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Active NPI 1265695985 Individual Practitioner Male Practitioner

Dr. Theodore Alexander Kung , MD

Surgery - Plastic and Reconstructive Surgery • Ann Arbor, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Theodore Kung, MD is a certified Surgery - Plastic and Reconstructive Surgery practicing in Ann Arbor, MI. With approximately 18 years of clinical experience since graduating from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 2008, Dr. Kung delivers high-quality medical care to the local community at 24 FRANK LLOYD WRIGHT DR.

Dr. Kung is affiliated with Regents Of The University Of Michigan and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

24 Frank Lloyd Wright Dr
Lobby A

Ann Arbor, MI 481059484

Telephone 7349986022
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Ann Arbor, MI

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
18 Yrs Matches City Avg
City Avg: 18.0 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
4 Specialists

Practicing in Ann Arbor, MI (65 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
39.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kung (18 Years) 18 Yrs
Ann Arbor Specialty Average (18.0 Years) 18.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
12 12 $224.00 $136.22

Medical Specialties & State Licenses

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License MI 4301092228

A surgeon who specializes in plastic and reconstructive surgery.

Surgery - Plastic and Reconstructive Surgery

NUCC Taxonomy Code: 2086S0122X

State License WA MD60545604

A surgeon who specializes in plastic and reconstructive surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1265695985 (WA)

Hospital & Practice Group Affiliations

Regents Of The University Of Michigan

1500 E Medical Ctr Dr, Ann Arbor, MI 481095000

Phone: 7349364000

Regents Of The University Of Michigan

24 Frank Lloyd Wright Dr, Ann Arbor, MI 481059484

Phone: 7349986022

Regents Of The University Of Michigan

2098 S Main St, Ann Arbor, MI 481035827

Phone: 7349986485

Regents Of The University Of Michigan

4260 Plymouth Rd, Ann Arbor, MI 481092700

Phone: 7349366000

Regents Of The University Of Michigan

775 S Main St, Chelsea, MI 481181383

Phone: 7349986082

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Kevin Chung , MD

Plastic Surgery

NPI 1063510881

Doctor of Medicine (M.D.)

Dr. Amir Dehdashtian , MD

Student in an Organized Health Care Education/Training Program

NPI 1093451171

Doctor of Medicine (M.D.)

Connor Mullen

Student in an Organized Health Care Education/Training Program

NPI 1144843434
Jasmine Panton

Student in an Organized Health Care Education/Training Program

NPI 1154175503
Dr. Robert Gilman , MD

Plastic Surgery

NPI 1154398451

Doctor of Medicine (M.D.)

Claire Denecker , PA-C

Physician Assistant

NPI 1164019378

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 29, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 29, 2016

Registered at 24 FRANK LLOYD WRIGHT DR, LOBBY A, ANN ARBOR, MI 481059484 (Tel: 7349986022)

📍
Updated Business Mailing Address August 29, 2016

Registered at 3621 SOUTH STATE STREET, 700 KMS PLACE, ANN ARBOR, MI 48108 (Tel: 7349362047)

👤
Provider Name / Credentials Updated August 29, 2016

Recorded as THEODORE KUNG, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2016

Surgery (License #4301092228 in MI)

🟢
Initial NPI Registration & Enumeration July 02, 2008

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: 1265695985
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 02, 2008
Last Update: August 29, 2016
Sole Proprietor: No

Mailing Address

3621 South State Street, 700 Kms Place

Ann Arbor, MI 48108

Phone: 7349362047

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.