CHARLES MINH NGUYEN MD, PHD
NPI 1528372398
Hospitalist in The Woodlands, TX

Active since August 03, 2010PECOS EnrolledAccepts Medicare Assignment
91.34/100
CMS Quality Rating
17201 INTERSTATE 45 S, THE WOODLANDS, TX 77385(936) 270-2099(713) 790-8703 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 21, 2022, Mar 11, 2022, Aug 9, 2018 and 2 more (5 updates tracked since 2017).

About Charles Minh Nguyen Md, Phd NPPES

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

CHARLES MINH NGUYEN MD, PHD (NPI 1528372398) is an individual hospitalist provider in The Woodlands, Texas, licensed in Texas (N6943) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS, is affiliated with Houston Methodist The Woodlands Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1528372398
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameCHARLES MINH NGUYENCredential: MD, PHD
Location Address17201 INTERSTATE 45 SThe Woodlands, TX 77385-3311
Mailing Address17201 Interstate 45 SThe Woodlands, TX 77385-3311 · (936) 270-2099 · Fax (713) 790-8703
Fax(713) 790-8703
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 3, 2010
Last NPPES UpdateOctober 30, 20245 updates tracked since enumeration
NPPES CertifiedOctober 30, 2024
✔ NPI 1528372398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in TX · N6943
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License N6943 (TX)
17201 INTERSTATE 45 S, The Woodlands, TX 77385

Other Identifiers 2

Medicaid216518502TX
Medicaid216518503TX

Accepted 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

Charles Minh Nguyen Md, Phd 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 ID5092901272
PECOS Enrollment IDI20101130000911
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
267 services124 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.
189 services109 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
171 services168 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.
42 services42 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Houston Methodist The Woodlands Hospital

Acute Care Hospitals · The Woodlands, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670122
Location17201 Interstate 45 SouthThe Woodlands, TX 77385 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77385 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
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

91.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.64
Promoting Interoperability89.13
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 16

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

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier32 claims32 services$24.46 avg. paid by Medicare
Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
1 supplier13 claims2,340 services$0.11 avg. paid by Medicare
Urinary catheter anchoring device, adhesive skin attachment, each A4333
DME-Orthotic Devices · category DF000N
1 supplier29 claims348 services$2.10 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier13 claims2,340 services$1.73 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier35 claims49 services$7.66 avg. paid by Medicare
Ostomy skin barrier, powder, per oz A4371
DME-Orthotic Devices · category DF010N
1 supplier11 claims11 services$3.21 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.

Student in an Organized Health Care Education/Training Program
17201 INTERSTATE 45 S
THE WOODLANDS, TX 77385
Pharmacist
17201 INTERSTATE 45 S
THE WOODLANDS, TX 77385
Nurse Practitioner (Acute Care)
17201 INTERSTATE 45 S
THE WOODLANDS, TX 77385
Hospitalist
17201 INTERSTATE 45 S
THE WOODLANDS, TX 77385
Anesthesiology
17201 INTERSTATE 45 S
THE WOODLANDS, TX 77385
Hospitalist
17201 INTERSTATE 45 S
SHENANDOAH, TX 77385
Emergency Medicine
17201 INTERSTATE 45 S
SHENANDOAH, TX 77385
Emergency Medicine (Medical Toxicology)
17201 INTERSTATE 45 S
THE WOODLANDS, TX 77385

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 Charles Nguyen's NPI number?

The NPI number for Charles Nguyen is 1528372398. It was assigned to this individual provider in the NPPES registry on August 3, 2010.

Where is Charles Nguyen located?

Charles Nguyen practices at 17201 Interstate 45 S, The Woodlands, TX 77385. The listed phone number is (936) 270-2099.

What is Charles Nguyen's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Charles Nguyen enrolled in Medicare?

Yes. Charles 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.

What insurance does Charles Nguyen accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare and WellPoint list Charles 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 Charles Nguyen affiliated with any hospitals?

According to CMS data, Charles Nguyen is affiliated with Houston Methodist The Woodlands Hospital.

When was this NPI record last updated?

The NPPES record for Charles Nguyen was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.