Chang Sung Shin, DO
NPI 1568922649ActiveIndividual· Family Medicine· Van Nuys, CA
Family Medicine (DO) with Lakewood Hospitalist Medical Group Inc and 2 other groups, practicing in Van Nuys, California. In 2024 Medicare paid $54,912 for 260 patients, and Part D covered 86 of their prescriptions, 83% of them generic. Zoll Services LLC (A/K/A Zoll Lifecor Corp) reported $32.95 in payments in 2024, mostly food and beverage. Lists Casa Colina Hospital and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1568922649 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Mar 23, 2019 |
| Last updated in NPPES | Jun 23, 2022 |
| Certified by provider | Jun 23, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 19680 | CA |
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) | Enrolled Practitioner - Family Practice (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 260 |
|---|---|
| Services billed | 538 across 13 procedure codes |
| Paid by Medicare | $54,912 |
Part D prescriptions in 2024
| Prescriptions (claims) | 86 · 94 30-day fills |
|---|---|
| Patients | 39 |
| Total drug cost | $6,513 |
| Generic share | 83% of claims |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Family Practice |
Medical groups
- Lakewood Hospitalist Medical Group IncLakewood, CA · 25 clinicians
- Gap Post-Acute Care ServicesPanorama City, CA · 15 clinicians
- Inland Physicians Hospitalist ServicesPomona, CA · 14 clinicians
Hospital affiliations
- Casa Colina HospitalPomona, CA
- Montclair Hospital Medical CenterMontclair, CA
- San Antonio Regional HospitalUpland, CA
- Uci Health-LakewoodLakewood, CA
- Uci Health-OrangeOrange, CA
Other facilities
- Healing Angels Home Health IncHome health agency · Westlake Village, CA
- Alta View Post AcuteNursing home · Los Angeles, CA
- Berkley East Healthcare CenterNursing home · Santa Monica, CA
- Berkley West Healthcare CenterNursing home · Santa Monica, CA
- Ocean Pointe Healthcare CenterNursing home · Santa Monica, CA
Industry payments (Open Payments)
- 2024$32.95 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Zoll Services LLC (A/K/A Zoll Lifecor Corp) | $32.95 | 1 |
What the 2024 payments were for
- Food and Beverage$32.95 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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