CYNTHIA CHEN MD
NPI 1164985529
Dermatology in High Point, NC

Active since April 11, 2019PECOS EnrolledAccepts Medicare Assignment
89.85/100
CMS Quality Rating
4010 MENDENHALL OAKS PKWY, HIGH POINT, NC 27265(336) 887-3195 Get Directions Write a Review

NPPES record last updated: August 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 21, 2023, Apr 11, 2019 (2 updates tracked since 2019).

About Cynthia Chen Md NPPES

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

CYNTHIA CHEN MD (NPI 1164985529) is an individual dermatology provider in High Point, North Carolina, licensed in North Carolina (2023-00465) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Hunterdon Medical Center, and is a graduate of Columbia University College Of Physicians And Surgeons (2019).

NPPES Registry Identity

NPI1164985529
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameCYNTHIA CHENCredential: MD
Location Address4010 MENDENHALL OAKS PKWYHigh Point, NC 27265-8076
Mailing Address4010 Mendenhall Oaks PkwyHigh Point, NC 27265-8076 · (336) 887-3195
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2019
Enumeration DateApril 11, 2019
Last NPPES UpdateAugust 21, 20232 updates tracked since enumeration
NPPES CertifiedAugust 21, 2023
NPI 1164985529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in NC · 2023-00465
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
4010 MENDENHALL OAKS PKWY, High Point, NC 27265

Accepted 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

Cynthia Chen 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 ID8224369319
PECOS Enrollment IDI20230525003488, I20250805002913
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 10

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
267 services62 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
119 services95 patients
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.
109 services63 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
74 services74 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
73 services64 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.
71 services61 patients

Hospital Affiliations CMS Care Compare

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

Hunterdon Medical Center

Acute Care Hospitals · Flemington, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310005
Location2100 Wescott DriveFlemington, NJ 08822 · Hunterdon County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27265 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

89.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.33
Improvement Activities40
Cost73.73

Other Providers at the Same Location NPPES 9

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

Dermatology
4010 MENDENHALL OAKS PKWY
HIGH POINT, NC 27265
Dermatology (Dermatopathology)
4010 MENDENHALL OAKS PKWY
HIGH POINT, NC 27265
Dermatology (Clinical & Laboratory Dermatological Immunology)
4010 MENDENHALL OAKS PKWY
HIGH POINT, NC 27265
Dermatology (MOHS-Micrographic Surgery)
4010 MENDENHALL OAKS PKWY
HIGH POINT, NC 27265
Physician Assistant (Medical)
4010 MENDENHALL OAKS PKWY
HIGH POINT, NC 27265
Physician Assistant (Medical)
4010 MENDENHALL OAKS PKWY
HIGH POINT, NC 27265
Dermatology
4010 MENDENHALL OAKS PKWY
HIGH POINT, NC 27265
Dermatology
4010 MENDENHALL OAKS PKWY
HIGH POINT, NC 27265

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 Cynthia Chen's NPI number?

The NPI number for Cynthia Chen is 1164985529. It was assigned to this individual provider in the NPPES registry on April 11, 2019.

Where is Cynthia Chen located?

Cynthia Chen practices at 4010 Mendenhall Oaks Pkwy, High Point, NC 27265. The listed phone number is (336) 887-3195.

What is Cynthia Chen's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Cynthia Chen enrolled in Medicare?

Yes. Cynthia 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.

What insurance does Cynthia Chen accept?

Health plans from Blue Cross and Blue Shield of NC list Cynthia 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 Cynthia Chen affiliated with any hospitals?

According to CMS data, Cynthia Chen is affiliated with Hunterdon Medical Center.

When was this NPI record last updated?

The NPPES record for Cynthia Chen was last updated on August 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.