DOUGLAS A. CHEN M..D.
NPI 1295818599
Otolaryngology - Otology & Neurotology in Pittsburgh, PA

Active since October 23, 2006PECOS Enrolled
88.19/100
CMS Quality Rating
420 E NORTH AVE, SUITE 402, PITTSBURGH, PA 15212(412) 321-2480(412) 321-4207 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Douglas A. Chen M..d. NPPES

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

DOUGLAS A. CHEN M..D. (NPI 1295818599) is an individual otology & neurotology provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD025303E) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295818599
Entity TypeIndividualMale
Primary Taxonomy207YX0901X
Provider Legal NameDOUGLAS A. CHENCredential: M..D.
Location Address420 E NORTH AVE, SUITE 402Pittsburgh, PA 15212-4746
Mailing Address420 E. North Ave., Suite 402Pittsburgh, PA 15212 · (412) 321-2480 · Fax (412) 321-4207
Fax(412) 321-4207
Sole ProprietorNo
Enumeration DateOctober 23, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1295818599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngology · Otology & NeurotologyAllopathic & Osteopathic Physicians
Taxonomy Code207YX0901X
License Licensed in PA · MD025303E
Definition
An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone.
420 E NORTH AVE, Pittsburgh, PA 15212

Other Identifiers 4

Medicare ID-Type Unspecified143167NKDPA
Medicare UPINC31668PA
Medicaid0011027940001PA
Other143167PA · Highmark Blue Shield

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Douglas A. Chen M..d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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 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.
261 services196 patients
Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
123 services122 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.
64 services50 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.
59 services59 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.
59 services59 patients
Simple removal of skin debris and drainage of mastoid cavity 69220
This procedure involves clearing out skin debris and draining fluid from the mastoid cavity, an air-filled space in the skull behind the ear. It's done to relieve discomfort, improve hearing, and prevent complications related to ear infections or other conditions.
51 services27 patients

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.

88.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality78.53
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use
98%52 patients
Documentation of Current Medications in the Medical Record
89%3,758 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
98%2,273 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
62%2,362 patients3/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 98% · 867 patients
Patients screened: 99% · 867 patients
97%87 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
98%877 patients4/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
95%42 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Optometrist (Low Vision Rehabilitation)
420 E NORTH AVE, SUITE 116
PITTSBURGH, PA 15212
Otolaryngology (Otology & Neurotology)
420 E NORTH AVE, SUITE 402
PITTSBURGH, PA 15212
Internal Medicine (Endocrinology, Diabetes & Metabolism)
420 E NORTH AVE, SUITE 205
PITTSBURGH, PA 15212
Otolaryngology (Otology & Neurotology)
420 E NORTH AVE, SUITE 402
PITTSBURGH, PA 15212
Neurological Surgery
420 E NORTH AVE, SUITE 302 AGH NEUROSURGERY
PITTSBURGH, PA 15212
Ophthalmology
420 E NORTH AVE, SUITE 116
PITTSBURGH, PA 15212
Audiologist
420 E NORTH AVE, SUITE 402
PITTSBURGH, PA 15212
Ophthalmology
420 E NORTH AVE, SUITE 116
PITTSBURGH, PA 15212

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 Douglas Chen's NPI number?

The NPI number for Douglas Chen is 1295818599. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Douglas Chen located?

Douglas Chen practices at 420 E North Ave Suite 402, Pittsburgh, PA 15212. The listed phone number is (412) 321-2480.

What is Douglas Chen's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otology & Neurotology, with taxonomy code 207YX0901X.

Is Douglas Chen enrolled in Medicare?

Yes. Douglas Chen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Douglas Chen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.