WINSTON CHUA MD
NPI 1013923846
Internal Medicine - Hematology & Oncology in Paducah, KY

Active since August 01, 2006PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
2603 KENTUCKY AVE, SUITE 403, PADUCAH, KY 42003(270) 444-3930(270) 442-5284 Get Directions Write a Review

NPPES record last updated: December 2, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Winston Chua Md NPPES

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

WINSTON CHUA MD (NPI 1013923846) is an individual hematology & oncology provider in Paducah, Kentucky, licensed in Kentucky (41261) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Paducah, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1013923846
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameWINSTON CHUACredential: MD
Location Address2603 KENTUCKY AVE, SUITE 403Paducah, KY 42003-3814
Mailing Address2603 Kentucky Ave, Suite 403Paducah, KY 42003-3814 · (270) 444-3930 · Fax (270) 442-5284
Fax(270) 442-5284
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateAugust 1, 2006
Last NPPES UpdateDecember 2, 2020
NPPES CertifiedDecember 2, 2020
NPI 1013923846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses Licensed in KY · 41261 Licensed in AL · 22568
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
2603 KENTUCKY AVE, Paducah, KY 42003

Other Identifiers 5

Medicaid009933001AL
Medicaid009982110AL
Other051530906AL · Bc Athens
Other051507516AL · Bc Decatur
Other000000537103KY · Anthem

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

Winston Chua Md 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 ID9739114570
PECOS Enrollment IDI20080229000394
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 5

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.
942 services285 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
220 services109 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
67 services67 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
31 services18 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Health Paducah

Acute Care Hospitals · Paducah, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180104
Location2501 Kentucky AvenuePaducah, KY 42003 · Mc Cracken County
Emergency services Birthing friendly

Caldwell Medical Center

Critical Access Hospitals · Princeton, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181322
Location100 Medical Center DrivePrinceton, KY 42445 · Caldwell County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42003 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
$162.27 typical visit price
range $52.76 – $162.27
Typical copayment $40.56 (range $13.19 – $40.56)
Most-billed visit code 99205
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$19.66 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier18 claims18 services$112.99 avg. paid by Medicare
Capecitabine, oral, 150 mg J8520
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier14 claims392 services$0.36 avg. paid by Medicare
Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier17 claims1,120 services$0.64 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers27 claims30 services$12.21 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.

Neurological Surgery
2603 KENTUCKY AVE, SUITE 402
PADUCAH, KY 42003
Obstetrics & Gynecology
2603 KENTUCKY AVE, SUITE 302
PADUCAH, KY 42003
Physician Assistant
2603 KENTUCKY AVE, SUITE 304
PADUCAH, KY 42003
Internal Medicine (Hematology & Oncology)
2603 KENTUCKY AVE, SUITE 403
PADUCAH, KY 42003
Psychiatry & Neurology (Neurology)
2603 KENTUCKY AVE, SUITE 304
PADUCAH, KY 42003
Urology
2603 KENTUCKY AVE, STE 102
PADUCAH, KY 42003
Urology
2603 KENTUCKY AVE, SUITE 102
PADUCAH, KY 42003
Physician Assistant
2603 KENTUCKY AVE, SUITE 303
PADUCAH, KY 42003

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 Winston Chua's NPI number?

The NPI number for Winston Chua is 1013923846. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Winston Chua located?

Winston Chua practices at 2603 Kentucky Ave Suite 403, Paducah, KY 42003. The listed phone number is (270) 444-3930.

What is Winston Chua's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Winston Chua enrolled in Medicare?

Yes. Winston Chua 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 Winston Chua accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Winston Chua 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 Winston Chua affiliated with any hospitals?

According to CMS data, Winston Chua is affiliated with Baptist Health Paducah and Caldwell Medical Center.

When was this NPI record last updated?

The NPPES record for Winston Chua was last updated on December 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.