DR. DON CONG NGUYEN M.D.
NPI 1588957146
Ophthalmology in Edmond, OK

Active since May 16, 2011PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
14701 N SANTA FE AVE, EDMOND, OK 73013(405) 752-2733 Get Directions Write a Review

NPPES record last updated: August 1, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 1, 2019, Sep 13, 2016 (2 updates tracked since 2016).

About Dr. Don Cong Nguyen M.d. NPPES

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

DR. DON CONG NGUYEN M.D. (NPI 1588957146) is an individual ophthalmology provider in Edmond, Oklahoma, licensed in California (A135403) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS and is a graduate of University Of Oklahoma College Of Medicine (2015).

NPPES Registry Identity

NPI1588957146
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. DON CONG NGUYENCredential: M.D.
Location Address14701 N SANTA FE AVEEdmond, OK 73013-3411
Mailing Address14701 N Santa Fe AveEdmond, OK 73013-3411
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2015
Enumeration DateMay 16, 2011
Last NPPES UpdateAugust 1, 20192 updates tracked since enumeration
NPI 1588957146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in CA · A135403
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
14701 N SANTA FE AVE, Edmond, OK 73013

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

Dr. Don Cong 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 ID9234443037
PECOS Enrollment IDI20160922000712
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 24

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.
1,108 services633 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
689 services627 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
594 services532 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
221 services141 patients
Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month 99426
Principal care management services focus on managing a single high-risk disease. This involves a health care professional directing clinical staff for the first 30 minutes each month. The aim is to monitor your health, coordinate care, and provide necessary support for your disease management.
207 services48 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
198 services113 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73013 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 10

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

Ophthalmology
14701 N SANTA FE AVE
EDMOND, OK 73013
Ophthalmology
14701 N SANTA FE AVE
EDMOND, OK 73013
Ophthalmology
14701 N SANTA FE AVE
EDMOND, OK 73013
Optometrist
14701 N SANTA FE AVE
EDMOND, OK 73013
Ophthalmology
14701 N SANTA FE AVE
EDMOND, OK 73013
Optometrist
14701 N SANTA FE AVE
EDMOND, OK 73013
Optometrist
14701 N SANTA FE AVE
EDMOND, OK 73013
Optometrist
14701 N SANTA FE AVE
EDMOND, OK 73013

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 Don Nguyen's NPI number?

The NPI number for Don Nguyen is 1588957146. It was assigned to this individual provider in the NPPES registry on May 16, 2011.

Where is Don Nguyen located?

Don Nguyen practices at 14701 N Santa Fe Ave, Edmond, OK 73013. The listed phone number is (405) 752-2733.

What is Don Nguyen's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Don Nguyen enrolled in Medicare?

Yes. Don 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 Don Nguyen accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare, Medica, Mending Health and Oscar Insurance Company and 1 other insurer list Don 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.

When was this NPI record last updated?

The NPPES record for Don Nguyen was last updated on August 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.