JACKY CHEN M.D.
NPI 1538541305
Family Medicine in Cortland, NY

Q: What is Jacky Chen's NPI number?

The NPI number for Jacky Chen is 1538541305. It was assigned to this individual provider in the NPPES registry on June 29, 2015.

Q: What is Jacky Chen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacky Chen was last updated on March 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 29, 2015PECOS Enrolled

4077 WEST RD, CORTLAND, NY 13045(607) 753-9977(607) 218-6276 Get Directions Write a Review

NPPES record last updated: March 4, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 4, 2021, Aug 7, 2018 (2 updates tracked since 2018).

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About Jacky Chen M.d. NPPES

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

JACKY CHEN M.D. (NPI 1538541305) is an individual family medicine provider in Cortland, New York, licensed in New York (294629) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Stamford.

NPPES Registry Identity

NPI1538541305

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJACKY CHENCredential: M.D.

Location Address4077 WEST RDCortland, NY 13045-1637

Mailing AddressPo Box 627Cortland, NY 13045-0627 · (607) 758-8019 · Fax (607) 758-8210

Phone(607) 753-9977

Fax(607) 218-6276

Sole ProprietorNo

Enumeration DateJune 29, 2015

Last NPPES UpdateMarch 4, 20212 updates tracked since enumeration

NPPES CertifiedMarch 4, 2021

✔ NPI 1538541305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NY · 294629

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4077 WEST RD, Cortland, NY 13045

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Secondary Practice Location 1

Location 11351 Washington BlvdStamford, CT 06902-2419 · Phone (203) 276-1000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 Jacky Chen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Guthrie Medical Group, P.C.

48 mi

General Practice

1 GUTHRIE SQ
Sayre, PA 18840

Reassigned Medicare billing, New York enrollment
Medicare enrollment name: Guthrie Medical Group PC
798 clinicians in this Medicare group

NPI 1245246644 (570) 888-5858

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13045 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

Other Providers at the Same Location NPPES 5

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

KAREN WICKERT NP

Nurse Practitioner (Family)