TOAN NGUYEN M.D.
NPI 1487685079
Internal Medicine - Gastroenterology in Bryn Mawr, PA

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment
95.75/100
CMS Quality Rating
825 OLD LANCASTER RD, SUITE 320, BRYN MAWR, PA 19010(610) 527-3800(610) 527-0334 Get Directions Write a Review

NPPES record last updated: April 5, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Toan Nguyen M.d. NPPES

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

TOAN NGUYEN M.D. (NPI 1487685079) is an individual gastroenterology provider in Bryn Mawr, Pennsylvania, licensed in Pennsylvania (MD428415) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Drexel University College Of Medicine (2000).

NPPES Registry Identity

NPI1487685079
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameTOAN NGUYENCredential: M.D.
Location Address825 OLD LANCASTER RD, SUITE 320Bryn Mawr, PA 19010-3231
Mailing Address825 Old Lancaster Rd, Suite 320Bryn Mawr, PA 19010-3231 · (610) 527-3800 · Fax (610) 527-0334
Fax(610) 527-0334
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 2000
Enumeration DateJuly 5, 2006
Last NPPES UpdateApril 5, 2017
NPI 1487685079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in PA · MD428415
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
825 OLD LANCASTER RD, Bryn Mawr, PA 19010

Other Identifiers 2

Medicaid1030956280001PA
Medicare PIN101661EGWPA

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

Toan 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 ID4486667581
PECOS Enrollment IDI20060713000232
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 14

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 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.
146 services117 patients
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.
140 services107 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
111 services110 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
109 services56 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
105 services105 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.
91 services89 patients

Hospital Affiliations CMS Care Compare 5

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Bryn Mawr Hospital

Acute Care Hospitals · Bryn Mawr, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390139
Location130 South Bryn Mawr AveBryn Mawr, PA 19010 · Montgomery County
Emergency services Birthing friendly

Paoli Hospital

Acute Care Hospitals · Paoli, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390153
Location255 West Lancaster AvenuePaoli, PA 19301 · Chester County
Emergency services Birthing friendly

Main Line Hospital Lankenau

Acute Care Hospitals · Wynnewood, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390195
Location100 Lancaster AveWynnewood, PA 19096 · Montgomery County
Emergency services Birthing friendly

Riddle Memorial Hospital

Acute Care Hospitals · Media, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390222
Location1068 West Baltimore PikeMedia, PA 19063 · Delaware County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19010 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

95.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability95
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.

Internal Medicine (Hematology & Oncology)
825 OLD LANCASTER RD, SUITE 320
BRYN MAWR, PA 19010
Internal Medicine (Cardiovascular Disease)
825 OLD LANCASTER RD, SUITE 320
BRYN MAWR, PA 19010
Internal Medicine (Interventional Cardiology)
825 OLD LANCASTER RD, SUITE 320
BRYN MAWR, PA 19010
Internal Medicine (Gastroenterology)
825 OLD LANCASTER RD, SUITE 320
BRYN MAWR, PA 19010
Physician Assistant
825 OLD LANCASTER RD, NEMOURS DUPONT PEDIATRICS BRYN MAWR
BRYN MAWR, PA 19010
Internal Medicine (Cardiovascular Disease)
825 OLD LANCASTER RD, SUITE 320
BRYN MAWR, PA 19010
Physical Therapist
825 OLD LANCASTER RD
BRYN MAWR, PA 19010
Physician Assistant (Medical)
825 OLD LANCASTER RD
BRYN MAWR, PA 19010

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 Toan Nguyen's NPI number?

The NPI number for Toan Nguyen is 1487685079. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Toan Nguyen located?

Toan Nguyen practices at 825 Old Lancaster Rd Suite 320, Bryn Mawr, PA 19010. The listed phone number is (610) 527-3800.

What is Toan Nguyen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Toan Nguyen enrolled in Medicare?

Yes. Toan 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.

Is Toan Nguyen affiliated with any hospitals?

According to CMS data, Toan Nguyen is affiliated with Hospital Of Univ Of Pennsylvania, Bryn Mawr Hospital, Paoli Hospital, Main Line Hospital Lankenau and Riddle Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Toan Nguyen was last updated on April 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.