DR. DUC NGUYEN MD
NPI 1306945365
Internal Medicine - Pulmonary Disease in Simi Valley, CA

Active since September 22, 2006PECOS EnrolledAccepts Medicare Assignment
57.2/100
CMS Quality Rating
2650 JONES WAY, #7, SIMI VALLEY, CA 93065(805) 520-1577(805) 520-8091 Get Directions Write a Review

NPPES record last updated: March 29, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Duc Nguyen Md NPPES

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

DR. DUC NGUYEN MD (NPI 1306945365) is an individual pulmonary disease provider in Simi Valley, California, licensed in California (A53620) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and is a graduate of University Of California, Irvine, California College Of Medicine (1989).

NPPES Registry Identity

NPI1306945365
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. DUC NGUYENCredential: MD
Location Address2650 JONES WAY, #7Simi Valley, CA 93065
Mailing Address2650 Jones Way, #7Simi Valley, CA 93065 · (805) 520-1577 · Fax (805) 520-8091
Fax(805) 520-8091
Sole ProprietorNo
Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 1989
Enumeration DateSeptember 22, 2006
Last NPPES UpdateMarch 29, 2018
NPI 1306945365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in CA · A53620
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
2650 JONES WAY, Simi Valley, CA 93065

Other Identifiers 1

Medicaid00A536201CA

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. Duc 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 ID8224002142
PECOS Enrollment IDI20040825000522
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 21

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.
2,126 services474 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.
1,860 services260 patients
Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
1,040 services13 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.
625 services245 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.
321 services206 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
311 services128 patients

Hospital Affiliations CMS Care Compare

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

Saint Francis Medical Center

Acute Care Hospitals · Cape Girardeau, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260183
Location211 St Francis DrCape Girardeau, MO 63703 · Cape Girardeau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93065 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
$140.72 typical visit price
range $62.32 – $185.36
Typical copayment $35.18 (range $15.58 – $46.34)
Most-billed visit code 99204
Established Patient
$108.74 typical visit price
range $20.68 – $151.85
Typical copayment $27.18 (range $5.17 – $37.96)
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.

57.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality81.25
Promoting Interoperability0
Improvement Activities40
Cost39.82

Reported Quality Measures

Controlling High Blood Pressure
84%569 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
0%130 patients5/55-star benchmark: 91%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
64%100 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
29%4,871 patients2/55-star benchmark: 61%
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.

Referred Medical Equipment & Supplies CMS DME claims 33

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
20 suppliers70 claims160 services$5.78 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers21 claims26 services$0.93 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers35 claims35 services$34.15 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
2 suppliers33 claims56 services$1.19 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
2 suppliers11 claims11 services$8.46 avg. paid by Medicare
Filter, disposable, used with aerosol compressor or ultrasonic generator A7013
DME-Other DME · category DE000N
1 supplier15 claims15 services$0.49 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Psychiatry & Neurology (Neurology)
2650 JONES WAY, 30
SIMI VALLEY, CA 93065
Clinic/Center (Methadone)
2650 JONES WAY, SUITE #10
SIMI VALLEY, CA 93065
Radiologic Technologist (Cardiac-Interventional Technology)
2650 JONES WAY, SUITE 9
SIMI VALLEY, CA 93065
Counselor (Addiction (Substance Use Disorder))
2650 JONES WAY, #10
SIMI VALLEY, CA 93065
Psychiatry & Neurology (Psychiatry)
2650 JONES WAY, SUITE 27B
SIMI VALLEY, CA 93065
Clinic/Center
2650 JONES WAY, SUITE 31
SIMI VALLEY, CA 93065
Registered Nurse
2650 JONES WAY, SUITE 2
SIMI VALLEY, CA 93065
Counselor (Addiction (Substance Use Disorder))
2650 JONES WAY, 10
SIMI VALLEY, CA 93065

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 Duc Nguyen's NPI number?

The NPI number for Duc Nguyen is 1306945365. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Duc Nguyen located?

Duc Nguyen practices at 2650 Jones Way #7, Simi Valley, CA 93065. The listed phone number is (805) 520-1577.

What is Duc Nguyen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Duc Nguyen enrolled in Medicare?

Yes. Duc 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.

Is Duc Nguyen affiliated with any hospitals?

According to CMS data, Duc Nguyen is affiliated with Saint Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Duc Nguyen was last updated on March 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.