MICHAEL FRANCIS CHEN MD
NPI 1215904305
Colon & Rectal Surgery in Kalamazoo, MI

Active since March 07, 2006PECOS EnrolledAccepts Medicare Assignment
74.17/100
CMS Quality Rating
6938 ELM VALLEY DR, KALAMAZOO, MI 49009(269) 250-4556(855) 930-1409 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 4, 2026, May 13, 2026, Jun 12, 2025 and 1 more (4 updates tracked since 2023).

About Michael Francis Chen Md NPPES

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

MICHAEL FRANCIS CHEN MD (NPI 1215904305) is an individual colon & rectal surgery provider in Kalamazoo, Michigan, licensed in Michigan (4301071254) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Three Rivers Health, and maintains a secondary practice location in Saint Joseph.

NPPES Registry Identity

NPI1215904305
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameMICHAEL FRANCIS CHENCredential: MD
Location Address6938 ELM VALLEY DRKalamazoo, MI 49009-7436
Mailing Address6938 Elm Valley DrKalamazoo, MI 49009-7436 · (269) 250-4556 · Fax (855) 930-1409
Fax(855) 930-1409
Sole ProprietorNo
Medical School CMSRutgers School Of Dental MedicineGraduated 1990
Enumeration DateMarch 7, 2006
Last NPPES UpdateJune 4, 20264 updates tracked since enumeration
NPPES CertifiedJune 4, 2026
NPI 1215904305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License Licensed in MI · 4301071254
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X · License 4301071254 (MI)
6938 ELM VALLEY DR, Kalamazoo, MI 49009

Secondary Practice Location 1

Location 13903 Hollywood RdSaint Joseph, MI 49085-9149 · Phone (269) 408-1100

Other Identifiers 1

Medicaid1215904305MI

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

Michael Francis 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 ID7113054024
PECOS Enrollment IDI20100426000289
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.

Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
18 services18 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Three Rivers Health

Acute Care Hospitals · Three Rivers, MI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number230015
Location701 S Health ParkwayThree Rivers, MI 49093 · St. Joseph County
Birthing friendly

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230021
Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County
Emergency services Birthing friendly

Borgess Medical Center

Acute Care Hospitals · Kalamazoo, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230117
Location1521 Gull RoadKalamazoo, MI 49048 · Kalamazoo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49009 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

74.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.9
Improvement Activities40
Cost69.08

Referred Medical Equipment & Supplies CMS DME claims 10

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

Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
3 suppliers14 claims360 services$2.85 avg. paid by Medicare
Ostomy skin barrier, powder, per oz A4371
DME-Orthotic Devices · category DF010N
2 suppliers12 claims13 services$3.37 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
2 suppliers20 claims640 services$4.76 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
2 suppliers20 claims496 services$2.46 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
2 suppliers19 claims935 services$8.39 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each A4414
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$4.69 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 7

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

Social Worker (Clinical)
6938 ELM VALLEY DR
KALAMAZOO, MI 49009
Family Medicine
6938 ELM VALLEY DR
KALAMAZOO, MI 49009
Urology
6938 ELM VALLEY DR
KALAMAZOO, MI 49009
Family Medicine
6938 ELM VALLEY DR
KALAMAZOO, MI 49009
Nurse Practitioner (Family)
6938 ELM VALLEY DR
KALAMAZOO, MI 49009
Family Medicine
6938 ELM VALLEY DR
KALAMAZOO, MI 49009
Nurse Practitioner (Family)
6938 ELM VALLEY DR
KALAMAZOO, MI 49009

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 Michael Chen's NPI number?

The NPI number for Michael Chen is 1215904305. It was assigned to this individual provider in the NPPES registry on March 7, 2006.

Where is Michael Chen located?

Michael Chen practices at 6938 Elm Valley Dr, Kalamazoo, MI 49009. The listed phone number is (269) 250-4556.

What is Michael Chen's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Michael Chen enrolled in Medicare?

Yes. Michael 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 Michael Chen accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and UnitedHealthcare list Michael 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 Michael Chen affiliated with any hospitals?

According to CMS data, Michael Chen is affiliated with Three Rivers Health, Lakeland Hospital, St Joseph and Borgess Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Chen was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.