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HERBERT CHEN
NPI 1366407033
Surgery in Birmingham, AL

Active since April 18, 2006PECOS EnrolledAccepts Medicare Assignment
1717 6TH AVE S, BIRMINGHAM, AL 35233(800) 822-8816 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Herbert Chen NPPES

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

HERBERT CHEN (NPI 1366407033) is an individual surgery provider in Birmingham, Alabama, licensed in Alabama (34498) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Birmingham, and is a graduate of Duke University School Of Medicine (1992).

NPPES Registry Identity

NPI1366407033
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameHERBERT CHEN
Location Address1717 6TH AVE SBirmingham, AL 35233-1801
Mailing Address1717 6th Ave SBirmingham, AL 35233-1801
Phone(800) 822-8816
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 1992
Enumeration DateApril 18, 2006
Last NPPES UpdateJune 29, 2023
✔ NPI 1366407033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in AL · 34498
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1717 6TH AVE S, Birmingham, AL 35233
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Secondary Practice Location 1

Location 12000 6th Ave SBirmingham, AL 35233-2110 · Phone (205) 801-7431

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.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

Herbert Chen 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 ID7315078342
PECOS Enrollment IDI20151106001215
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.

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.
40 services40 patients
Insertion of tube into vein with collection of blood sample 36500
This procedure involves placing a small tube into a vein, commonly in the arm, to collect a blood sample. The process is quick and typically causes minor discomfort. The blood sample is then checked in a lab to help diagnose health conditions.
30 services30 patients
Nuclear medicine study, 1 area 78800
A nuclear medicine study is a diagnostic procedure that uses a small amount of radioactive substance to examine the function of a specific area in your body. This safe, non-invasive test helps doctors detect diseases, assess your condition, and plan the best treatment.
29 services29 patients
Removal or exploration of parathyroid glands 60500
The procedure for removal or exploration of parathyroid glands involves a surgeon making a small incision in the neck to locate and remove one or more of the tiny parathyroid glands. These glands control calcium levels in the body. This procedure helps treat conditions like hyperparathyroidism.
25 services25 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.
15 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35233 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

MELANIE MORRIS
Surgery
1717 6TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (800) 822-8816
JESSICA CHA
Nurse Practitioner (Acute Care)
1717 6TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (800) 822-8816
JAMES WALKER
Radiology (Diagnostic Radiology)
1717 6TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (800) 822-8816
TONYA RICHARDS
Nurse Practitioner (Family)
1717 6TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (800) 822-8816
JOSEPH SMITH
Radiology (Diagnostic Radiology)
1717 6TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (800) 822-8816
STACY WADE
Anesthesiology
1717 6TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (800) 822-8816
MRS. CHERYL ANDERSON LANE NP-BC
Nurse Practitioner (Adult Health)
1717 6TH AVE S, SPAIN REHAB CENTER RM 156
BIRMINGHAM, AL 35233
Jefferson County (205) 934-2747
TARAH WOODFIN
Nurse Practitioner (Acute Care)
1717 6TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (800) 822-8816

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 Herbert Chen's NPI number?

The NPI number for Herbert Chen is 1366407033. It was assigned to this individual provider in the NPPES registry on April 18, 2006.

Where is Herbert Chen located?

Herbert Chen practices at 1717 6th Ave S, Birmingham, AL 35233. The listed phone number is (800) 822-8816.

What is Herbert Chen's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Herbert Chen enrolled in Medicare?

Yes. Herbert 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.

What insurance does Herbert Chen accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list Herbert 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.

When was this NPI record last updated?

The NPPES record for Herbert Chen was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.