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PAUL CHEN PA-C
NPI 1013384320
Physician Assistant in San Antonio, TX

Active since August 24, 2015PECOS EnrolledAccepts Medicare Assignment
8401 DATAPOINT DR, SUITE 700, SAN ANTONIO, TX 78229(210) 487-7463 Get Directions Write a Review

NPPES record last updated: August 15, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 15, 2016, Nov 30, 2015 (2 updates tracked since 2015).

About Paul Chen Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAUL CHEN PA-C (NPI 1013384320) is an individual physician assistant in San Antonio, Texas and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1013384320
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NamePAUL CHENCredential: PA-C
Location Address8401 DATAPOINT DR, SUITE 700San Antonio, TX 78229-5900
Mailing Address8401 Datapoint Dr, Suite 700San Antonio, TX 78229-5900 · (210) 487-7463
Phone(210) 487-7463
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 24, 2015
Last NPPES UpdateAugust 15, 20162 updates tracked since enumeration
✔ NPI 1013384320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
8401 DATAPOINT DR, San Antonio, TX 78229
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Paul Chen Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820395585
PECOS Enrollment IDI20160323000966
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
176 services77 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
70 services68 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
64 services47 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
45 services45 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
23 services18 patients
X-ray of middle spine, 2 views 72070
An X-ray of the middle spine, or thoracic spine, involves capturing two different images of the area. This non-invasive procedure uses small amounts of radiation to visualize the bones and tissues in your back, helping to identify any abnormalities or injuries.
22 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
1 supplier11 claims11 services$68.11 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JEFF SENSENIG DO
Emergency Medicine
8401 DATAPOINT DR, STE 500
SAN ANTONIO, TX 78229
Bexar County (210) 614-0180
DR. GLADYS S. SEPULVEDA M.D.
Radiology (Diagnostic Radiology)
8401 DATAPOINT DR, SUITE 600
SAN ANTONIO, TX 78229
Bexar County (210) 616-7700
DR. JOHN H. GURIAN M.D.
Radiology (Diagnostic Radiology)
8401 DATAPOINT DR, SUITE 600
SAN ANTONIO, TX 78229
Bexar County (210) 616-7700
DR. HAROLD M. BRANNAN M.D.
Radiology (Diagnostic Radiology)
8401 DATAPOINT DR, SUITE 600
SAN ANTONIO, TX 78229
Bexar County (210) 616-7700
DR. STEPHEN DOUGLAS DOOLEY M.D.
Radiology (Vascular & Interventional Radiology)
8401 DATAPOINT DR
SAN ANTONIO, TX 78229
Bexar County (210) 616-7796
DR. MICHAEL R. MIDDLEBROOK M.D.
Radiology (Diagnostic Radiology)
8401 DATAPOINT DR, SUITE 600
SAN ANTONIO, TX 78229
Bexar County (210) 616-7700
DR. CHRISTINE LEE JOHNSON M.D.
Pediatrics (Pediatric Emergency Medicine)
8401 DATAPOINT DR, SUITE 500
SAN ANTONIO, TX 78229
Bexar County (210) 614-0180
DR. BARRY J. MENICK M.D.
Radiology (Diagnostic Radiology)
8401 DATAPOINT DR, SUITE 600
SAN ANTONIO, TX 78229
Bexar County (210) 616-7700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Chen's NPI number?

The NPI number for Paul Chen is 1013384320. It was assigned to this individual provider in the NPPES registry on August 24, 2015.

Where is Paul Chen located?

Paul Chen practices at 8401 Datapoint Dr Suite 700, San Antonio, TX 78229. The listed phone number is (210) 487-7463.

What is Paul Chen's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Paul Chen enrolled in Medicare?

Yes. Paul Chen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Paul Chen accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Paul Chen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Paul Chen was last updated on August 15, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.