STEPHANIE THI NGUYEN D.O.
NPI 1285175638
Family Medicine in Houston, TX

Active since March 18, 2017PECOS EnrolledAccepts Medicare Assignment
84.05/100
CMS Quality Rating
1100 W 34TH ST, HOUSTON, TX 77018(713) 861-3939 Get Directions Write a Review

NPPES record last updated: November 4, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 4, 2021, Mar 18, 2017 (2 updates tracked since 2017).

About Stephanie Thi Nguyen D.o. NPPES

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

STEPHANIE THI NGUYEN D.O. (NPI 1285175638) is an individual family medicine provider in Houston, Texas, licensed in Texas (R9409) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Harris Health System, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1285175638
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSTEPHANIE THI NGUYENCredential: D.O.
Location Address1100 W 34TH STHouston, TX 77018-6206
Mailing Address11327 Sagevale LnHouston, TX 77089-4512
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 18, 2017
Last NPPES UpdateNovember 4, 20212 updates tracked since enumeration
NPPES CertifiedNovember 4, 2021
NPI 1285175638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · R9409
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1100 W 34TH ST, Houston, TX 77018

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

Stephanie Thi 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 ID3870914377
PECOS Enrollment IDI20200610000299
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 2

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.
26 services17 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.
25 services23 patients

Hospital Affiliations CMS Care Compare

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

Harris Health System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450289
Location2525 Holly HallHouston, TX 77054 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77018 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

84.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.49
Improvement Activities40
Cost54.39

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.

Family Medicine
1100 W 34TH ST
HOUSTON, TX 77018
Family Medicine
1100 W 34TH ST
HOUSTON, TX 77018
Family Medicine
1100 W 34TH ST
HOUSTON, TX 77018
Obstetrics & Gynecology
1100 W 34TH ST
HOUSTON, TX 77018
Family Medicine
1100 W 34TH ST
HOUSTON, TX 77018
Family Medicine
1100 W 34TH ST
HOUSTON, TX 77018
Family Medicine
1100 W 34TH ST
HOUSTON, TX 77018
Pharmacist (Pharmacotherapy)
1100 W 34TH ST
HOUSTON, TX 77018

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 Stephanie Nguyen's NPI number?

The NPI number for Stephanie Nguyen is 1285175638. It was assigned to this individual provider in the NPPES registry on March 18, 2017.

Where is Stephanie Nguyen located?

Stephanie Nguyen practices at 1100 W 34th St, Houston, TX 77018. The listed phone number is (713) 861-3939.

What is Stephanie Nguyen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Stephanie Nguyen enrolled in Medicare?

Yes. Stephanie 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 Stephanie Nguyen accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice and Molina Healthcare list Stephanie 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 Stephanie Nguyen affiliated with any hospitals?

According to CMS data, Stephanie Nguyen is affiliated with Harris Health System.

When was this NPI record last updated?

The NPPES record for Stephanie Nguyen was last updated on November 4, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.