BINH HOA NGUYEN M.D.
NPI 1598801086
Internal Medicine - Pulmonary Disease in Mechanicsburg, PA

Active since January 30, 2007PECOS EnrolledAccepts Medicare Assignment
82.54/100
CMS Quality Rating
2005 TECHNOLOGY PKWY STE 300, MECHANICSBURG, PA 17050(717) 988-5864 Get Directions Write a Review

NPPES record last updated: August 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 22, 2022, Aug 2, 2021, Dec 21, 2020 (3 updates tracked since 2020).

About Binh Hoa Nguyen M.d. NPPES

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

BINH HOA NGUYEN M.D. (NPI 1598801086) is an individual pulmonary disease provider in Mechanicsburg, Pennsylvania, licensed in Pennsylvania (MD441869) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Upmc Pinnacle Hospitals, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1598801086
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameBINH HOA NGUYENCredential: M.D.
Location Address2005 TECHNOLOGY PKWY STE 300Mechanicsburg, PA 17050-9423
Mailing Address748 Anneslie RdBaltimore, MD 21212-2003 · (443) 904-2416
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJanuary 30, 2007
Last NPPES UpdateAugust 22, 20223 updates tracked since enumeration
NPPES CertifiedAugust 22, 2022
NPI 1598801086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in PA · MD441869
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD448169 (PA), D0065094 (MD)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License MD448169 (PA)
2005 TECHNOLOGY PKWY STE 300, Mechanicsburg, PA 17050

Secondary Practice Locations 2

Location 11995 Technology PkwyMechanicsburg, PA 17050-8522 · Phone (717) 231-8772 · Fax (717) 213-8435
Location 2250 Fame Ave, Suite 202Hanover, PA 17331-1587 · Phone (717) 632-9263 · Fax (717) 646-7439

Other Identifiers 3

Other50117671PA · Capital Bc/keystone
Medicaid102826610PA
Other2897607PA · Highmark Bs

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

Binh Hoa 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 ID5496854432
PECOS Enrollment IDI20130812000505
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 10

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
226 services85 patients
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.
73 services57 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.
63 services44 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.
35 services32 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
17 services16 patients
Emergent insertion of breathing tube into windpipe using an endoscope 31500
This is a procedure where a thin tube is inserted into your windpipe to aid in breathing. It's done in emergency situations, using an endoscope, a tool with a light and camera, to ensure correct placement.
16 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390067
Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County
Emergency services Birthing friendly

Upmc Memorial

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390101
Location1701 Innovation DriveYork, PA 17408 · York County
Emergency services Birthing friendly

Upmc Hanover

Acute Care Hospitals · Hanover, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390233
Location300 Highland AveHanover, PA 17331 · York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17050 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

82.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.62
Promoting Interoperability100
Improvement Activities40
Cost65.18

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 (Pulmonary Disease)
2005 TECHNOLOGY PKWY STE 300
MECHANICSBURG, PA 17050
Internal Medicine (Critical Care Medicine)
2005 TECHNOLOGY PKWY STE 300
MECHANICSBURG, PA 17050
Internal Medicine (Pulmonary Disease)
2005 TECHNOLOGY PKWY STE 300
MECHANICSBURG, PA 17050
Internal Medicine (Pulmonary Disease)
2005 TECHNOLOGY PKWY STE 300
MECHANICSBURG, PA 17050
Physician Assistant
2005 TECHNOLOGY PKWY STE 300
MECHANICSBURG, PA 17050
Internal Medicine (Pulmonary Disease)
2005 TECHNOLOGY PKWY STE 300
MECHANICSBURG, PA 17050
Physician Assistant
2005 TECHNOLOGY PKWY STE 300
MECHANICSBURG, PA 17050
Internal Medicine (Pulmonary Disease)
2005 TECHNOLOGY PKWY STE 300
MECHANICSBURG, PA 17050

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 Binh Nguyen's NPI number?

The NPI number for Binh Nguyen is 1598801086. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Binh Nguyen located?

Binh Nguyen practices at 2005 Technology Pkwy Ste 300, Mechanicsburg, PA 17050. The listed phone number is (717) 988-5864.

What is Binh Nguyen's specialty?

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

Is Binh Nguyen enrolled in Medicare?

Yes. Binh 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 Binh Nguyen affiliated with any hospitals?

According to CMS data, Binh Nguyen is affiliated with Upmc Pinnacle Hospitals, Upmc Memorial and Upmc Hanover.

When was this NPI record last updated?

The NPPES record for Binh Nguyen was last updated on August 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.