HSUAN-CHIH CHEN MD
NPI 1114286796
Obstetrics & Gynecology in Santa Cruz, CA

Active since May 16, 2012PECOS Enrolled
84.92/100
CMS Quality Rating
1505 SOQUEL DR STE 1, SANTA CRUZ, CA 95065(831) 465-5440(831) 462-2017 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 6, 2023, Aug 28, 2023, Jul 17, 2023 and 1 more (4 updates tracked since 2022).

About Hsuan-chih Chen Md NPPES

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

HSUAN-CHIH CHEN MD (NPI 1114286796) is an individual obstetrics & gynecology provider in Santa Cruz, California, licensed in California (A128818) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1114286796
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameHSUAN-CHIH CHENCredential: MD
Location Address1505 SOQUEL DR STE 1Santa Cruz, CA 95065-1716
Mailing Address3400 Data Dr, Attention: Credentialing And Payer Enrollment DeptRancho Cordova, CA 95670
Fax(831) 462-2017
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMay 16, 2012
Last NPPES UpdateOctober 23, 20254 updates tracked since enumeration
NPPES CertifiedOctober 23, 2025
✔ NPI 1114286796 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 · A128818
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.
1505 SOQUEL DR STE 1, Santa Cruz, CA 95065

Other Names 1

Other Name (5)Carolina Chen

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hsuan-chih Chen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446572275
PECOS Enrollment IDI20170109000700
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

3

Medicare enrollment records show Hsuan-chih Chen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
Multi-Specialty
795 EL CAMINO REAL
Palo Alto, CA 94301
  • Reassigned Medicare billing, California enrollment
  • 4,479 clinicians in this Medicare group
Obstetrics & Gynecology
777 LOWNDES HILL RD BLDG 1
Greenville, SC 29607
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Obhg California PC
  • 711 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95065 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
$141.77 typical visit price
range $62.97 – $186.69
Typical copayment $35.44 (range $15.74 – $46.67)
Most-billed visit code 99204
Established Patient
$77.84 typical visit price
range $21.02 – $153.16
Typical copayment $19.46 (range $5.25 – $38.29)
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.

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 10

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

Obstetrics & Gynecology
1505 SOQUEL DR STE 1
SANTA CRUZ, CA 95065
Advanced Practice Midwife
1505 SOQUEL DR STE 1
SANTA CRUZ, CA 95065
Advanced Practice Midwife
1505 SOQUEL DR STE 1
SANTA CRUZ, CA 95065
Advanced Practice Midwife
1505 SOQUEL DR STE 1
SANTA CRUZ, CA 95065
Obstetrics & Gynecology
1505 SOQUEL DR STE 1
SANTA CRUZ, CA 95065
Obstetrics & Gynecology
1505 SOQUEL DR STE 1
SANTA CRUZ, CA 95065
Advanced Practice Midwife
1505 SOQUEL DR STE 1
SANTA CRUZ, CA 95065
Obstetrics & Gynecology
1505 SOQUEL DR STE 1
SANTA CRUZ, CA 95065

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 Hsuan-chih Chen's NPI number?

The NPI number for Hsuan-chih Chen is 1114286796. It was assigned to this individual provider in the NPPES registry on May 16, 2012. The provider is also known as Carolina Chen.

Where is Hsuan-chih Chen located?

Hsuan-chih Chen practices at 1505 Soquel Dr Ste 1, Santa Cruz, CA 95065. The listed phone number is (831) 465-5440.

What is Hsuan-chih Chen's specialty?

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

Is Hsuan-chih Chen enrolled in Medicare?

Yes. Hsuan-chih Chen is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Hsuan-chih Chen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hsuan-chih Chen reassigns Medicare benefits to 3 organizations: Permanente Medical Group Inc (Santa Clara, CA), Sutter Bay Medical Foundation (Palo Alto, CA) and Obhg California, P.C. (Greenville, SC). 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 Hsuan-chih 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 Hsuan-chih Chen was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.