MICHAEL NGUYEN MD
NPI 1093274839
Emergency Medicine in Washington, DC

Active since March 19, 2019PECOS EnrolledAccepts Medicare Assignment
95.99/100
CMS Quality Rating
110 IRVING ST. NW, DEPARTMENT OF EMERGENCY MEDICINE, WASHINGTON, DC 20010(202) 877-8080(202) 877-7633 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 12, 2022, Mar 19, 2019 (2 updates tracked since 2019).

About Michael Nguyen Md NPPES

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

MICHAEL NGUYEN MD (NPI 1093274839) is an individual emergency medicine provider in Washington, District Of Columbia, licensed in District Of Columbia (CS210126228) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Medstar Saint Mary's Hospital, and is a graduate of New York University School Of Medicine (2019).

NPPES Registry Identity

NPI1093274839
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMICHAEL NGUYENCredential: MD
Location Address110 IRVING ST. NW, DEPARTMENT OF EMERGENCY MEDICINEWashington, DC 20010
Mailing Address110 Irving St. Nw, Department Of Emergency MedicineWashington, DC 20010 · (202) 877-8080 · Fax (202) 877-7633
Fax(202) 877-7633
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 2019
Enumeration DateMarch 19, 2019
Last NPPES UpdateAugust 12, 20222 updates tracked since enumeration
NPPES CertifiedAugust 12, 2022
NPI 1093274839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in DC · CS210126228 Licensed in MD · D0094938 Licensed in VA · 0101275209
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

110 IRVING ST. NW, Washington, DC 20010

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

Michael 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 ID8921483389
PECOS Enrollment IDI20220921001045, I20220921001324
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 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
265 services259 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
139 services138 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
54 services53 patients

Hospital Affiliations CMS Care Compare

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

Medstar Saint Mary's Hospital

Acute Care Hospitals · Leonardtown, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210028
Location25500 Point Lookout RoadLeonardtown, MD 20650 · St. Marys County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20010 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

95.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.48
Promoting Interoperability100
Improvement Activities40
Cost74.87

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.

Psychiatry & Neurology (Neurology)
110 IRVING ST. NW, EAST BUILDING, ROOM 6126
WASHINGTON, DC 20010
Student in an Organized Health Care Education/Training Program
110 IRVING ST. NW, DEPT OF INTERNAL MEDICINE
WASHINGTON, DC 20010
Student in an Organized Health Care Education/Training Program
110 IRVING ST. NW, DEPT OF INTERNAL MEDICINE/DERMATOLOGY
WASHINGTON, DC 20010
Student in an Organized Health Care Education/Training Program
110 IRVING ST. NW, DEPT OF VASCULAR SURGERY
WASHINGTON, DC 20010
Student in an Organized Health Care Education/Training Program
110 IRVING ST. NW, DEPARTMENT OF INTERNAL MEDICINE
WAHINGTON, DC 20010
Student in an Organized Health Care Education/Training Program
110 IRVING ST. NW, DEPARTMENT OF OBSTETRICS AND GYNECOLOGY
WASHINGTON, DC 20010
Student in an Organized Health Care Education/Training Program
110 IRVING ST. NW, DEPT. OF PODIATRIC SURGERY
WASHINGTON, DC 20010
Student in an Organized Health Care Education/Training Program
110 IRVING ST. NW, DEPT OF FAMILY MEDICINE
WASHINGTON, DC 20010

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093274839, enumerated as an "individual" on March 19, 2019.

The provider is located at 110 IRVING ST. NW DEPARTMENT OF EMERGENCY MEDICINE WASHINGTON, DC 20010 and the phone number is (202) 877-8080.

Emergency Medicine with taxonomy code 207P00000X.

Michael Nguyen is affiliated with: MEDSTAR SAINT MARY'S HOSPITAL.