Active NPI 1811002728 Individual Practitioner Male Practitioner

Dr. Harold Edward Chung-Loy , MD

Surgery • Edison, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Harold Chung-Loy, MD is a certified Surgery practicing in Edison, NJ. With approximately 46 years of clinical experience since graduating from Howard University College Of Medicine in 1980, Dr. Chung-Loy delivers high-quality medical care to the local community at 98 JAMES ST.

Dr. Chung-Loy is affiliated with Hackensack Meridian Health Medical Group - Specialty Care Pc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

98 James St
# 202

Edison, NJ 088203902

Telephone 7325481000

Fax 7325477590

Associated Practice Facility / Clinic

🏢 Kopidakis & Kopidakis Ptr Facility NPI 1184626186

Medicare Profile & Education

Medical School

Howard University College Of Medicine

Graduation Year

1980

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Edison, NJ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

46 Yrs +26.7 yrs vs City Avg

City Avg: 19.3 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

17 Specialists

Practicing in Edison, NJ (815 Statewide)

Telehealth Adoption Rate

5.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Chung-Loy (46 Years) 46 Yrs

Edison Specialty Average (19.3 Years) 19.3 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	36	11	$256.94	$83.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$551.71	$182.02
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$420.00	$138.50
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$300.00	$99.88
49650 Repair of groin hernia using an endoscope	12	11	$1151.88	$374.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	49	15	$238.57	$84.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$563.90	$183.01
99213 Established patient office or other outpatient visit, typically 15 minutes	22	21	$308.64	$99.85
49650 Repair of groin hernia using an endoscope	19	19	$1662.76	$539.38
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	14	$437.00	$139.59
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$250.00	$80.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	75	41	$234.73	$75.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$563.95	$186.09
99213 Established patient office or other outpatient visit, typically 15 minutes	30	27	$310.00	$99.78
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	23	19	$334.13	$106.67
49650 Repair of groin hernia using an endoscope	19	19	$1626.05	$537.55
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$444.21	$139.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$434.44	$143.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$194.67	$64.15
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$648.46	$214.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	51	33	$240.00	$78.99
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	43	28	$345.00	$113.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$550.00	$179.87
99213 Established patient office or other outpatient visit, typically 15 minutes	27	21	$255.00	$104.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	20	$370.00	$147.87
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$450.00	$149.46
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	11	$665.00	$220.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	59	34	$240.00	$78.97
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	37	23	$345.00	$115.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$365.00	$119.70
99213 Established patient office or other outpatient visit, typically 15 minutes	30	26	$255.00	$85.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	19	$370.00	$123.46
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$665.00	$223.77
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$450.00	$141.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	72	41	$195.85	$75.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	62	62	$317.00	$112.39
99213 Established patient office or other outpatient visit, typically 15 minutes	41	31	$204.76	$80.01
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	37	36	$520.35	$210.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	24	$351.19	$116.18
99202 New patient office or other outpatient visit, typically 20 minutes	27	27	$213.48	$82.60
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	23	19	$298.43	$107.99
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$362.50	$142.17
47562 Removal of gallbladder using an endoscope	12	12	$1586.67	$702.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	76	55	$293.72	$76.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$228.08	$112.94
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	37	37	$627.53	$205.05
99202 New patient office or other outpatient visit, typically 20 minutes	36	36	$167.57	$79.11
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	30	21	$266.80	$74.36
47562 Removal of gallbladder using an endoscope	20	20	$5696.10	$598.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$142.36	$46.32
49650 Repair of groin hernia using an endoscope	12	12	$5017.17	$403.95
49505 Repair of groin hernia (5 years or older)	12	12	$5002.77	$487.47
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$447.72	$139.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	75	61	$304.92	$78.36
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	67	44	$294.25	$75.34
99202 New patient office or other outpatient visit, typically 20 minutes	44	44	$167.71	$80.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$227.16	$115.85
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	35	$512.70	$142.85
47562 Removal of gallbladder using an endoscope	27	27	$5981.48	$551.92
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	26	$670.82	$211.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	21	$142.36	$47.25
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	16	15	$419.27	$108.96

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NJ 25MA04775400

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

3348903 (NJ)

Hospital & Practice Group Affiliations

Hackensack Meridian Health Medical Group - Specialty Care Pc

65 James St, Edison, NJ 088203947

Phone: 7323217901

Hackensack Meridian Health Medical Group - Specialty Care Pc

30 Prospect Ave, Hackensack, NJ 076011915

Hackensack Meridian Health Medical Group - Specialty Care Pc

98 James St, Edison, NJ 088203902

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Ahmad Hlayhel , MD

Surgery

NPI 1265925259

Doctor of Medicine (M.D.)

Dr. Sharon Lawrence , MD

Surgery

NPI 1649688615

Doctor of Medicine (M.D.)

Fatima Musah

Nurse Practitioner - Family

NPI 1699480939

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 27, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location January 27, 2014

Registered at 98 JAMES ST, # 202, EDISON, NJ 088203902 (Tel: 7325481000)

📍

Updated Business Mailing Address January 27, 2014

Registered at 98 JAMES ST, # 202, EDISON, NJ 088203902 (Tel: 7325481000)

👤

Provider Name / Credentials Updated January 27, 2014

Recorded as HAROLD CHUNG-LOY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2014

Surgery (License #25MA04775400 in NJ)

🟢

Initial NPI Registration & Enumeration August 20, 2006

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: 1811002728

Entity Type:

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

Enumeration Date: August 20, 2006

Last Update: January 27, 2014

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

98 James St, # 202

Edison, NJ 088203902

Phone: 7325481000

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.