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THOMAS CHEN
NPI 1184042384
Internal Medicine - Infectious Disease in Manhasset, NY

Active since April 03, 2014PECOS EnrolledAccepts Medicare Assignment
94.24/100
CMS Quality Rating
400 COMMUNITY DRIVE, MANHASSET, NY 11030(516) 562-4280 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Thomas Chen NPPES

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

THOMAS CHEN (NPI 1184042384) is an individual infectious disease provider in Manhasset, New York, licensed in New York (289729) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1184042384
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameTHOMAS CHEN
Location Address400 COMMUNITY DRIVEManhasset, NY 11030
Mailing Address400 Community DriveManhasset, NY 11030
Phone(516) 562-4280
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 3, 2014
Last NPPES UpdateJanuary 30, 2023
NPPES CertifiedJanuary 30, 2023
✔ NPI 1184042384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Licenses✔ Licensed in NY · 289729✔ Licensed in CT · 73183
Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

400 COMMUNITY DRIVE, Manhasset, NY 11030
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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

Thomas Chen 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 ID4183968787
PECOS Enrollment IDI20230406002383
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 9

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
249 services120 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
173 services77 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
135 services126 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.
78 services56 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.
58 services43 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
39 services39 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11030 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

94.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.26
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

WILLIAM KLINE PHD
Psychologist
400 COMMUNITY DRIVE, NSUH-DEPT OF PSYCHIATRY
MANHASSET, NY 11030
Nassau County (516) 562-3241
PRERNA SHAH PHD
Psychiatry & Neurology (Neurology)
400 COMMUNITY DRIVE, NSUH-DEPT OF PSYCHIATRY
MANHASSET, NY 11030
Nassau County (516) 562-3054
JOY LEVINSON PHD
Psychologist
400 COMMUNITY DRIVE, NSUH - DEPARTMENT OF PSYCHIATRY
MANHASSET, NY 11030
Nassau County (516) 562-3353
EMMA LASKIN
Psychiatry & Neurology (Psychiatry)
400 COMMUNITY DRIVE, NSUH-DEPARTMENT OF PSYCHIATRY
MANHASSET, NY 11030
Nassau County (516) 562-3258

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 Thomas Chen's NPI number?

The NPI number for Thomas Chen is 1184042384. It was assigned to this individual provider in the NPPES registry on April 3, 2014.

Where is Thomas Chen located?

Thomas Chen practices at 400 Community Drive, Manhasset, NY 11030. The listed phone number is (516) 562-4280.

What is Thomas Chen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Thomas Chen enrolled in Medicare?

Yes. Thomas 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.

When was this NPI record last updated?

The NPPES record for Thomas Chen was last updated on January 30, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.