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TOMMY TIEN NGUYEN M.D.
NPI 1316263106
Hospitalist in Tulsa, OK

Active since April 19, 2010PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1145 S UTICA AVE, SUITE 460, TULSA, OK 74104(918) 579-5749(918) 579-5762 Get Directions Write a Review

NPPES record last updated: June 21, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tommy Tien Nguyen M.d. NPPES

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

TOMMY TIEN NGUYEN M.D. (NPI 1316263106) is an individual hospitalist provider in Tulsa, Oklahoma, licensed in Oklahoma (27743) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Oklahoma Surgical Hospital, Llc, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1316263106
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameTOMMY TIEN NGUYENCredential: M.D.
Location Address1145 S UTICA AVE, SUITE 460Tulsa, OK 74104-4000
Mailing Address1145 S Utica Ave, Suite 460Tulsa, OK 74104-4000 · (918) 579-5749 · Fax (918) 579-5762
Phone(918) 579-5749
Fax(918) 579-5762
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateApril 19, 2010
Last NPPES UpdateJune 21, 2019
✔ NPI 1316263106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in OK · 27743
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
1145 S UTICA AVE, Tulsa, OK 74104
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Other Identifiers 1

Medicaid200295030AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.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

Tommy Tien Nguyen M.d. 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 ID6204070337
PECOS Enrollment IDI20130911000570
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 5

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.

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.
581 services252 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
462 services407 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
158 services158 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.
110 services108 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Oklahoma Surgical Hospital, LLC

Acute Care Hospitals · Tulsa, OK
5/5 CMS rating
OwnershipPhysician
CMS Certification Number370210
Location2408 East 81st Street, Suite 300Tulsa, OK 74137 · Tulsa County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74104 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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40
Cost100

Reported Quality Measures

Advance Care Plan
100%1,196 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%4,479 patients5/55-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.

Referred Medical Equipment & Supplies CMS DME claims

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers11 claims11 services$6.01 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.

DR. DAE Y KIM M.D., PH.D
Urology
1145 S UTICA AVE, SUITE 202
TULSA, OK 74104
Tulsa County (918) 579-3130
JARED QUALLS APRN
Nurse Practitioner (Acute Care)
1145 S UTICA AVE, SUITE 460
TULSA, OK 74104
Tulsa County (918) 579-5749
DR. BRENT C MCANULTY M.D.
Hospitalist
1145 S UTICA AVE, STE 460
TULSA, OK 74104
Tulsa County (918) 579-5749
BOARD OF REGENTS OF THE UNIVERSITY OF OKLHOAMA OU PHYSICIANS TULSA
Urology
1145 S UTICA AVE, STE 202
TULSA, OK 74104
Tulsa County (918) 579-3130
SCOTT ROBISONS RX INC
Pharmacy (Community/Retail Pharmacy)
1145 S UTICA AVE, STE 18
TULSA, OK 74104
Tulsa County (918) 582-7144
MRS. ROSE MARIE MARTINO OTR/L
Occupational Therapist
1145 S UTICA AVE, SUITE 262
TULSA, OK 74104
Tulsa County (918) 579-3035
MELANIE K PHILLIPS MD
Emergency Medicine
1145 S UTICA AVE, TULSA
TULSA, OK 74104
Tulsa County (918) 579-2367
JANET ELIZABETH CHEEK DO
Hospitalist
1145 S UTICA AVE, STE 460
TULSA, OK 74104
Tulsa County (918) 579-5749

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 Tommy Nguyen's NPI number?

The NPI number for Tommy Nguyen is 1316263106. It was assigned to this individual provider in the NPPES registry on April 19, 2010.

Where is Tommy Nguyen located?

Tommy Nguyen practices at 1145 S Utica Ave Suite 460, Tulsa, OK 74104. The listed phone number is (918) 579-5749.

What is Tommy Nguyen's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Tommy Nguyen enrolled in Medicare?

Yes. Tommy 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 Tommy Nguyen accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Tommy 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 Tommy Nguyen affiliated with any hospitals?

According to CMS data, Tommy Nguyen is affiliated with Oklahoma Surgical Hospital, LLC.

When was this NPI record last updated?

The NPPES record for Tommy Nguyen was last updated on June 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.