DR. MICHAEL ROY CHEN M.D.
NPI 1043428212
Orthopaedic Surgery in Cincinnati, OH

Active since May 19, 2007PECOS EnrolledAccepts Medicare Assignment
3301 MERCY HEALTH BLVD STE 450, STE 450, CINCINNATI, OH 45211(513) 981-6784(513) 389-4075 Get Directions Write a Review

NPPES record last updated: January 12, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Michael Roy Chen M.d. NPPES

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

DR. MICHAEL ROY CHEN M.D. (NPI 1043428212) is an individual orthopaedic surgery provider in Cincinnati, Ohio, licensed in California (A111940) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Mercy Health - Fairfield Hospital, and is a graduate of Northwestern University Feinberg Medical School (2004).

NPPES Registry Identity

NPI1043428212
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. MICHAEL ROY CHENCredential: M.D.
Location Address3301 MERCY HEALTH BLVD STE 450, STE 450Cincinnati, OH 45211-1106
Mailing Address3301 Mercy Health Blvd Ste 450, Ste 450Cincinnati, OH 45211-1106 · (513) 981-6784 · Fax (513) 389-4075
Fax(513) 389-4075
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2004
Enumeration DateMay 19, 2007
Last NPPES UpdateJanuary 12, 2015
NPI 1043428212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in CA · A111940
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

3301 MERCY HEALTH BLVD STE 450, Cincinnati, OH 45211

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. Michael Roy Chen 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 ID3678745965
PECOS Enrollment IDI20111010000552
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 10

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
248 services30 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.
116 services91 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
50 services50 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
40 services32 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
37 services26 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
29 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Health - Fairfield Hospital

Acute Care Hospitals · Fairfield, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360056
Location3000 Mack RoadFairfield, OH 45014 · Butler County
Emergency services Birthing friendly

Mercy Health - West Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360234
Location3300 Mercy Health BlvdCincinnati, OH 45211 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45211 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 6

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

Orthopaedic Surgery
3301 MERCY HEALTH BLVD STE 450
CINCINNATI, OH 45211
Orthopaedic Surgery (Foot and Ankle Surgery)
3301 MERCY HEALTH BLVD STE 450
CINCINNATI, OH 45211
Durable Medical Equipment & Medical Supplies
3301 MERCY HEALTH BLVD STE 450
CINCINNATI, OH 45211
Physician Assistant
3301 MERCY HEALTH BLVD STE 450
CINCINNATI, OH 45211
Physician Assistant
3301 MERCY HEALTH BLVD STE 450
CINCINNATI, OH 45211
Physician Assistant (Surgical)
3301 MERCY HEALTH BLVD STE 450
CINCINNATI, OH 45211

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 Michael Chen's NPI number?

The NPI number for Michael Chen is 1043428212. It was assigned to this individual provider in the NPPES registry on May 19, 2007.

Where is Michael Chen located?

Michael Chen practices at 3301 Mercy Health Blvd Ste 450 Ste 450, Cincinnati, OH 45211. The listed phone number is (513) 981-6784.

What is Michael Chen's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Michael Chen enrolled in Medicare?

Yes. Michael 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 Michael Chen accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 4 other insurers list Michael 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.

Is Michael Chen affiliated with any hospitals?

According to CMS data, Michael Chen is affiliated with Mercy Health - Fairfield Hospital and Mercy Health - West Hospital.

When was this NPI record last updated?

The NPPES record for Michael Chen was last updated on January 12, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.