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TAM NGUYEN M.D.
NPI 1437115946
Otolaryngology in Lubbock, TX

Active since April 24, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3502 9TH ST, STE 410, LUBBOCK, TX 79415(806) 743-4115(806) 743-1313 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 7, 2023, Mar 25, 2021, Jan 21, 2021 (3 updates tracked since 2021).

About Tam Nguyen M.d. NPPES

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

TAM NGUYEN M.D. (NPI 1437115946) is an individual otolaryngology provider in Lubbock, Texas, licensed in Texas (M2422) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with University Medical Center, and is a graduate of Wayne State University School Of Medicine (1998).

NPPES Registry Identity

NPI1437115946
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameTAM NGUYENCredential: M.D.
Location Address3502 9TH ST, STE 410Lubbock, TX 79415-3300
Mailing AddressPo Box 5865Lubbock, TX 79408-5865 · (806) 743-2898 · Fax (806) 743-2787
Phone(806) 743-4115
Fax(806) 743-1313
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1998
Enumeration DateApril 24, 2006
Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration
NPPES CertifiedMarch 25, 2021
✔ NPI 1437115946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in TX · M2422
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.
3502 9TH ST, Lubbock, TX 79415
Open in Google Maps ↗

Other Identifiers 10

Medicaid179081801TX
Other8A2678TX · Bc/bs
Other146200101TX · Firstcare Commercial
Other200074720AOK · Ok Healthcare Authority
Medicaid202004124NM
Other8M0737TX · Hmo Blue
Other10142612TX · Dps
Medicaid34920714NM
Medicaid146200102TX
Other202004124NM · Presbyterian Commercial

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Cigna Healthcare.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

Tam 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 ID648232801
PECOS Enrollment IDI20051117000457
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 Reassignment

Medicare enrollment records show Tam Nguyen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Texas Tech University Health Sciences Center Lubbock
0.2 mi
Podiatrist
3601 4TH ST
Lubbock, TX 79430
  • Reassigned Medicare billing, Texas enrollment
  • 685 clinicians in this Medicare group
NPI 1538239769 (806) 743-2475

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.
84 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.
69 services69 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.
63 services49 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
29 services25 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

University Medical Center

Acute Care Hospitals · Lubbock, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450686
Location602 Indiana AvenueLubbock, TX 79415 · Lubbock County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79415 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality91.19
Promoting Interoperability100
Improvement Activities40

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. JOHN R. MARCHBANKS M.D.
Otolaryngology
3502 9TH ST, SUITE 410
LUBBOCK, TX 79415
Lubbock County (806) 743-4115
DR. VERNON FARTHING MD
Internal Medicine
3502 9TH ST, STE. 210
LUBBOCK, TX 79415
Lubbock County (806) 762-8461
HOLLY S. STEWART, MD PA
Clinic/Center (Primary Care)
3502 9TH ST, SUITE 360
LUBBOCK, TX 79415
Lubbock County (806) 744-7764
LAURA DURRETT
Nurse Practitioner
3502 9TH ST, SUITE 170
LUBBOCK, TX 79415
Lubbock County (806) 744-0566
DR. JOEHASSIN CORDERO M.D.
Otolaryngology
3502 9TH ST, SUITE 410
LUBBOCK, TX 79415
Lubbock County (806) 743-4115
AMY A BLAZEK PA
Physician Assistant
3502 9TH ST, STE 110
LUBBOCK, TX 79415
Lubbock County (806) 744-1171
MISS JONATHAN S. VORDERMARK M.D.
Urology (Pediatric Urology)
3502 9TH ST, SUITE 260
LUBBOCK, TX 79415
Lubbock County (806) 743-1810
JOSEPH E HANCOCK M.D.
Internal Medicine (Gastroenterology)
3502 9TH ST, SUITE 310
LUBBOCK, TX 79415
Lubbock County (806) 761-0747

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 Tam Nguyen's NPI number?

The NPI number for Tam Nguyen is 1437115946. It was assigned to this individual provider in the NPPES registry on April 24, 2006.

Where is Tam Nguyen located?

Tam Nguyen practices at 3502 9th St Ste 410, Lubbock, TX 79415. The listed phone number is (806) 743-4115.

What is Tam Nguyen's specialty?

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

Is Tam Nguyen enrolled in Medicare?

Yes. Tam 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 organization bills Medicare for Tam Nguyen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tam Nguyen reassigns Medicare benefits to Texas Tech University Health Sciences Center Lubbock (Lubbock, TX). The 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 Tam Nguyen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tam Nguyen accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and Cigna Healthcare list Tam 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 Tam Nguyen affiliated with any hospitals?

According to CMS data, Tam Nguyen is affiliated with University Medical Center.

When was this NPI record last updated?

The NPPES record for Tam Nguyen was last updated on March 7, 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.