1. Home
  2. Directory
  3. Georgia
  4. Gainesville
  5. Surgery
  6. NPI Profile

DR. CUONG DUY NGUYEN MD
NPI 1275755209
Surgery in Gainesville, GA

Active since May 02, 2007PECOS EnrolledAccepts Medicare Assignment
82.55/100
CMS Quality Rating
1075 JESSE JEWELL PKWY NE, STE B, GAINESVILLE, GA 30501(770) 536-5733(770) 534-2114 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 27, 2020, Dec 18, 2015 (2 updates tracked since 2015).

About Dr. Cuong Duy Nguyen Md NPPES

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

DR. CUONG DUY NGUYEN MD (NPI 1275755209) is an individual surgery provider in Gainesville, Georgia, licensed in Georgia (061133) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and is a graduate of Medical College Of Georgia School Of Medicine (2002).

NPPES Registry Identity

NPI1275755209
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. CUONG DUY NGUYENCredential: MD
Location Address1075 JESSE JEWELL PKWY NE, STE BGainesville, GA 30501-3814
Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 219-8420
Phone(770) 536-5733
Fax(770) 534-2114
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2002
Enumeration DateMay 2, 2007
Last NPPES UpdateOctober 27, 20202 updates tracked since enumeration
NPPES CertifiedOctober 27, 2020
✔ NPI 1275755209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in GA · 061133
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1075 JESSE JEWELL PKWY NE, Gainesville, GA 30501
Open in Google Maps ↗

Other Identifiers 1

Medicaid468535804AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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 Duy Nguyen 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 ID4981779667
PECOS Enrollment IDI20080814000245
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 5

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.
109 services69 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.
39 services39 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.
30 services30 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
24 services22 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number110029
Location743 Spring StreetGainesville, GA 30501 · Hall County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

82.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.14
Promoting Interoperability100
Improvement Activities40
Cost60.7

Other Providers at the Same Location NPPES 4

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

JULIUS TIMOTHY FULENWIDER MD
Surgery (Vascular Surgery)
1075 JESSE JEWELL PKWY NE, STE B
GAINESVILLE, GA 30501
Hall County (770) 536-5733
JAMES RAYMOND LOVETT PA-C
Physician Assistant (Surgical)
1075 JESSE JEWELL PKWY NE, SUITE B
GAINESVILLE, GA 30501
Hall County (770) 536-5733
PIERPONT F BROWN III MD
Surgery
1075 JESSE JEWELL PKWY NE, STE B
GAINESVILLE, GA 30501
Hall County (770) 536-5733
CASEY J GRAYBEAL MD
Surgery
1075 JESSE JEWELL PKWY NE, STE B
GAINESVILLE, GA 30501
Hall County (770) 536-5733

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 1275755209. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Where is Cuong Nguyen located?

Cuong Nguyen practices at 1075 Jesse Jewell Pkwy NE Ste B, Gainesville, GA 30501. The listed phone number is (770) 536-5733.

What is Cuong Nguyen's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

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 Alliant Health Plans, Inc. 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.

Is Cuong Nguyen affiliated with any hospitals?

According to CMS data, Cuong Nguyen is affiliated with Northeast Georgia Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Cuong Nguyen was last updated on October 27, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.