EDWARD S CHEN M.D.
NPI 1508816919
Internal Medicine - Pulmonary Disease in Baltimore, MD

Active since May 10, 2006PECOS Enrolled
74.39/100
CMS Quality Rating
5501 HOPKINS BAYVIEW CIR, BALTIMORE, MD 21224(410) 550-5864 Get Directions Write a Review

NPPES record last updated: February 5, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edward S Chen M.d. NPPES

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

EDWARD S CHEN M.D. (NPI 1508816919) is an individual pulmonary disease provider in Baltimore, Maryland, licensed in Maryland (D52468) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Hospital, The, and is a graduate of Johns Hopkins University School Of Medicine (1994).

NPPES Registry Identity

NPI1508816919
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameEDWARD S CHENCredential: M.D.
Location Address5501 HOPKINS BAYVIEW CIRBaltimore, MD 21224-6821
Mailing AddressPo Box 64264Baltimore, MD 21264-4264 · (410) 550-5864
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 1994
Enumeration DateMay 10, 2006
Last NPPES UpdateFebruary 5, 2013
NPI 1508816919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in MD · D52468
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
5501 HOPKINS BAYVIEW CIR, Baltimore, MD 21224

Other Identifiers 3

Medicaid231000700MD
Medicare PINKR66JHA937MD
Medicare UPING80818MD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Edward S Chen M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163554379
PECOS Enrollment IDI20100722000693
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 7

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 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.
155 services131 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.
59 services54 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.
43 services43 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.
39 services22 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
23 services19 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.
20 services19 patients

Hospital Affiliations CMS Care Compare 3

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

Johns Hopkins Hospital, The

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210009
Location600 North Wolfe StreetBaltimore, MD 21287 · Baltimore City County
Emergency services Birthing friendly

Johns Hopkins Bayview Medical Center

Acute Care Hospitals · Baltimore, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210029
Location4940 Eastern AvenueBaltimore, MD 21224 · Baltimore City County
Emergency services Birthing friendly

Wellspan York Hospital

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390046
Location1001 South George StreetYork, PA 17403 · York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21224 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

74.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.71
Promoting Interoperability97
Improvement Activities40
Cost52.43

Referred Medical Equipment & Supplies CMS DME claims 3

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers44 claims44 services$69.46 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers31 claims31 services$35.18 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
2 suppliers23 claims23 services$34.81 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.

Specialist/Technologist, Pathology (Immunology)
5501 HOPKINS BAYVIEW CIR, ROOM 1A20, JH ASTHMA ALLERGY CENTER
BALTIMORE, MD 21224
Nurse Practitioner (Adult Health)
5501 HOPKINS BAYVIEW CIR
BALTIMORE, MD 21224
Psychiatry & Neurology (Neurology)
5501 HOPKINS BAYVIEW CIR
BALTIMORE, MD 21224
Psychologist (Clinical)
5501 HOPKINS BAYVIEW CIR, ROOM 4B.74
BALTIMORE, MD 21224
Internal Medicine
5501 HOPKINS BAYVIEW CIR
BALTIMORE, MD 21224
Internal Medicine (Pulmonary Disease)
5501 HOPKINS BAYVIEW CIR, 4TH FLOOR
BALTIMORE, MD 21224
Nurse Practitioner (Family)
5501 HOPKINS BAYVIEW CIR
BALTIMORE, MD 21224
Internal Medicine (Pulmonary Disease)
5501 HOPKINS BAYVIEW CIR, ASTHMA AND ALLERGY BUILDING 4TH FLOOR
BALTIMORE, MD 21224

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 Edward Chen's NPI number?

The NPI number for Edward Chen is 1508816919. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Edward Chen located?

Edward Chen practices at 5501 Hopkins Bayview Cir, Baltimore, MD 21224. The listed phone number is (410) 550-5864.

What is Edward Chen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Edward Chen enrolled in Medicare?

Yes. Edward Chen is registered in the Medicare PECOS enrollment system.

Is Edward Chen affiliated with any hospitals?

According to CMS data, Edward Chen is affiliated with Johns Hopkins Hospital, The, Johns Hopkins Bayview Medical Center and Wellspan York Hospital.

When was this NPI record last updated?

The NPPES record for Edward Chen was last updated on February 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.