DR. CUONG C NGUYEN M.D.
NPI 1235116252
Internal Medicine - Gastroenterology in Scottsdale, AZ

Active since December 30, 2005PECOS EnrolledAccepts Medicare Assignment
78.58/100
CMS Quality Rating
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259(480) 301-8000 Get Directions Write a Review

NPPES record last updated: September 8, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 8, 2020, May 1, 2018 (2 updates tracked since 2018).

About Dr. Cuong C Nguyen M.d. NPPES

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

DR. CUONG C NGUYEN M.D. (NPI 1235116252) is an individual gastroenterology provider in Scottsdale, Arizona, licensed in Arizona (24834) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1235116252
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. CUONG C NGUYENCredential: M.D.
Location Address13400 E SHEA BLVDScottsdale, AZ 85259-5404
Mailing Address13400 E Shea BlvdScottsdale, AZ 85259-5404 · (480) 301-8000
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateDecember 30, 2005
Last NPPES UpdateSeptember 8, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2020
NPI 1235116252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in AZ · 24834
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

13400 E SHEA BLVD, Scottsdale, AZ 85259

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

Dr. Cuong C Nguyen M.d. 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 ID5698819845
PECOS Enrollment IDI20100225000660
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 10

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.

Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
80 services79 patients
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500
Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.
62 services62 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.
44 services43 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
40 services39 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services26 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85259 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

78.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.05
Promoting Interoperability100
Improvement Activities40
Cost59.56

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.

Internal Medicine (Hematology & Oncology)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Internal Medicine (Critical Care Medicine)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Internal Medicine (Pulmonary Disease)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Urology
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Nurse Anesthetist, Certified Registered
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Nurse Anesthetist, Certified Registered
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Radiology (Diagnostic Radiology)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Radiology (Diagnostic Radiology)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259

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 Cuong Nguyen's NPI number?

The NPI number for Cuong Nguyen is 1235116252. It was assigned to this individual provider in the NPPES registry on December 30, 2005.

Where is Cuong Nguyen located?

Cuong Nguyen practices at 13400 E Shea Blvd, Scottsdale, AZ 85259. The listed phone number is (480) 301-8000.

What is Cuong Nguyen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Cuong Nguyen enrolled in Medicare?

Yes. Cuong Nguyen 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 Cuong Nguyen accept?

Health plans from Sanford Health Plan list Cuong Nguyen 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.

When was this NPI record last updated?

The NPPES record for Cuong Nguyen was last updated on September 8, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.