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DR. PHUONG-LAN THI NGUYEN MD
NPI 1063917466
Pathology - Anatomic Pathology & Clinical Pathology in Rochester, NY

Active since March 27, 2018PECOS EnrolledAccepts Medicare Assignment
85.51/100
CMS Quality Rating
601 ELMWOOD AVENUE, ROCHESTER, NY 14642(585) 758-0510(585) 273-3002 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 15, 2023, Jul 22, 2023, Aug 9, 2022 and 3 more (6 updates tracked since 2018).

About Dr. Phuong-lan Thi Nguyen Md NPPES

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

DR. PHUONG-LAN THI NGUYEN MD (NPI 1063917466) is an individual anatomic pathology & clinical pathology provider in Rochester, New York, licensed in New York (316242) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with F F Thompson Hospital, and maintains a secondary practice location in Lexington.

NPPES Registry Identity

NPI1063917466
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. PHUONG-LAN THI NGUYENCredential: MD
Location Address601 ELMWOOD AVENUERochester, NY 14642-0001
Mailing Address601 Elmwood Avenue, Box 626Rochester, NY 14642-0001 · (585) 273-4135 · Fax (585) 273-3637
Phone(585) 758-0510
Fax(585) 273-3002
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 27, 2018
Last NPPES UpdateNovember 29, 20236 updates tracked since enumeration
NPPES CertifiedNovember 15, 2023
✔ NPI 1063917466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in NY · 316242
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedPathology · Clinical Pathology/Laboratory MedicineTaxonomy 207ZP0105X · License 70246 (MN)
601 ELMWOOD AVENUE, Rochester, NY 14642
Open in Google Maps ↗

Secondary Practice Location 1

Location 1800 Rose St # MS 117Lexington, KY 40536-0293 · Phone (859) 323-6183

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. Phuong-lan Thi Nguyen 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 ID6204164502
PECOS Enrollment IDI20220810002329
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

6

Medicare enrollment records show Phuong-lan Nguyen reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Rochester
Same address
General Acute Care Hospital
601 ELMWOOD AVE, BOX 684
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 1,624 clinicians in this Medicare group
NPI 1346285657 (585) 275-2100
Highland Hospital Of Rochester
1.2 mi
Family Medicine
1000 SOUTH AVE
Rochester, NY 14620
  • Reassigned Medicare billing, New York enrollment
  • 465 clinicians in this Medicare group
NPI 1740220698 (585) 784-7848
The Frederick Ferris Thompson Hospital
24 mi
General Acute Care Hospital
350 PARRISH ST
Canandaigua, NY 14424
  • Reassigned Medicare billing, New York enrollment
  • 347 clinicians in this Medicare group
NPI 1194776351 (585) 396-6000
Nicholas H. Noyes Memorial Hospital
40 mi
General Acute Care Hospital
111 CLARA BARTON ST
Dansville, NY 14437
  • Reassigned Medicare billing, New York enrollment
  • 275 clinicians in this Medicare group
NPI 1982625661 (585) 335-6001
St James Hospital
53 mi
Rural
7329 SENECA ROAD NORTH
Hornell, NY 14843
  • Reassigned Medicare billing, New York enrollment
  • 436 clinicians in this Medicare group
NPI 1013985399 (607) 247-2200
The Memorial Hospital Of William F. And Gertrude F. Jones, Inc.
71 mi
General Acute Care Hospital
191 N MAIN ST
Wellsville, NY 14895
  • Reassigned Medicare billing, New York enrollment
  • 233 clinicians in this Medicare group
NPI 1720030703 (585) 593-1100

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.

Coagulation function screening test with interpretation and report 85390
A coagulation function screening test is a type of blood test that checks how well your blood clots. It's important because clotting helps prevent excessive bleeding. The test results are interpreted and a report is provided to help guide your doctor's treatment plan.
354 services249 patients
Blood bank physician services for cross match and/or evaluation and written report 86077
Blood bank physician services for cross match involve testing your blood against donor blood to ensure compatibility before a transfusion. The evaluation includes a detailed analysis of your blood type and antibodies. A written report will be provided, summarizing the findings.
234 services102 patients
Blood bank physician services with written report 86079
A blood bank physician service involves a specialized doctor overseeing all aspects of blood collection, storage, and transfusion. They ensure the process is safe and effective. A written report details all procedures and findings for your reference and understanding.
33 services32 patients

Hospital Affiliations CMS Care Compare 5

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

F F Thompson Hospital

Acute Care Hospitals · Canandaigua, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330074
Location350 Parrish StreetCanandaigua, NY 14424 · Ontario County
Emergency services Birthing friendly

Jones Memorial Hospital

Acute Care Hospitals · Wellsville, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330096
Location191 North Main StreetWellsville, NY 14895 · Allegany County
Emergency services Birthing friendly

St James Mercy Hospital

Acute Care Hospitals · Hornell, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330151
Location7329 Seneca Road NorthHornell, NY 14843 · Steuben County
Emergency services

Highland Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330164
Location1000 South AvenueRochester, NY 14617 · Monroe County
Emergency services Birthing friendly

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330285
Location601 Elmwood AveRochester, NY 14642 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14642 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

85.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.96
Promoting Interoperability100
Improvement Activities40
Cost59.35

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.

ALEX PU M.D.
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVENUE, BOX 679
ROCHESTER, NY 14642
Monroe County (585) 275-4290
XIAOLAN OU MD
Pathology (Anatomic Pathology & Clinical Pathology)
601 ELMWOOD AVENUE, UNIVERSITY OF ROCHESTER MEDICAL CENTER
ROCHESTER, NY 14642
Monroe County (585) 275-3191
GHAZI TALIB KHAN M.D.
Internal Medicine
601 ELMWOOD AVENUE, BOX 679
ROCHESTER, NY 14642
Monroe County (585) 275-4290
YU WING YEUNG M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
601 ELMWOOD AVENUE
ROCHESTER, NY 14642
Monroe County (585) 275-5662
MRS. BETH ANNE DELPAPA NP
Nurse Practitioner (Family)
601 ELMWOOD AVENUE, BOX 679-Y
ROCHESTER, NY 14642
Monroe County (585) 275-4775
DR. RAVINDER SIDHU M.D.
Radiology (Diagnostic Radiology)
601 ELMWOOD AVENUE
ROCHESTER, NY 14642
Monroe County (585) 275-2734
CHRISTOPHER MALANGA M.D.
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVENUE, BOX 679
ROCHESTER, NY 14642
Monroe County (585) 275-4290
CHUNKIT FUNG M.D.
Internal Medicine (Hematology & Oncology)
601 ELMWOOD AVENUE
ROCHESTER, NY 14642
Monroe County (585) 275-5823

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 Phuong-lan Nguyen's NPI number?

The NPI number for Phuong-lan Nguyen is 1063917466. It was assigned to this individual provider in the NPPES registry on March 27, 2018.

Where is Phuong-lan Nguyen located?

Phuong-lan Nguyen practices at 601 Elmwood Avenue, Rochester, NY 14642. The listed phone number is (585) 758-0510.

What is Phuong-lan Nguyen's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Phuong-lan Nguyen enrolled in Medicare?

Yes. Phuong-lan 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 Phuong-lan Nguyen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Phuong-lan Nguyen reassigns Medicare benefits to 6 organizations: University Of Rochester (Rochester, NY), Highland Hospital Of Rochester (Rochester, NY), The Frederick Ferris Thompson Hospital (Canandaigua, NY), Nicholas H. Noyes Memorial Hospital (Dansville, NY), St James Hospital (Hornell, NY) and 1 more organization, listed in the Medicare section above. 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 Phuong-lan Nguyen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Phuong-lan Nguyen affiliated with any hospitals?

According to CMS data, Phuong-lan Nguyen is affiliated with F F Thompson Hospital, Jones Memorial Hospital, St James Mercy Hospital, Highland Hospital and Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Phuong-lan Nguyen was last updated on November 29, 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.