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DR. TOAN THIEN NGUYEN M.D.
NPI 1043532377
Surgery - Surgical Oncology in Lakeland, FL

Active since March 01, 2010PECOS EnrolledAccepts Medicare Assignment
80.11/100
CMS Quality Rating
3525 LAKELAND HILLS BLVD # D, LAKELAND, FL 33805(863) 603-6565(863) 603-6554 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Sep 1, 2017, Aug 15, 2017 (3 updates tracked since 2017).

About Dr. Toan Thien Nguyen M.d. NPPES

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

DR. TOAN THIEN NGUYEN M.D. (NPI 1043532377) is an individual surgical oncology provider in Lakeland, Florida, licensed in Florida (ME133482) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital Of Suffern, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1043532377
Entity TypeIndividualMale
Primary Taxonomy2086X0206X
Provider Legal NameDR. TOAN THIEN NGUYENCredential: M.D.
Location Address3525 LAKELAND HILLS BLVD # DLakeland, FL 33805-1965
Mailing Address1324 Lakeland Hills Blvd., Attn Managed Care DeptLakeland, FL 33805
Phone(863) 603-6565
Fax(863) 603-6554
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateMarch 1, 2010
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPPES CertifiedJuly 21, 2022
✔ NPI 1043532377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
License✔ Licensed in FL · ME133482
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
Also ListedSurgeryTaxonomy 208600000X · License 266149 (NY), ME133482 (FL)
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X
3525 LAKELAND HILLS BLVD # D, Lakeland, FL 33805
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Toan Thien 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 ID3577709062
PECOS Enrollment IDI20130430000130
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Toan Nguyen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Westchester Medical Center Advanced Physician Services PC
1,008 mi
Anesthesiology
100 WOODS RD, TAYLOR PAVILION - ROOM M229
Valhalla, NY 10595
  • Reassigned Medicare billing, New York enrollment
  • 1,663 clinicians in this Medicare group
NPI 1740687458 (914) 493-2844
Kaleida Health
1,036 mi
Diagnostic Radiology
100 HIGH ST
Buffalo, NY 14203
  • Reassigned Medicare billing, New York enrollment
  • 676 clinicians in this Medicare group
NPI 1427870070 (716) 859-7200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Good Samaritan Hospital Of Suffern

Acute Care Hospitals · Suffern, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330158
Location255 Lafayette AvenueSuffern, NY 10901 · Rockland County
Emergency services Birthing friendly

Westchester Medical Center

Acute Care Hospitals · Valhalla, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330234
Location100 Woods RdValhalla, NY 10595 · Westchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33805 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
$171.84 typical visit price
range $56.00 – $171.84
Typical copayment $42.96 (range $14.00 – $42.96)
Most-billed visit code 99205
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

80.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.29
Promoting Interoperability97
Improvement Activities40
Cost64.85

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 Nguyen's NPI number?

The NPI number for Toan Nguyen is 1043532377. It was assigned to this individual provider in the NPPES registry on March 1, 2010.

Where is Toan Nguyen located?

Toan Nguyen practices at 3525 Lakeland Hills Blvd # D, Lakeland, FL 33805. The listed phone number is (863) 603-6565.

What is Toan Nguyen's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Toan Nguyen enrolled in Medicare?

Yes. Toan 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.

Which organizations bill Medicare for Toan Nguyen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Toan Nguyen reassigns Medicare benefits to 2 organizations: Westchester Medical Center Advanced Physician Services PC (Valhalla, NY) and Kaleida Health (Buffalo, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Toan Nguyen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Toan Nguyen affiliated with any hospitals?

According to CMS data, Toan Nguyen is affiliated with Good Samaritan Hospital Of Suffern and Westchester Medical Center.

When was this NPI record last updated?

The NPPES record for Toan Nguyen was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.