THOMAS CHEN
NPI 1225453830
Family Medicine in Fremont, CA

Active since February 19, 2014PECOS EnrolledAccepts Medicare Assignment
91.04/100
CMS Quality Rating
39400 PASEO PADRE PKWY, FREMONT, CA 94538(510) 460-5726 Get Directions Write a Review

NPPES record last updated: December 11, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thomas Chen NPPES

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

THOMAS CHEN (NPI 1225453830) is an individual family medicine provider in Fremont, California, licensed in California (20A15700) and active in the NPI registry since February 2014. He is enrolled in Medicare PECOS and is a graduate of Nova Southeastern Univ College Of Dental Medicine (2014).

NPPES Registry Identity

NPI1225453830
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTHOMAS CHEN
Location Address39400 PASEO PADRE PKWYFremont, CA 94538-2310
Mailing Address39400 Paseo Padre PkwyFremont, CA 94538-2310 · (510) 460-5726
Sole ProprietorNo
Medical School CMSNova Southeastern Univ College Of Dental MedicineGraduated 2014
Enumeration DateFebruary 19, 2014
Last NPPES UpdateDecember 11, 2017
NPI 1225453830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · 20A15700
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
39400 PASEO PADRE PKWY, Fremont, CA 94538

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 ID9931492634
PECOS Enrollment IDI20180124002502
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94538 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

91.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.13
Promoting Interoperability100
Improvement Activities40
Cost64.1

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.

Family Medicine
39400 PASEO PADRE PKWY
FREMONT, CA 94538
Pharmacist
39400 PASEO PADRE PKWY
FREMONT, CA 94538
Internal Medicine
39400 PASEO PADRE PKWY
FREMONT, CA 94538
Registered Nurse (Women's Health Care, Ambulatory)
39400 PASEO PADRE PKWY, EMBARCADERO OB/GYN
FREMONT, CA 94538
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
39400 PASEO PADRE PKWY
FREMONT, CA 94538
Internal Medicine
39400 PASEO PADRE PKWY
FREMONT, CA 94538
Internal Medicine
39400 PASEO PADRE PKWY
FREMONT, CA 94538
Dietitian, Registered
39400 PASEO PADRE PKWY
FREMONT, CA 94538

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 1225453830. It was assigned to this individual provider in the NPPES registry on February 19, 2014.

Where is Thomas Chen located?

Thomas Chen practices at 39400 Paseo Padre Pkwy, Fremont, CA 94538. The listed phone number is (510) 460-5726.

What is Thomas Chen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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 December 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.