CHELSEA CHANG M.D.
NPI 1033475801
Internal Medicine in Weslaco, TX

Active since April 06, 2012PECOS EnrolledAccepts Medicare Assignment
81.44/100
CMS Quality Rating
1330 E 6TH ST STE 105, WESLACO, TX 78596(956) 296-7710(956) 296-7705 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 23, 2024, Oct 24, 2019, Aug 8, 2018 and 1 more (4 updates tracked since 2018).

About Chelsea Chang M.d. NPPES

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

CHELSEA CHANG M.D. (NPI 1033475801) is an individual internal medicine provider in Weslaco, Texas, licensed in Texas (Q1803) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center - Temple, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1033475801
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameCHELSEA CHANGCredential: M.D.
Location Address1330 E 6TH ST STE 105Weslaco, TX 78596-6608
Mailing AddressPo Box 531968Harlingen, TX 78553-1968 · (833) 887-4863 · Fax (956) 296-6857
Fax(956) 296-7705
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 6, 2012
Last NPPES UpdateSeptember 23, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2024
NPI 1033475801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TX · Q1803
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1330 E 6TH ST STE 105, Weslaco, TX 78596

Other Names 1

Former Name (1)Chelsea Curran Hook

Other Identifiers 2

Other8JS109TX · Bcbs
Medicaid3460990-02TX

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

Chelsea Chang 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 ID2466772678
PECOS Enrollment IDI20150528002412
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 2

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.
61 services39 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.
44 services28 patients

Hospital Affiliations CMS Care Compare 3

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

Baylor Scott & White Medical Center - Temple

Acute Care Hospitals · Temple, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450054
Location2401 S 31st StTemple, TX 76508 · Bell County
Emergency services Birthing friendly

Knapp Medical Center

Acute Care Hospitals · Weslaco, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450128
Location1401 East Eight StreetWeslaco, TX 78596 · Hidalgo County
Emergency services Birthing friendly

Rio Grande Regional Hospital

Acute Care Hospitals · Mcallen, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450711
Location101 E Ridge RdMcallen, TX 78503 · Hidalgo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78596 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

81.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality65.83
Promoting Interoperability98
Improvement Activities40
Cost49.23

Reported Quality Measures

e-Prescribing
98%203 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
78%715 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
1 supplier11 claims220 services$2.67 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063
DME-Orthotic Devices · category DF010N
1 supplier11 claims220 services$2.28 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.

Internal Medicine
1330 E 6TH ST STE 105
WESLACO, TX 78596
Internal Medicine
1330 E 6TH ST STE 105
WESLACO, TX 78596
Student in an Organized Health Care Education/Training Program
1330 E 6TH ST STE 105
WESLACO, TX 78596
Student in an Organized Health Care Education/Training Program
1330 E 6TH ST STE 105
WESLACO, TX 78596
Student in an Organized Health Care Education/Training Program
1330 E 6TH ST STE 105
WESLACO, TX 78596
Nurse Practitioner
1330 E 6TH ST STE 105
WESLACO, TX 78596
Internal Medicine
1330 E 6TH ST STE 105
WESLACO, TX 78596
Internal Medicine
1330 E 6TH ST STE 105
WESLACO, TX 78596

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 Chelsea Chang's NPI number?

The NPI number for Chelsea Chang is 1033475801. It was assigned to this individual provider in the NPPES registry on April 6, 2012. The provider is also known as Chelsea Curran Hook.

Where is Chelsea Chang located?

Chelsea Chang practices at 1330 E 6th St Ste 105, Weslaco, TX 78596. The listed phone number is (956) 296-7710.

What is Chelsea Chang's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Chelsea Chang enrolled in Medicare?

Yes. Chelsea Chang 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 Chelsea Chang 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 3 other insurers list Chelsea Chang 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 Chelsea Chang affiliated with any hospitals?

According to CMS data, Chelsea Chang is affiliated with Baylor Scott & White Medical Center - Temple, Knapp Medical Center and Rio Grande Regional Hospital.

When was this NPI record last updated?

The NPPES record for Chelsea Chang was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.