DR. TONY TING CHEN M.D.
NPI 1245684497
Urology in San Diego, CA

Q: What is Tony Chen's NPI number?

The NPI number for Tony Chen is 1245684497. It was assigned to this individual provider in the NPPES registry on April 13, 2016.

Q: What is Tony Chen's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Tony Chen was last updated on August 4, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 13, 2016PECOS EnrolledAccepts Medicare Assignment

80.15/100

CMS Quality Rating

200 W ARBOR DR, SAN DIEGO, CA 92103(800) 926-8273(888) 539-8781 Get Directions Write a Review

NPPES record last updated: August 4, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 4, 2021, Jun 24, 2021, May 26, 2021 (3 updates tracked since 2021).

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About Dr. Tony Ting Chen M.d. NPPES

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

DR. TONY TING CHEN M.D. (NPI 1245684497) is an individual urology provider in San Diego, California, licensed in California (A171188) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and is a graduate of Duke University School Of Medicine (2016).

NPPES Registry Identity

NPI1245684497

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameDR. TONY TING CHENCredential: M.D.

Location Address200 W ARBOR DRSan Diego, CA 92103-9000

Mailing AddressPo Box 232410San Diego, CA 92193-2410

Phone(800) 926-8273

Fax(888) 539-8781

Sole ProprietorNo

Medical School CMSDuke University School Of MedicineGraduated 2016

Enumeration DateApril 13, 2016

Last NPPES UpdateAugust 4, 20213 updates tracked since enumeration

NPPES CertifiedAugust 4, 2021

✔ NPI 1245684497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in CA · A171188

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

200 W ARBOR DR, San Diego, CA 92103

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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. Tony Ting Chen 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 ID3173815461

PECOS Enrollment IDI20210811002863

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 12

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.

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.

517 services278 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

198 services198 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.

61 services31 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

45 services43 patients

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.

44 services42 patients

Simple insertion of temporary bladder tube 51702

This procedure involves placing a temporary tube into your bladder to help with urine flow. It's done when the body can't naturally remove urine. The tube is inserted through a small opening and allows urine to drain into a bag. It's usually a short-term solution.

20 services14 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.

17 services16 patients

Imaging of urinary tract following injection of a contrast agent 74420

This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.

15 services14 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.

15 services14 patients

Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope 52310

This is a procedure to remove an object, stone, or tube from your urinary tract. An endoscope, a thin, flexible tube with a light and camera, is used to locate and remove the object. It is a safe and effective way to address the issue.

14 services13 patients

Ultrasound scan of pelvic region through rectum 76872

An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.

14 services14 patients

Crushing of stone of ureter with insertion of stent using an endoscope 52356

This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 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

$140.22 typical visit price

range $62.10 – $184.71

Typical copayment $35.05 (range $15.52 – $46.17)

Most-billed visit code 99204

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

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.

80.15/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

69.01

Promoting Interoperability

Improvement Activities

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. ALFREDO B. TIU D.O.

Internal Medicine (Nephrology)

200 W ARBOR DR, OWEN CLINIC
SAN DIEGO, CA 92103

San Diego County (619) 543-2415

DR. SIDNEY MERRITT MD

Anesthesiology

200 W ARBOR DR
SAN DIEGO, CA 92103

San Diego County (619) 543-5720

DR. NAVPARKASH SANDHU M.D.

Anesthesiology

200 W ARBOR DR, UCSD MED CENTER
SAN DIEGO, CA 92103

San Diego County (619) 543-5742

JOHN T BESTOSO M.D.

Internal Medicine (Nephrology)

200 W ARBOR DR, UCSD MEDICAL CENTER, SUITE 8781
SAN DIEGO, CA 92103

San Diego County (619) 543-7310

DR. MICHAEL WARREN NIELSEN MD

Emergency Medicine

200 W ARBOR DR
SAN DIEGO, CA 92103

San Diego County (619) 543-6236

PAUL JOSEPH GIRARD M.D.

Orthopaedic Surgery

200 W ARBOR DR, ORTHOPAEDIC SURGERY CLINIC, MAIL CODE 8670
SAN DIEGO, CA 92103

San Diego County (619) 543-6312

DR. SVETLANA KATSEV M.D.

Internal Medicine (Cardiovascular Disease)

200 W ARBOR DR
SAN DIEGO, CA 92103

San Diego County (619) 543-7230

MS. CHRISTINE ELIZABETH ROBINSON APRN, BC

Nurse Practitioner (Primary Care)

200 W ARBOR DR
SAN DIEGO, CA 92103

San Diego County (619) 294-3777

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 Tony Chen's NPI number?

The NPI number for Tony Chen is 1245684497. It was assigned to this individual provider in the NPPES registry on April 13, 2016.

Where is Tony Chen located?

Tony Chen practices at 200 W Arbor Dr, San Diego, CA 92103. The listed phone number is (800) 926-8273.

What is Tony Chen's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Tony Chen enrolled in Medicare?

Yes. Tony 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 Tony Chen was last updated on August 4, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.