DR. BINH QUY NGUYEN M.D.
NPI 1013910223
Ophthalmology in Munster, IN

Active since May 23, 2005PECOS EnrolledAccepts Medicare Assignment
759 45TH AVE, STE 101, MUNSTER, IN 46321(219) 922-6226(219) 922-8784 Get Directions Write a Review

NPPES record last updated: March 17, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Binh Quy Nguyen M.d. NPPES

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

DR. BINH QUY NGUYEN M.D. (NPI 1013910223) is an individual ophthalmology provider in Munster, Indiana, licensed in Indiana (01037702A) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Community Hospital, and is a graduate of Indiana University School Of Medicine (1988).

NPPES Registry Identity

NPI1013910223
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. BINH QUY NGUYENCredential: M.D.
Location Address759 45TH AVE, STE 101Munster, IN 46321-2938
Mailing Address759 45th Ave, Ste 101Munster, IN 46321-2938 · (219) 922-6226 · Fax (219) 922-8784
Fax(219) 922-8784
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1988
Enumeration DateMay 23, 2005
Last NPPES UpdateMarch 17, 2020
NPPES CertifiedMarch 17, 2020
NPI 1013910223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in IN · 01037702A
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

759 45TH AVE, Munster, IN 46321

Other Identifiers 9

Other6640459003IN · Cigna
Other56789IN · In State Dept Of Health/m
Other76165037IN · Wausau
Other90000732IN · Bcbs Of Il
Other000000084035IN · Anthem Bcbs Of Indiana
OtherIN7702IN · Eyemed Vision Care
Other56789IN · Cshcs
Other34440IN · Ihn
Other5391280IN · Aetna

Accepted 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

Dr. Binh Quy Nguyen M.d. 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 ID1951475912
PECOS Enrollment IDI20100327000160
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 14

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 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.
753 services701 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
667 services624 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
374 services307 patients
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.
340 services260 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
298 services295 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
248 services242 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Community Hospital

Acute Care Hospitals · Munster, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150125
Location901 Macarthur BlvdMunster, IN 46321 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46321 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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 4

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

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier36 claims36 services$54.69 avg. paid by Medicare
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2103
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier15 claims27 services$27.66 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier14 claims25 services$52.73 avg. paid by Medicare
U-v lens, per lens V2755
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier11 claims22 services$13.89 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 7

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

Physical Therapist
759 45TH AVE, SUITE 202
MUNSTER, IN 46321
Physical Therapist
759 45TH AVE, STE. 202
MUNSTER, IN 46321
Eyewear Supplier
759 45TH AVE, SUITE 101
MUNSTER, IN 46321
Ophthalmology
759 45TH AVE, SUITE 101
MUNSTER, IN 46321
Ophthalmology
759 45TH AVE, SUITE 101
MUNSTER, IN 46321
Physical Therapist
759 45TH AVE, STE. 202
MUNSTER, IN 46321
Ophthalmology
759 45TH AVE, SUITE 101
MUNSTER, IN 46321

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 Binh Nguyen's NPI number?

The NPI number for Binh Nguyen is 1013910223. It was assigned to this individual provider in the NPPES registry on May 23, 2005.

Where is Binh Nguyen located?

Binh Nguyen practices at 759 45th Ave Ste 101, Munster, IN 46321. The listed phone number is (219) 922-6226.

What is Binh Nguyen's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Binh Nguyen enrolled in Medicare?

Yes. Binh Nguyen 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 Binh Nguyen accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 3 other insurers list Binh Nguyen 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.

Is Binh Nguyen affiliated with any hospitals?

According to CMS data, Binh Nguyen is affiliated with Community Hospital.

When was this NPI record last updated?

The NPPES record for Binh Nguyen was last updated on March 17, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.