DR. PHUONG DUONG THOAI NGUYEN D.O.
NPI 1275947103
Surgery in Olympia, WA

Active since June 18, 2014PECOS EnrolledAccepts Medicare Assignment
89.28/100
CMS Quality Rating
3525 ENSIGN RD NE STE J, OLYMPIA, WA 98506(360) 493-5252(360) 493-5257 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 16, 2023, Sep 9, 2020, Jul 25, 2019 (3 updates tracked since 2019).

About Dr. Phuong Duong Thoai Nguyen D.o. NPPES

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

DR. PHUONG DUONG THOAI NGUYEN D.O. (NPI 1275947103) is an individual surgery provider in Olympia, Washington, licensed in Washington (OP61447850) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Providence St Mary Medical Center, and is a graduate of Touro Un Col Of Osteopathic Medicine, New York (2014).

NPPES Registry Identity

NPI1275947103
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. PHUONG DUONG THOAI NGUYENCredential: D.O.
Location Address3525 ENSIGN RD NE STE JOlympia, WA 98506-5065
Mailing Address3525 Ensign Rd Ne Ste JOlympia, WA 98506-5065 · (360) 493-5252 · Fax (360) 493-5257
Fax(360) 493-5257
Sole ProprietorNo
Medical School CMSTouro Un Col Of Osteopathic Medicine, New YorkGraduated 2014
Enumeration DateJune 18, 2014
Last NPPES UpdateJuly 1, 20263 updates tracked since enumeration
NPPES CertifiedJuly 1, 2026
✔ NPI 1275947103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in WA · OP61447850✔ Licensed in AZ · 007988
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.
3525 ENSIGN RD NE STE J, Olympia, WA 98506

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Phuong Duong Thoai Nguyen D.o. 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 ID1153651161
PECOS Enrollment IDI20230823001966
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.

Medicare Billing Reassignment

Medicare enrollment records show Phuong Nguyen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Vascular Surgery
3525 ENSIGN RD NE STE J
Olympia, WA 98506
  • Reassigned Medicare billing, Washington enrollment
  • 10 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 15

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 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.
32 services30 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.
30 services30 patients
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.
30 services29 patients
Insertion of central venous tube with port (5 years or older) 36561
A central venous tube with port is a small, flexible tube inserted into a large vein, usually in the chest. It allows for easy administration of medication, fluids, or blood products over a long period. A port is attached under the skin for easy access. It's safe for individuals aged 5 and above.
26 services24 patients
Fluoroscopic guidance for insertion or removal of central vein access device 77001
Fluoroscopic guidance for central vein access device insertion or removal is a procedure where a special X-ray, called a fluoroscope, is used to help accurately place or remove a device in a central vein. This device aids in delivering medications or collecting blood samples.
26 services24 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
23 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Providence St Mary Medical Center

Acute Care Hospitals · Walla Walla, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500002
Location401 W Poplar StWalla Walla, WA 99362 · Walla Walla County
Emergency services Birthing friendly

Providence St Peter Hospital

Acute Care Hospitals · Olympia, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500024
Location413 Lilly Road NEOlympia, WA 98506 · Thurston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98506 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

89.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.56
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 8

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

Surgery
3525 ENSIGN RD NE STE J
OLYMPIA, WA 98506
Clinic/Center (Ambulatory Surgical)
3525 ENSIGN RD NE STE J
OLYMPIA, WA 98506
Neurological Surgery
3525 ENSIGN RD NE STE J
OLYMPIA, WA 98506
Neurological Surgery
3525 ENSIGN RD NE STE J
OLYMPIA, WA 98506
Surgery (Vascular Surgery)
3525 ENSIGN RD NE STE J
OLYMPIA, WA 98506
Nurse Practitioner
3525 ENSIGN RD NE STE J
OLYMPIA, WA 98506
Nurse Practitioner
3525 ENSIGN RD NE STE J
OLYMPIA, WA 98506
Clinic/Center (Pain)
3525 ENSIGN RD NE STE J
OLYMPIA, WA 98506

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 Phuong Nguyen's NPI number?

The NPI number for Phuong Nguyen is 1275947103. It was assigned to this individual provider in the NPPES registry on June 18, 2014.

Where is Phuong Nguyen located?

Phuong Nguyen practices at 3525 Ensign Rd NE Ste J, Olympia, WA 98506. The listed phone number is (360) 493-5252.

What is Phuong Nguyen's specialty?

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

Is Phuong Nguyen enrolled in Medicare?

Yes. Phuong 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.

Which organization bills Medicare for Phuong Nguyen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Phuong Nguyen reassigns Medicare benefits to Surgical Associates PLLC (Olympia, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Phuong Nguyen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Phuong Nguyen accept?

Health plans from Providence Health Plan list Phuong 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 Phuong Nguyen affiliated with any hospitals?

According to CMS data, Phuong Nguyen is affiliated with Providence St Mary Medical Center and Providence St Peter Hospital.

When was this NPI record last updated?

The NPPES record for Phuong Nguyen was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.