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THUY T NGUYEN DO
NPI 1144679085
Family Medicine in South Beloit, IL

Active since June 10, 2016PECOS EnrolledAccepts Medicare Assignment
73.05/100
CMS Quality Rating
SOUTH BELOIT CLINIC- BHS, 1701 BLACKHAWK BLVD, SOUTH BELOIT, IL 61080(815) 389-2268(815) 525-4350 Get Directions Write a Review

NPPES record last updated: June 19, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 19, 2019, Mar 4, 2019 (2 updates tracked since 2019).

About Thuy T Nguyen Do NPPES

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

THUY T NGUYEN DO (NPI 1144679085) is an individual family medicine provider in South Beloit, Illinois, licensed in Illinois (036-149506) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Beloit Health System, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1144679085
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameTHUY T NGUYENCredential: DO
Location AddressSOUTH BELOIT CLINIC- BHS, 1701 BLACKHAWK BLVDSouth Beloit, IL 61080
Mailing AddressBeloit Health System Inc., 1905 E. Hubbe ParkwayBeloit, WI 53511-1842 · (608) 364-2200 · Fax (608) 364-5452
Phone(815) 389-2268
Fax(815) 525-4350
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 10, 2016
Last NPPES UpdateJune 19, 20192 updates tracked since enumeration
✔ NPI 1144679085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IL · 036-149506✔ Licensed in WI · 70633-21
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 125069234 (IL)
SOUTH BELOIT CLINIC- BHS, South Beloit, IL 61080
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Other Identifiers 1

Medicaid100086600WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW, Quartz.Insurance ›

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

Thuy T Nguyen Do 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 ID42583056
PECOS Enrollment IDI20190620002783, I20190621001533
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 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

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.
148 services80 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
59 services35 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
21 services21 patients

Hospital Affiliations CMS Care Compare

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

Beloit Health System

Acute Care Hospitals · Beloit, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520100
Location1969 W Hart RdBeloit, WI 53511 · Rock County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61080 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

73.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.79
Promoting Interoperability100
Improvement Activities40
Cost51.38

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 Thuy Nguyen's NPI number?

The NPI number for Thuy Nguyen is 1144679085. It was assigned to this individual provider in the NPPES registry on June 10, 2016.

Where is Thuy Nguyen located?

Thuy Nguyen practices at South Beloit Clinic- Bhs 1701 Blackhawk Blvd, South Beloit, IL 61080. The listed phone number is (815) 389-2268.

What is Thuy Nguyen's specialty?

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

Is Thuy Nguyen enrolled in Medicare?

Yes. Thuy 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.

What insurance does Thuy Nguyen accept?

Health plans from Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW and Quartz list Thuy Nguyen 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 Thuy Nguyen affiliated with any hospitals?

According to CMS data, Thuy Nguyen is affiliated with Beloit Health System.

When was this NPI record last updated?

The NPPES record for Thuy Nguyen was last updated on June 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.