CATHERINE CHEN M.D.
NPI 1073872073
Family Medicine in Plainsboro, NJ

Active since May 10, 2012PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
1 PLAINSBORO RD, PLAINSBORO, NJ 08536(609) 853-6049(609) 853-7221 Get Directions Write a Review

NPPES record last updated: March 11, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 11, 2022, Mar 27, 2017, Feb 14, 2017 and 1 more (4 updates tracked since 2015).

About Catherine Chen M.d. NPPES

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

CATHERINE CHEN M.D. (NPI 1073872073) is an individual family medicine provider in Plainsboro, New Jersey, licensed in New Jersey (25MA09869900) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1073872073
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCATHERINE CHENCredential: M.D.
Location Address1 PLAINSBORO RDPlainsboro, NJ 08536-1913
Mailing Address1 Plainsboro RdPlainsboro, NJ 08536-1913 · (609) 853-6049 · Fax (609) 853-7221
Fax(609) 853-7221
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateMay 10, 2012
Last NPPES UpdateMarch 11, 20224 updates tracked since enumeration
NPPES CertifiedMarch 11, 2022
✔ NPI 1073872073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NJ · 25MA09869900
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA09869900 (NJ)
Also ListedHospitalistTaxonomy 208M00000X · License 25MA09869900 (NJ)
1 PLAINSBORO RD, Plainsboro, NJ 08536

Accepted Insurance

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

Catherine 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 ID6709195035
PECOS Enrollment IDI20160712002394
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

5

Medicare enrollment records show Catherine Chen reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Otolaryngology
719 US HIGHWAY 206 STE 101
Hillsborough, NJ 08844
  • Reassigned Medicare billing, New Jersey enrollment
  • 793 clinicians in this Medicare group
Internal Medicine
1 ROBERT WOOD JOHNSON PL
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 43 clinicians in this Medicare group
Pediatric Critical Care Medicine
1 ROBERT WOOD JOHNSON PL
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 492 clinicians in this Medicare group
Internal Medicine
1 ROBERT WOOD JOHNSON PL
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 125 clinicians in this Medicare group
Emergency Medicine
3 EXECUTIVE DR, STE 400
Somerset, NJ 08873
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,557 clinicians in this Medicare group

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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
216 services80 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
50 services49 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
40 services39 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
39 services24 patients

Hospital Affiliations CMS Care Compare

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

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310038
LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08536 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.79
Promoting Interoperability100
Improvement Activities40

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.

Nurse Anesthetist, Certified Registered
1 PLAINSBORO RD
PLAINSBORO, NJ 08536
Nurse Practitioner (Acute Care)
1 PLAINSBORO RD
PLAINSBORO, NJ 08536
Social Worker (Clinical)
1 PLAINSBORO RD
PLAINSBORO, NJ 08536
Advanced Practice Midwife
1 PLAINSBORO RD
PLAINSBORO, NJ 08536
Nurse Practitioner (Adult Health)
1 PLAINSBORO RD
PLAINSBORO, NJ 08536
Registered Nurse (Maternal Newborn)
1 PLAINSBORO RD
PLAINSBORO, NJ 08536
Nurse Practitioner (Family)
1 PLAINSBORO RD
PLAINSBORO, NJ 08536
Nutritionist
1 PLAINSBORO RD
PLAINSBORO, NJ 08536

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 Catherine Chen's NPI number?

The NPI number for Catherine Chen is 1073872073. It was assigned to this individual provider in the NPPES registry on May 10, 2012.

Where is Catherine Chen located?

Catherine Chen practices at 1 Plainsboro Rd, Plainsboro, NJ 08536. The listed phone number is (609) 853-6049.

What is Catherine Chen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Catherine Chen enrolled in Medicare?

Yes. Catherine 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 organizations bill Medicare for Catherine Chen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Catherine Chen reassigns Medicare benefits to 5 organizations: Clinical Health Care Associates Of New Jersey, PC (Hillsborough, NJ), Rutgers Health-Rwj Primary Medicine Group (New Brunswick, NJ), Rutgers Health-Rwj Pediatric Critical Care (New Brunswick, NJ), Rutgers Health-Rwj Primary Medicine Group (New Brunswick, NJ) and Rwjbh Emergency Medicine Associates, LLC (Somerset, NJ). 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 Catherine Chen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Catherine Chen accept?

Health plans from Oscar Health list Catherine 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 Catherine Chen affiliated with any hospitals?

According to CMS data, Catherine Chen is affiliated with Robert Wood Johnson University Hospital.

When was this NPI record last updated?

The NPPES record for Catherine Chen was last updated on March 11, 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.