DR. KEVIN CHEN MD
NPI 1255727160
Internal Medicine - Cardiovascular Disease in Appleton, WI

Q: What is Kevin Chen's NPI number?

The NPI number for Kevin Chen is 1255727160. It was assigned to this individual provider in the NPPES registry on April 8, 2015.

Q: What is Kevin Chen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Chen was last updated on June 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 08, 2015PECOS EnrolledAccepts Medicare Assignment

1818 N MEADE ST, APPLETON, WI 54911(920) 731-8900 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 18, 2024, Jun 5, 2023, Jul 10, 2019 and 1 more (4 updates tracked since 2018).

On this page

About Dr. Kevin Chen Md NPPES

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

DR. KEVIN CHEN MD (NPI 1255727160) is an individual cardiovascular disease provider in Appleton, Wisconsin, licensed in Wisconsin (84179) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Med Ctr - Neenah, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1255727160

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDR. KEVIN CHENCredential: MD

Location Address1818 N MEADE STAppleton, WI 54911-3454

Mailing Address3 Neenah CtrNeenah, WI 54956-3070 · (920) 731-8900

Phone(920) 731-8900

Sole ProprietorNo

Medical School CMSNew York Medical CollegeGraduated 2015

Enumeration DateApril 8, 2015

Last NPPES UpdateJune 18, 20244 updates tracked since enumeration

NPPES CertifiedJune 18, 2024

✔ NPI 1255727160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in WI · 84179

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal MedicineTaxonomy 207R00000X · License 61459 (CT)

1818 N MEADE ST, Appleton, WI 54911

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Secondary Practice Locations 2

Location 17028 N Vista StSan Gabriel, CA 91775-1136 · Phone (626) 673-3919

Location 220 York StNew Haven, CT 06510-3220 · Phone (203) 688-4242

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.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. Kevin 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 ID9436486057

PECOS Enrollment IDI20240725002086

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.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

83 services83 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.

29 services29 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

27 services27 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

25 services24 patients

Ultrasound of heart blood flow, valves and chambers, follow-up 93321

This procedure, an echocardiogram, uses sound waves to create images of your heart. It aids in assessing your heart's blood flow, chambers, and valves. It's a follow-up procedure, ensuring that your heart is functioning properly post-treatment.

21 services21 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

21 services21 patients

Hospital Affiliations CMS Care Compare 5

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

Thedacare Regional Med Ctr - Neenah

Acute Care Hospitals · Neenah, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520045

Location130 2nd StNeenah, WI 54956 · Winnebago County

Emergency services Birthing friendly

Holy Family Memorial

Acute Care Hospitals · Manitowoc, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number520107

Location2300 Western AveManitowoc, WI 54221 · Manitowoc County

Emergency services

Thedacare Regional Medical Center - Appleton Inc

Acute Care Hospitals · Appleton, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520160

Location1818 N Meade StAppleton, WI 54911 · Outagamie County

Emergency services Birthing friendly

Thedacare Medical Center-Waupaca

Critical Access Hospitals · Waupaca, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521334

Location800 Riverside DriveWaupaca, WI 54981 · Waupaca County

Emergency services Birthing friendly

Thedacare Medical Center - Shawano

Critical Access Hospitals · Shawano, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521346

Location100 County Rd BShawano, WI 54166 · Shawano County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54911 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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.

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.

MRS. THERESA ANN HAGMAN PTA

Physical Therapy Assistant

1818 N MEADE ST
APPLETON, WI 54911

Outagamie County (920) 731-4101

HANNA ROSE SIPPEL PA

Physician Assistant

1818 N MEADE ST
APPLETON, WI 54911

Outagamie County (920) 731-4101

ANN M HEFTER AGACNP-BC, MSN, BSN

Nurse Practitioner

1818 N MEADE ST
APPLETON, WI 54911

Outagamie County (920) 731-8900

DESSIA J LAXTON APNP

Nurse Practitioner

1818 N MEADE ST
APPLETON, WI 54911

Outagamie County (920) 731-8900

MISS AMBER LYNN NEVALA CST

Specialist/Technologist, Other (Surgical Assistant)

1818 N MEADE ST
APPLETON, WI 54911

Outagamie County (906) 280-5495

DAVID MICHAEL DENELL MPT LAT/C

Physical Therapist

1818 N MEADE ST
APPLETON, WI 54911

Outagamie County (920) 731-4101

PHILIP ANTHONY VOGT MD

Surgery

1818 N MEADE ST, STE 240- WEST
APPLETON, WI 54911

Outagamie County (920) 731-8289

SYED TAIMUR ALI M.D.

Hospitalist

1818 N MEADE ST
APPLETON, WI 54911

Outagamie County (920) 731-4101

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 Kevin Chen's NPI number?

The NPI number for Kevin Chen is 1255727160. It was assigned to this individual provider in the NPPES registry on April 8, 2015.

Where is Kevin Chen located?

Kevin Chen practices at 1818 N Meade St, Appleton, WI 54911. The listed phone number is (920) 731-8900.

What is Kevin Chen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Kevin Chen enrolled in Medicare?

Yes. Kevin 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 Kevin Chen accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Kevin 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 Kevin Chen affiliated with any hospitals?

According to CMS data, Kevin Chen is affiliated with Thedacare Regional Med Ctr - Neenah, Holy Family Memorial, Thedacare Regional Medical Center - Appleton Inc, Thedacare Medical Center-Waupaca and Thedacare Medical Center - Shawano.

When was this NPI record last updated?

The NPPES record for Kevin Chen was last updated on June 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.