DR. TIMOTHY DANIEL CHEN MD
NPI 1053815712
Psychiatry & Neurology - Neurology in Sacramento, CA

Active since March 19, 2018PECOS EnrolledAccepts Medicare Assignment
84.92/100
CMS Quality Rating
2800 L ST STE 500, SACRAMENTO, CA 95816(916) 454-6850 Get Directions Write a Review

NPPES record last updated: October 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 13, 2023, Dec 3, 2021, Mar 19, 2018 (3 updates tracked since 2018).

About Dr. Timothy Daniel Chen Md NPPES

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

DR. TIMOTHY DANIEL CHEN MD (NPI 1053815712) is an individual neurology provider in Sacramento, California, licensed in California (A165788) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2018).

NPPES Registry Identity

NPI1053815712
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. TIMOTHY DANIEL CHENCredential: MD
Location Address2800 L ST STE 500Sacramento, CA 95816-5616
Mailing Address2800 L St Ste 500Sacramento, CA 95816-5616 · (916) 454-6850
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2018
Enumeration DateMarch 19, 2018
Last NPPES UpdateOctober 13, 20233 updates tracked since enumeration
NPPES CertifiedOctober 13, 2023
NPI 1053815712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in CA · A165788
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
2800 L ST STE 500, Sacramento, CA 95816

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. Timothy Daniel Chen 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 ID3274955125
PECOS Enrollment IDI20231024003959
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 9

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.

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
168 services90 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
165 services165 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
88 services75 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.
45 services42 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
38 services38 patients
Needle measurement of electrical activity in arm or leg muscles, limited study 95885
This procedure, known as an electromyography (EMG), involves placing tiny needles into your arm or leg muscles to measure their electrical activity. It's a limited study, meaning only specific muscles are tested. This helps identify any muscle or nerve dysfunction.
25 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95816 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
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

84.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.98
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 18

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

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
2800 L ST STE 500
SACRAMENTO, CA 95816
Psychiatry & Neurology (Neurology)
2800 L ST STE 500
SACRAMENTO, CA 95816
Psychiatry & Neurology (Neurology)
2800 L ST STE 500
SACRAMENTO, CA 95816
Internal Medicine (Sleep Medicine)
2800 L ST STE 500
SACRAMENTO, CA 95816
Psychiatry & Neurology (Neurology)
2800 L ST STE 500
SACRAMENTO, CA 95816
Nurse Practitioner (Family)
2800 L ST STE 500
SACRAMENTO, CA 95816
Neurological Surgery
2800 L ST STE 500
SACRAMENTO, CA 95816
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
2800 L ST STE 500
SACRAMENTO, CA 95816

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 Timothy Chen's NPI number?

The NPI number for Timothy Chen is 1053815712. It was assigned to this individual provider in the NPPES registry on March 19, 2018.

Where is Timothy Chen located?

Timothy Chen practices at 2800 L St Ste 500, Sacramento, CA 95816. The listed phone number is (916) 454-6850.

What is Timothy Chen's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Timothy Chen enrolled in Medicare?

Yes. Timothy 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.

When was this NPI record last updated?

The NPPES record for Timothy Chen was last updated on October 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.