YA LI CHEN M.D.
NPI 1174572440
Internal Medicine - Rheumatology in Rochester, NY

Active since May 06, 2006PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
222 ALEXANDER ST, MONROE COURT, ROCHESTER, NY 14607(585) 922-8350(585) 922-8355 Get Directions Write a Review

NPPES record last updated: September 1, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 1, 2022, May 11, 2021 (2 updates tracked since 2021).

About Ya Li Chen M.d. NPPES

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

YA LI CHEN M.D. (NPI 1174572440) is an individual rheumatology provider in Rochester, New York, licensed in New York (236357) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with United Memorial Medical Center, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1174572440
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameYA LI CHENCredential: M.D.
Location Address222 ALEXANDER ST, MONROE COURTRochester, NY 14607-4039
Mailing Address222 Alexander St, Monroe CourtRochester, NY 14607-4039 · (585) 922-8350 · Fax (585) 922-8355
Fax(585) 922-8355
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateMay 6, 2006
Last NPPES UpdateSeptember 1, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2022
NPI 1174572440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in NY · 236357
Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

222 ALEXANDER ST, Rochester, NY 14607

Other Identifiers 1

Medicaid02836184NY

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

Ya Li Chen M.d. 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 ID7719990910
PECOS Enrollment IDI20060713000092
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.
265 services168 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
45 services28 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
20 services20 patients

Hospital Affiliations CMS Care Compare 3

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

United Memorial Medical Center

Acute Care Hospitals · Batavia, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330073
Location127 North StreetBatavia, NY 14020 · Genesee County
Emergency services Birthing friendly

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Clifton Springs Hospital And Clinic

Acute Care Hospitals · Clifton Springs, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330265
Location2 Coulter RoadClifton Springs, NY 14432 · Ontario County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14607 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

95.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality70.62
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine
222 ALEXANDER ST, STE 5000
ROCHESTER, NY 14607
Internal Medicine
222 ALEXANDER ST, SUITE 5000
ROCHESTER, NY 14607
Physician Assistant
222 ALEXANDER ST, STE 5000
ROCHESTER, NY 14607
Pediatrics
222 ALEXANDER ST, SUITE 4100/4200
ROCHESTER, NY 14607
Pediatrics
222 ALEXANDER ST, SUITE 4200
ROCHESTER, NY 14607
Pediatrics
222 ALEXANDER ST, SUITE 4100/4200
ROCHESTER, NY 14607
Pediatrics
222 ALEXANDER ST, SUITE 4100
ROCHESTER, NY 14607
Internal Medicine (Allergy & Immunology)
222 ALEXANDER ST, MONROE COURT
ROCHESTER, NY 14607

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 Ya Li Chen's NPI number?

The NPI number for Ya Li Chen is 1174572440. It was assigned to this individual provider in the NPPES registry on May 6, 2006.

Where is Ya Li Chen located?

Ya Li Chen practices at 222 Alexander St Monroe Court, Rochester, NY 14607. The listed phone number is (585) 922-8350.

What is Ya Li Chen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Ya Li Chen enrolled in Medicare?

Yes. Ya Li 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.

Is Ya Li Chen affiliated with any hospitals?

According to CMS data, Ya Li Chen is affiliated with United Memorial Medical Center, Rochester General Hospital and Clifton Springs Hospital And Clinic.

When was this NPI record last updated?

The NPPES record for Ya Li Chen was last updated on September 1, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.