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ELTON CHEN D.O.
NPI 1215226303
Internal Medicine - Critical Care Medicine in Sugar Land, TX

Active since March 30, 2011PECOS EnrolledAccepts Medicare Assignment
16811 SOUTHWEST FWY, SUITE 300, SUGAR LAND, TX 77479(281) 274-8050(281) 275-0760 Get Directions Write a Review

NPPES record last updated: August 30, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elton Chen D.o. NPPES

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

ELTON CHEN D.O. (NPI 1215226303) is an individual critical care medicine provider in Sugar Land, Texas, licensed in Texas (Q7161) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS, is affiliated with Houston Methodist Sugarland Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1215226303
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameELTON CHENCredential: D.O.
Location Address16811 SOUTHWEST FWY, SUITE 300Sugar Land, TX 77479-4728
Mailing Address16811 Southwest Fwy, Suite 300Sugar Land, TX 77479-4728 · (281) 274-8050 · Fax (281) 275-0760
Phone(281) 274-8050
Fax(281) 275-0760
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 30, 2011
Last NPPES UpdateAugust 30, 2016
✔ NPI 1215226303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in TX · Q7161
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 2011019430 (MO)
16811 SOUTHWEST FWY, Sugar Land, TX 77479
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Other Identifiers 2

Other8FZ841TX · Blue Cross Blue Shield
Medicare PIN517971ZSVETX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare.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

Elton Chen D.o. 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 ID749595239
PECOS Enrollment IDI20160805001818
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 2

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
350 services155 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
37 services22 patients

Hospital Affiliations CMS Care Compare

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

Houston Methodist Sugarland Hospital

Acute Care Hospitals · Sugar Land, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450820
Location16655 Southwest FreewaySugar Land, TX 77479 · Fort Bend County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77479 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 $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 18

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

MEAGHAN SHANNON
Specialist/Technologist (Athletic Trainer)
16811 SOUTHWEST FWY
SUGAR LAND, TX 77479
Fort Bend County (281) 609-7547
CHRISTINA M PLACKER PA-C
Physician Assistant
16811 SOUTHWEST FWY
SUGAR LAND, TX 77479
Fort Bend County (281) 690-4678
TIMOTHY CHRISTIAN SITTER MD
Orthopaedic Surgery (Sports Medicine)
16811 SOUTHWEST FWY
SUGAR LAND, TX 77479
Fort Bend County (281) 690-4678
ASHKAN JAVAHERI PA-C
Physician Assistant (Surgical)
16811 SOUTHWEST FWY
SUGAR LAND, TX 77479
Fort Bend County (281) 690-4675
DR. VINCENT C PHAN
Orthopaedic Surgery (Hand Surgery)
16811 SOUTHWEST FWY
SUGAR LAND, TX 77479
Fort Bend County (281) 690-4678
DR. ASHVIN KUMAR DEWAN MD
Orthopaedic Surgery (Sports Medicine)
16811 SOUTHWEST FWY, 2ND FLOOR
SUGAR LAND, TX 77479
Fort Bend County (281) 690-4678
DR. DONALD DEAN DOMINY III M.D.
Orthopaedic Surgery (Hand Surgery)
16811 SOUTHWEST FWY
SUGAR LAND, TX 77479
Fort Bend County (281) 690-4678
JEFFREY BEN WOOD MD
Orthopaedic Surgery
16811 SOUTHWEST FWY
SUGAR LAND, TX 77479
Fort Bend County (281) 690-4678

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 Elton Chen's NPI number?

The NPI number for Elton Chen is 1215226303. It was assigned to this individual provider in the NPPES registry on March 30, 2011.

Where is Elton Chen located?

Elton Chen practices at 16811 Southwest Fwy Suite 300, Sugar Land, TX 77479. The listed phone number is (281) 274-8050.

What is Elton Chen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Elton Chen enrolled in Medicare?

Yes. Elton 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 Elton Chen accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice and Molina Healthcare list Elton 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 Elton Chen affiliated with any hospitals?

According to CMS data, Elton Chen is affiliated with Houston Methodist Sugarland Hospital.

When was this NPI record last updated?

The NPPES record for Elton Chen was last updated on August 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.