TOAN THIET HUYNH MD
NPI 1043232887
Surgery in Charlotte, NC

Active since July 24, 2006PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
1350 S KINGS DR, CHARLOTTE, NC 28207(704) 446-1255 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 54 more (57 updates tracked since 2018).

About Toan Thiet Huynh Md NPPES

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

TOAN THIET HUYNH MD (NPI 1043232887) is an individual surgery provider in Charlotte, North Carolina, licensed in North Carolina (9701413) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center-northeast, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1043232887
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameTOAN THIET HUYNHCredential: MD
Location Address1350 S KINGS DRCharlotte, NC 28207-2134
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 1990
Enumeration DateJuly 24, 2006
Last NPPES UpdateJuly 15, 202457 updates tracked since enumeration
NPI 1043232887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in NC · 9701413
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License 9701413 (NC)
1350 S KINGS DR, Charlotte, NC 28207

Secondary Practice Locations 4

Location 11350 S Kings DrCharlotte, NC 28207-2134 · Phone (704) 446-4490
Location 2920 Church St NConcord, NC 28025-2927 · Phone (704) 403-1311
Location 3500 Lauchwood DrLaurinburg, NC 28352-5501 · Phone (910) 291-6904
Location 41025 Morehead Medical Dr, Ste 300Charlotte, NC 28204-2963 · Phone (704) 355-1813

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

Toan Thiet Huynh 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 ID2567567597
PECOS Enrollment IDI20070419000139
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 3

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
61 services27 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.
46 services20 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Carolinas Medical Center-Northeast

Acute Care Hospitals · Concord, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340001
Location920 Church St NConcord, NC 28025 · Cabarrus County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28207 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

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.

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$15.19 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 supplier12 claims12 services$63.36 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.

Pediatrics (Pediatric Hematology-Oncology)
1350 S KINGS DR
CHARLOTTE, NC 28207
Internal Medicine
1350 S KINGS DR
CHARLOTTE, NC 28207
Obstetrics & Gynecology
1350 S KINGS DR
CHARLOTTE, NC 28207
Pharmacist
1350 S KINGS DR
CHARLOTTE, NC 28207
Nurse Practitioner (Family)
1350 S KINGS DR
CHARLOTTE, NC 28207
Obstetrics & Gynecology
1350 S KINGS DR
CHARLOTTE, NC 28207
Nurse Practitioner
1350 S KINGS DR
CHARLOTTE, NC 28207
Advanced Practice Midwife
1350 S KINGS DR
CHARLOTTE, NC 28207

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 Toan Huynh's NPI number?

The NPI number for Toan Huynh is 1043232887. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Toan Huynh located?

Toan Huynh practices at 1350 S Kings Dr, Charlotte, NC 28207. The listed phone number is (704) 446-1255.

What is Toan Huynh's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Toan Huynh enrolled in Medicare?

Yes. Toan Huynh 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 Toan Huynh accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 3 other insurers list Toan Huynh 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 Toan Huynh affiliated with any hospitals?

According to CMS data, Toan Huynh is affiliated with Carolinas Medical Center-Northeast and Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Toan Huynh was last updated on July 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.