Active NPI 1306221858 Individual Practitioner Female Practitioner

Sang Mi Jeon , AGPCNP-BC

Nurse Practitioner • Southbridge, MA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Sang Mi Jeon, AGPCNP-BC is a certified Nurse Practitioner practicing in Southbridge, MA. With approximately 11 years of clinical experience since completing medical education in 2015, Sang Mi Jeon delivers high-quality medical care to the local community at 100 SOUTH ST.

Sang Mi Jeon is affiliated with Umass Memorial Medical Group Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include initial hospital care with straightforward or low-level medical decision making, if using time, at least, established patient outpatient office visit, telephone medical discussion with physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

100 South St

Southbridge, MA 015504051

Telephone 5087569771

Fax 5089097735

Associated Practice Facility / Clinic

🏢 Hugh M. Cooper Md Pc Facility NPI 1881680874

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Southbridge, MA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs -1.3 yrs vs City Avg

City Avg: 12.3 Yrs

State Avg: 12.5 Yrs

Regional Practice Density

16 Specialists

Practicing in Southbridge, MA (3545 Statewide)

Telehealth Adoption Rate

6.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

79.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jeon (11 Years) 11 Yrs

Southbridge Specialty Average (12.3 Years) 12.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	240	217	$450.00	$109.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	51	$445.00	$80.94
99441 Telephone medical discussion with physician, 5-10 minutes	51	46	$197.00	$48.57
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	44	41	$621.00	$121.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	288	267	$413.37	$112.68
99441 Telephone medical discussion with physician, 5-10 minutes	57	49	$167.14	$30.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	39	$410.60	$84.49
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	40	40	$511.02	$124.18
99443 Telephone medical discussion with physician, 21-30 minutes	17	16	$382.00	$84.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	145	135	$400.00	$118.39
99219 Hospital observation care, typically 50 minutes	112	108	$346.00	$116.10
99441 Telephone medical discussion with physician, 5-10 minutes	50	46	$160.00	$31.47
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	46	43	$212.00	$62.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	28	$359.00	$86.84
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	32	30	$482.00	$129.16
99225 Subsequent observation care, typically 25 minutes per day	19	16	$186.00	$62.10
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$684.00	$162.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99219 Hospital observation care, typically 50 minutes	134	130	$346.00	$118.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	116	111	$400.00	$119.22
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	35	34	$482.00	$130.64
99441 Telephone medical discussion with physician, 5-10 minutes	27	24	$160.00	$32.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99219 Hospital observation care, typically 50 minutes	131	126	$346.00	$122.18
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	130	123	$376.80	$123.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	178	168	$348.00	$120.55
99219 Hospital observation care, typically 50 minutes	130	123	$346.00	$119.65
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	38	26	$184.00	$63.99
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$516.00	$177.99
99238 Hospital discharge day management, 30 minutes or less	13	13	$186.00	$64.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	161	149	$348.00	$120.65
99219 Hospital observation care, typically 50 minutes	90	89	$346.00	$120.07
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	41	41	$516.00	$178.90
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	13	$184.00	$64.20
99220 Hospital observation care, typically 70 minutes	15	15	$473.00	$164.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	36	34	$348.00	$116.81
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	32	32	$472.13	$174.49
99219 Hospital observation care, typically 50 minutes	19	19	$346.00	$118.01

Medical Specialties & State Licenses

CMS Verified: 2026-02-27

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MA RN2284588

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

110126617A (MA)

Hospital & Practice Group Affiliations

Umass Memorial Medical Group Inc

55 Lake Ave N, Worcester, MA 016550002

Phone: 5083341000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners

Cindy Porter

Nurse Practitioner - Family

NPI 1083158083

Dr. Tai Temple , MD

Internal Medicine

NPI 1114971694

Doctor of Medicine (M.D.)

Dr. Patrick Duplan , MD

Internal Medicine

NPI 1124656285

Doctor of Medicine (M.D.)

Beth Connell , NP

Nurse Practitioner

NPI 1225228562

Nurse Practitioner

Dr. Mary Banda , MD

Internal Medicine

NPI 1265481311

Doctor of Medicine (M.D.)

Dr. Vincent Kan , MD

Emergency Medicine

NPI 1306264395

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events

📍

Updated Practice Location February 27, 2026

Registered at 100 SOUTH ST, SOUTHBRIDGE, MA 015504051 (Tel: 5087569771)

📍

Updated Practice Location November 09, 2020

Registered at 55 LAKE AVE N, WORCESTER, MA 016550002 (Tel: 5088561975)

📍

Updated Business Mailing Address November 09, 2020

Registered at PO BOX 415348, BOSTON, MA 022415348 (Tel: 8002258885)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2020

Nurse Practitioner (License #RN2284588 in MA)

✅

NPI Profile Active August 08, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location August 08, 2017

Registered at 100 SOUTH ST, SOUTHBRIDGE, MA 015504051 (Tel: 5087659771)

📍

Updated Business Mailing Address August 08, 2017

Registered at PO BOX 40, SOUTHBRIDGE, MA 015500040 (Tel: (508) 909-7799)

👤

Provider Name / Credentials Updated August 08, 2017

Recorded as SANG MI JEON, AGPCNP-BC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2017

Nurse Practitioner (License #RN2284588 in MA)

✅

NPI Profile Active October 26, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location October 26, 2015

Registered at 600 SAINT JOHNSBURY RD, LITTLETON, NH 035613442 (Tel: 6034449565)

📍

Updated Business Mailing Address October 26, 2015

Registered at 600 SAINT JOHNSBURY RD, LITTLETON, NH 035613442 (Tel: 6034449000)

👤

Provider Name / Credentials Updated October 26, 2015

Recorded as SANG MI JEON, AGPCNP-BC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2015

Nurse Practitioner (License #RN2284588 in MA)

🟢

Initial NPI Registration & Enumeration July 27, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306221858

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 27, 2015

Last Update: February 27, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 415348

Boston, MA 022415348

Phone: 8002258885

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.