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SHAN CHEN MD, PHD
NPI 1184940017
Psychiatry & Neurology - Neurology in New Brunswick, NJ

Active since April 16, 2010PECOS EnrolledAccepts Medicare Assignment
95.77/100
CMS Quality Rating
125 PATERSON ST, SUITE 6100, NEW BRUNSWICK, NJ 08901(732) 235-7733(732) 235-7041 Get Directions Write a Review

NPPES record last updated: May 17, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shan Chen Md, Phd NPPES

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

SHAN CHEN MD, PHD (NPI 1184940017) is an individual neurology provider in New Brunswick, New Jersey, licensed in New Jersey (25MA08811100) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS, is affiliated with Hunterdon Medical Center, and is a graduate of Columbia University College Of Physicians And Surgeons (1994).

NPPES Registry Identity

NPI1184940017
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameSHAN CHENCredential: MD, PHD
Location Address125 PATERSON ST, SUITE 6100New Brunswick, NJ 08901-1962
Mailing Address66 W Gilbert St, 2nd FloorTinton Falls, NJ 07701-4947 · (732) 212-0051 · Fax (732) 212-0713
Phone(732) 235-7733
Fax(732) 235-7041
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1994
Enumeration DateApril 16, 2010
Last NPPES UpdateMay 17, 2021
NPPES CertifiedMay 17, 2021
✔ NPI 1184940017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in NJ · 25MA08811100
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
125 PATERSON ST, New Brunswick, NJ 08901
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Other Identifiers 1

Medicaid0267465NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Shan Chen Md, Phd 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 ID5890964803
PECOS Enrollment IDI20110809000355
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 11

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.

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.
132 services132 patients
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.
121 services78 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.
45 services30 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
45 services45 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.
45 services40 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.
30 services20 patients

Hospital Affiliations CMS Care Compare 4

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

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310038
LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Capital Health Medical Center - Hopewell

Acute Care Hospitals · Pennington, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310044
LocationOne Capital WayPennington, NJ 08534 · Mercer County
Emergency services Birthing friendly

Capital Health Regional Medical Center

Acute Care Hospitals · Trenton, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310092
Location750 Brunswick AveTrenton, NJ 08638 · Mercer County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08901 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

95.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.75
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
3 suppliers36 claims133 services$17.85 avg. paid by Medicare
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims372 services$3.06 avg. paid by Medicare
Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater E0779
DME-Other DME · category DE000N
2 suppliers24 claims24 services$11.01 avg. paid by Medicare
Injection, immune globulin (hizentra), 100 mg J1559
Treatment-Injections and Infusions (nononcologic) · category RI008N
3 suppliers34 claims43,140 services$9.51 avg. paid by Medicare
Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each K0552
DME-Other DME · category DE000N
3 suppliers37 claims206 services$2.24 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. RICARDO E VERDINER MD
Anesthesiology (Critical Care Medicine)
125 PATERSON ST
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 235-6155
DR. IMRAN KHAN M.D., PH.D.
Internal Medicine
125 PATERSON ST, SUITE 5200
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 235-6531
RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM
Internal Medicine (Rheumatology)
125 PATERSON ST, SUITE 5200A
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 235-7217
DOROTEA DEFRANCESCO PA
Physician Assistant (Surgical)
125 PATERSON ST, SUITE 4100
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 235-7800
KRISH KHATRI M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
125 PATERSON ST
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 235-7751
ADEOLA AWOMOLO MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
125 PATERSON ST
NEW BRUNSWICK, NJ 08901
Middlesex County (718) 909-4661
DR. MANISH S PATEL MD
Internal Medicine
125 PATERSON ST, ROOM 2330
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 235-6539
FRANK JIANG
Internal Medicine
125 PATERSON ST, CLINICAL ACADEMIC BUILDING - SUITE 5100A
NEW BRUNSWICK, NJ 08901
Middlesex County (832) 235-6968

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 Shan Chen's NPI number?

The NPI number for Shan Chen is 1184940017. It was assigned to this individual provider in the NPPES registry on April 16, 2010.

Where is Shan Chen located?

Shan Chen practices at 125 Paterson St Suite 6100, New Brunswick, NJ 08901. The listed phone number is (732) 235-7733.

What is Shan Chen's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Shan Chen enrolled in Medicare?

Yes. Shan 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 Shan Chen accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Shan 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 Shan Chen affiliated with any hospitals?

According to CMS data, Shan Chen is affiliated with Hunterdon Medical Center, Robert Wood Johnson University Hospital, Capital Health Medical Center - Hopewell and Capital Health Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Shan Chen was last updated on May 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.