct.xtensys.com
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Elmira, NY
- NPI 1083605661
-
- Internal Medicine Physician
- Elmira, NY
- NPI 1427326768
Orthopaedic Surgery
-
- Community/Retail Pharmacy
- Elmira, NY
- NPI 1831875004
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elmira, NY
- NPI 1083605661
-
- Home Health Agency
- Elmira, NY
- NPI 1528054194
-
- Rural Acute Care Hospital
- Bath, NY
- NPI 1306930318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657497600000",
"number": "1801246798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "571 SAINT JOSEPHS BLVD FL 2",
"city": "ELMIRA",
"state": "NY",
"postal_code": "149013230",
"telephone_number": "607-271-2050",
"fax_number": "607-873-1244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 HOFFMAN ST",
"city": "ELMIRA",
"state": "NY",
"postal_code": "149052263",
"telephone_number": "607-734-4110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "JAEWON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-21",
"last_updated": "2022-07-11",
"certification_date": "2022-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NY",
"license": "317210",
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "PA",
"license": "OT017024",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elmira, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; 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.