DR. CONNIE CHEN MD
NPI 1164927588
Pediatrics - Pediatric Gastroenterology in Morgantown, WV

Active since March 27, 2018PECOS Enrolled
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506(855) 988-2273 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 11, 2025, Jul 9, 2021, Jul 2, 2021 and 1 more (4 updates tracked since 2018).

About Dr. Connie Chen Md NPPES

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

DR. CONNIE CHEN MD (NPI 1164927588) is an individual pediatric gastroenterology provider in Morgantown, West Virginia, licensed in West Virginia (34924) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1164927588
Entity TypeIndividualFemale
Primary Taxonomy2080P0206X
Provider Legal NameDR. CONNIE CHENCredential: MD
Location Address1 MEDICAL CENTER DRMorgantown, WV 26506-1200
Mailing AddressPo Box 780Morgantown, WV 26507-0780 · (681) 342-2133 · Fax (304) 842-2333
Sole ProprietorNo
Enumeration DateMarch 27, 2018
Last NPPES UpdateAugust 11, 20254 updates tracked since enumeration
NPPES CertifiedAugust 11, 2025
✔ NPI 1164927588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in WV · 34924
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Also ListedPediatricsTaxonomy 208000000X · License 34924 (WV)
1 MEDICAL CENTER DR, Morgantown, WV 26506

Secondary Practice Locations 2

Location 1200 Lothrop Street, UPMC Presbyterian M2, C-WingPittsburgh, PA 15213 · Phone (412) 692-5412
Location 2160 E Erie AvePhiladelphia, PA 19134-1011 · Phone (717) 968-9857

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Connie Chen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Connie Chen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
1 MEDICAL CENTER DRIVE
Morgantown, WV 26506
  • Reassigned Medicare billing, West Virginia enrollment
  • 2,471 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 26506 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

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.

Radiology (Neuroradiology)
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Nurse Practitioner (Pediatrics, Critical Care)
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Internal Medicine
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Nurse Practitioner
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Speech-Language Pathologist
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Nurse Practitioner (Family)
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Pharmacist
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506

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 Connie Chen's NPI number?

The NPI number for Connie Chen is 1164927588. It was assigned to this individual provider in the NPPES registry on March 27, 2018.

Where is Connie Chen located?

Connie Chen practices at 1 Medical Center Dr, Morgantown, WV 26506. The listed phone number is (855) 988-2273.

What is Connie Chen's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Connie Chen enrolled in Medicare?

Yes. Connie Chen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Connie Chen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Connie Chen reassigns Medicare benefits to West Virginia University Medical Corporation (Morgantown, WV). The 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 Connie Chen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Connie Chen accept?

Health plans from CareSource, Highmark Blue Cross Blue Shield West Virginia and Molina Healthcare list Connie 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.

When was this NPI record last updated?

The NPPES record for Connie Chen was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.