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DR. CICELY CHEN M.D.
NPI 1043625916
Obstetrics & Gynecology in Sonora, CA

Active since June 30, 2014PECOS EnrolledAccepts Medicare Assignment
79.22/100
CMS Quality Rating
900 GREENLEY RD, SUITE 922 ADVENTIST HEALTH (SIERRA OB/, SONORA, CA 95370(209) 536-3750(209) 532-9811 Get Directions Write a Review

NPPES record last updated: October 22, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 22, 2019, Mar 1, 2019 (2 updates tracked since 2019).

About Dr. Cicely Chen M.d. NPPES

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

DR. CICELY CHEN M.D. (NPI 1043625916) is an individual obstetrics & gynecology provider in Sonora, California, licensed in California (A153338) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1043625916
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. CICELY CHENCredential: M.D.
Location Address900 GREENLEY RD, SUITE 922 ADVENTIST HEALTH (SIERRA OB/Sonora, CA 95370
Mailing Address900 Greenley Rd, Suite 922 Adventist Health (sierra Ob/Sonora, CA 95370 · (209) 536-3750 · Fax (209) 532-9811
Phone(209) 536-3750
Fax(209) 532-9811
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 30, 2014
Last NPPES UpdateOctober 22, 20192 updates tracked since enumeration
✔ NPI 1043625916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · A153338
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
900 GREENLEY RD, SUITE 922 ADVENTIST HEALTH (SIERRA OB/, Sonora, CA 95370
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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. Cicely 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 ID3375897077
PECOS Enrollment IDI20181115002381
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 Reassignment

Medicare enrollment records show Cicely Chen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sonora Community Hospital
0.2 mi
Family Medicine
19747 GREENLEY RD, SUITE S-2
Sonora, CA 95370
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1003807066 (California)
  • 127 clinicians in this Medicare group
NPI 1033100854 (209) 536-2665

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

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.

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.
80 services54 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.
23 services22 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.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95370 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

79.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.14
Promoting Interoperability97
Improvement Activities40
Cost47.11

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 Cicely Chen's NPI number?

The NPI number for Cicely Chen is 1043625916. It was assigned to this individual provider in the NPPES registry on June 30, 2014.

Where is Cicely Chen located?

Cicely Chen practices at 900 Greenley Rd, Suite 922 Adventist Health (sierra Ob/, Sonora, CA 95370. The listed phone number is (209) 536-3750.

What is Cicely Chen's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Cicely Chen enrolled in Medicare?

Yes. Cicely 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.

Which organization bills Medicare for Cicely Chen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cicely Chen reassigns Medicare benefits to Sonora Community Hospital (Sonora, CA). The 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 Cicely Chen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Cicely Chen was last updated on October 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.