TONY CHEN MD
NPI 1295116499
Internal Medicine - Cardiovascular Disease in Seattle, WA

Q: What is Tony Chen's NPI number?

The NPI number for Tony Chen is 1295116499. It was assigned to this individual provider in the NPPES registry on June 12, 2015.

Q: What is Tony 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 Tony Chen was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since June 12, 2015PECOS EnrolledAccepts Medicare Assignment

1100 9TH AVE, SEATTLE, WA 98101(206) 341-1111(206) 223-8824 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 12, 2025, Sep 14, 2021, Jun 14, 2018 (3 updates tracked since 2018).

On this page

About Tony Chen Md NPPES

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

TONY CHEN MD (NPI 1295116499) is an individual cardiovascular disease provider in Seattle, Washington, licensed in Washington (MD60859243) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Virginia Mason Medical Center, and is a graduate of University Of Washington School Of Medicine (2015).

NPPES Registry Identity

NPI1295116499

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameTONY CHENCredential: MD

Location Address1100 9TH AVESeattle, WA 98101-2756

Mailing AddressPo Box 741515Los Angeles, CA 90074-1515 · (206) 341-1111 · Fax (206) 223-8824

Phone(206) 341-1111

Fax(206) 223-8824

Sole ProprietorNo

Medical School CMSUniversity Of Washington School Of MedicineGraduated 2015

Enumeration DateJune 12, 2015

Last NPPES UpdateSeptember 29, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 29, 2025

✔ NPI 1295116499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Licenses✔ Licensed in WA · MD60859243✔ Licensed in OR · MD188650

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.

1100 9TH AVE, Seattle, WA 98101

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and more.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

Tony 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 ID7719294552

PECOS Enrollment IDI20211124000437

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 Reassignments

Medicare enrollment records show Tony Chen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Virginia Mason Medical Center

Same address

Gastroenterology

1100 9TH AVE
Seattle, WA 98101

Reassigned Medicare billing, Washington enrollment
1,021 clinicians in this Medicare group

NPI 1003970989 (206) 223-6600

Public Hospital District No 2, Klickitat County Washington

137 mi

Critical Access

211 SKYLINE DRIVE
White Salmon, WA 98672

Reassigned Medicare billing, Washington enrollment
Also billed through NPI 1760455687 (Washington)
85 clinicians in this Medicare group

NPI 1952483653 (509) 493-1101

Mid-Columbia Medical Center

137 mi

Multi-Specialty

33 NICHOLS PKWY
Hood River, OR 97031

Reassigned Medicare billing, Oregon enrollment
195 clinicians in this Medicare group

NPI 1568979680 (541) 308-1010

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 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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

499 services387 patients

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.

166 services165 patients

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

127 services125 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.

85 services52 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

42 services38 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.

38 services36 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

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.

26 services19 patients

Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report 93351

This procedure involves using ultrasound technology to create images of your heart while you rest, exercise, or undergo drug-induced stress. An ECG continuously monitors your heart's electrical activity. It helps doctors assess heart health and function.

25 services25 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

20 services17 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.

15 services15 patients

External shock to heart to regulate heart beat 92960

This procedure, known as cardioversion, uses an external electrical shock to restore your heart's normal rhythm. It's typically performed when irregular heartbeats, or arrhythmias, are causing severe symptoms and aren't responding to medications.

14 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Virginia Mason Medical Center

Acute Care Hospitals · Seattle, WA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500005

Location925 Seneca StSeattle, WA 98101 · King County

Emergency services Birthing friendly

Highline Medical Center

Acute Care Hospitals · Burien, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500011

Location16251 Sylvester Road SWBurien, WA 98166 · King County

Emergency services Birthing friendly

Olympic Medical Center

Acute Care Hospitals · Port Angeles, WA

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number500072

Location939 Caroline StPort Angeles, WA 98362 · Clallam County

Emergency services Birthing friendly

Kittitas Valley Community Hospital

Critical Access Hospitals · Ellensburg, WA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number501333

Location603 South ChestnutEllensburg, WA 98926 · Kittitas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98101 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

$143.76 typical visit price

range $63.67 – $189.37

Typical copayment $35.94 (range $15.91 – $47.34)

Most-billed visit code 99204

Established Patient

$78.74 typical visit price

range $21.12 – $155.00

Typical copayment $19.68 (range $5.28 – $38.75)

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.

JACLYN ANN SUBKOVIAK OT

Occupational Therapist

1100 9TH AVE
SEATTLE, WA 98101

King County (206) 341-0461

MARCIE G HUME PHARM.D.

Pharmacist

1100 9TH AVE, MS C3-PO
SEATTLE, WA 98101

King County (206) 223-6877

DR. VINAY GUPTA MD

Internal Medicine (Critical Care Medicine)

1100 9TH AVE
SEATTLE, WA 98101

King County (206) 223-6980

MARY JO BUKOVIC CCP

Contractor

1100 9TH AVE
SEATTLE, WA 98101

King County (206) 223-6600

PEGAH SAFAEIAN D.O.

Physical Medicine & Rehabilitation

1100 9TH AVE
SEATTLE, WA 98101

King County (206) 223-6600

MRS. GENEVIEVE HOUDET-COTE SLP

Speech-Language Pathologist

1100 9TH AVE, MS:H4-PMR
SEATTLE, WA 98101

King County (206) 341-0461

ROBERT DALE MCCLURE MD

Surgery

1100 9TH AVE
SEATTLE, WA 98101

King County (206) 223-6600

VIRGINIA MASON MEDICAL CENTER

Internal Medicine (Gastroenterology)

1100 9TH AVE
SEATTLE, WA 98101

King County (206) 223-6600

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 1295116499. It was assigned to this individual provider in the NPPES registry on June 12, 2015.

Where is Tony Chen located?

Tony Chen practices at 1100 9th Ave, Seattle, WA 98101. The listed phone number is (206) 341-1111.

What is Tony Chen's specialty?

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

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.

Which organizations bill Medicare for Tony Chen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tony Chen reassigns Medicare benefits to 3 organizations: Virginia Mason Medical Center (Seattle, WA), Public Hospital District No 2, Klickitat County Washington (White Salmon, WA) and Mid-Columbia Medical Center (Hood River, OR). Each 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 Tony Chen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tony Chen accept?

Health plans from Kaiser Permanente, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Tony 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 Tony Chen affiliated with any hospitals?

According to CMS data, Tony Chen is affiliated with Virginia Mason Medical Center, Highline Medical Center, Olympic Medical Center and Kittitas Valley Community Hospital.

When was this NPI record last updated?

The NPPES record for Tony Chen was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.