Peter Sung Jong Chang, D.D.S.
NPI 1053320606ActiveIndividual· Dentist, General Practice· Roselle, IL
Opted out of Medicare from September 2015 to September 2027. Dentist, General Practice (D.D.S.) in Roselle, Illinois, licensed in IL, with an NPI issued in August 2006. Part D covered 34 prescriptions written in 2024, 85% of them generic. Envista Holdings Corporation reported $37.34 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1053320606 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.D.S. |
| Sole proprietor | No |
| NPI issued | Aug 5, 2006 |
| Last updated in NPPES | Sep 24, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 019022395 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Sep 25, 2015 – Sep 25, 2027 |
| Can order and refer | Yes |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Part D prescriptions in 2024
| Prescriptions (claims) | 34 · 34 30-day fills |
|---|---|
| Patients | 25 |
| Total drug cost | $144.83 |
| Generic share | 85% of claims |
Industry payments (Open Payments)
- 2024$37.34 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Envista Holdings Corporation | $37.34 | 1 |
What the 2024 payments were for
- Food and Beverage$37.34 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 19 general dentists in Roselle · All general dentists in Illinois