1. Home
  2. Directory
  3. Florida
  4. Gainesville
  5. Otolaryngology
  6. NPI Profile

DR. SI CHEN MD
NPI 1407121742
Otolaryngology in Gainesville, FL

Active since March 20, 2012PECOS EnrolledAccepts Medicare Assignment
78.18/100
CMS Quality Rating
1345 CENTER DR, GAINESVILLE, FL 32610(352) 273-5199 Get Directions Write a Review

NPPES record last updated: June 1, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 1, 2020, Oct 30, 2019, Aug 29, 2019 (3 updates tracked since 2019).

About Dr. Si Chen Md NPPES

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

DR. SI CHEN MD (NPI 1407121742) is an individual otolaryngology provider in Gainesville, Florida, licensed in Florida (ME139036) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS, is affiliated with Uf Health Shands Hospital, and is a graduate of New York University School Of Medicine (2012).

NPPES Registry Identity

NPI1407121742
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameDR. SI CHENCredential: MD
Location Address1345 CENTER DRGainesville, FL 32610-1005
Mailing AddressPo Box 100264Gainesville, FL 32610-0001 · (352) 273-5199 · Fax (352) 392-6781
Phone(352) 273-5199
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 2012
Enumeration DateMarch 20, 2012
Last NPPES UpdateJune 1, 20203 updates tracked since enumeration
NPPES CertifiedJune 1, 2020
✔ NPI 1407121742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in FL · ME139036
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1345 CENTER DR, Gainesville, FL 32610
Open in Google Maps ↗

Other Identifiers 1

Medicaid103479700FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) 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

Dr. Si Chen 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 ID3274893094
PECOS Enrollment IDI20191028003275
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.

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.
143 services125 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.
81 services77 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
76 services60 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.
64 services64 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
14 services13 patients

Hospital Affiliations CMS Care Compare

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

Uf Health Shands Hospital

Acute Care Hospitals · Gainesville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100113
Location1600 SW Archer RdGainesville, FL 32610 · Alachua County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32610 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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.

78.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.54
Promoting Interoperability100
Improvement Activities40
Cost54.74

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILY JAYNE CICALI
Pharmacist (Pharmacotherapy)
1345 CENTER DR
GAINESVILLE, FL 32610
Alachua County (352) 273-7919
MEGHAN JANE ARWOOD PHARMD, MS
Pharmacist (Pharmacotherapy)
1345 CENTER DR
GAINESVILLE, FL 32610
Alachua County (352) 294-5464
BRYNN SKYLAR FRANZ MD
Student in an Organized Health Care Education/Training Program
1345 CENTER DR, M228 MSB
GAINESVILLE, FL 32610
Alachua County (352) 273-5199
JAKE KIMBRO CARTWRIGHT MD
Student in an Organized Health Care Education/Training Program
1345 CENTER DR
GAINESVILLE, FL 32610
Alachua County (352) 273-5199

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 Si Chen's NPI number?

The NPI number for Si Chen is 1407121742. It was assigned to this individual provider in the NPPES registry on March 20, 2012.

Where is Si Chen located?

Si Chen practices at 1345 Center Dr, Gainesville, FL 32610. The listed phone number is (352) 273-5199.

What is Si Chen's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Si Chen enrolled in Medicare?

Yes. Si 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 Si Chen accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare list Si 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.

Is Si Chen affiliated with any hospitals?

According to CMS data, Si Chen is affiliated with Uf Health Shands Hospital.

When was this NPI record last updated?

The NPPES record for Si Chen was last updated on June 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.