DR. CUONG MANH NGUYEN DO
NPI 1316009095
Pathology - Anatomic Pathology & Clinical Pathology in Enid, OK

Active since December 15, 2006PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: February 8, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 8, 2021, Apr 23, 2018 (2 updates tracked since 2018).

About Dr. Cuong Manh Nguyen Do NPPES

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

DR. CUONG MANH NGUYEN DO (NPI 1316009095) is an individual anatomic pathology & clinical pathology provider in Enid, Oklahoma, licensed in Oklahoma (7099) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Mercyone Dubuque Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1316009095
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. CUONG MANH NGUYENCredential: DO
Location Address527 GOTT RDEnid, OK 73705-5103
Mailing Address527 Gott RdEnid, OK 73705-5103
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateDecember 15, 2006
Last NPPES UpdateFebruary 8, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2021
✔ NPI 1316009095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Licenses✔ Licensed in OK · 7099✔ Licensed in IN · 02003017A
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 02003017A (IN)
527 GOTT RD, Enid, OK 73705

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. Cuong Manh Nguyen Do 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 ID8729586771
PECOS Enrollment IDI20250809000325
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

2

Medicare enrollment records show Cuong Nguyen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Access
1111 3RD ST SW
Dyersville, IA 52040
  • Reassigned Medicare billing, Iowa enrollment
  • 62 clinicians in this Medicare group
General Acute Care Hospital
250 MERCY DR
Dubuque, IA 52001
  • Reassigned Medicare billing, Iowa enrollment
  • 94 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.

Hospital Affiliations CMS Care Compare

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

Mercyone Dubuque Medical Center

Acute Care Hospitals · Dubuque, IA
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number160069
Location250 Mercy DriveDubuque, IA 52001 · Dubuque County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73705 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

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.

Dentist
527 GOTT RD
ENID, OK 73705
Family Medicine
527 GOTT RD
ENID, OK 73705
Family Medicine
527 GOTT RD
ENID, OK 73705
Social Worker
527 GOTT RD
ENID, OK 73705
Social Worker (Clinical)
527 GOTT RD
ENID, OK 73705
Military Health Care Provider (Independent Duty Medical Technicians)
527 GOTT RD
ENID, OK 73705
Military Hospital (Military General Acute Care Hospital)
527 GOTT RD
ENID, OK 73705
Preventive Medicine (Aerospace Medicine)
527 GOTT RD
ENID, OK 73705

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 Cuong Nguyen's NPI number?

The NPI number for Cuong Nguyen is 1316009095. It was assigned to this individual provider in the NPPES registry on December 15, 2006.

Where is Cuong Nguyen located?

Cuong Nguyen practices at 527 Gott Rd, Enid, OK 73705. The listed phone number is (580) 213-7098.

What is Cuong Nguyen's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Cuong Nguyen enrolled in Medicare?

Yes. Cuong 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 organizations bill Medicare for Cuong Nguyen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cuong Nguyen reassigns Medicare benefits to 2 organizations: Mercy Medical Center-Dyersville (Dyersville, IA) and Mercy Medical Center-Dubuque (Dubuque, IA). 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 Cuong Nguyen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cuong Nguyen accept?

Health plans from Oscar Health and Oscar Insurance Company list Cuong 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 Cuong Nguyen affiliated with any hospitals?

According to CMS data, Cuong Nguyen is affiliated with Mercyone Dubuque Medical Center.

When was this NPI record last updated?

The NPPES record for Cuong Nguyen was last updated on February 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.