WILSON SHU-CHUN TSAI MD
NPI 1609035666
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Walnut Creek, CA

Active since June 05, 2008PECOS EnrolledAccepts Medicare Assignment
92.38/100
CMS Quality Rating
2637 SHADELANDS DR, WALNUT CREEK, CA 94598(925) 932-6330(925) 932-0139 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 11, 2025, Oct 29, 2020, Oct 16, 2019 and 1 more (4 updates tracked since 2017).

About Wilson Shu-chun Tsai Md NPPES

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

WILSON SHU-CHUN TSAI MD (NPI 1609035666) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Walnut Creek, California, licensed in California (A106238) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1609035666
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameWILSON SHU-CHUN TSAICredential: MD
Location Address2637 SHADELANDS DRWalnut Creek, CA 94598-2512
Mailing Address2637 Shadelands DrWalnut Creek, CA 94598-2512 · (925) 932-6330 · Fax (925) 932-0139
Fax(925) 932-0139
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJune 5, 2008
Last NPPES UpdateFebruary 11, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2025
NPI 1609035666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License Licensed in CA · A106238
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
2637 SHADELANDS DR, Walnut Creek, CA 94598

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

Wilson Shu-chun Tsai Md 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 ID143393017
PECOS Enrollment IDI20090401000272
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 15

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.

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.
99 services99 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.
87 services66 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.
72 services56 patients
Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope 43282
This procedure fixes a hernia, a bulge or tear, in the muscle where the esophagus meets the stomach. Using an endoscope, a thin tube with a camera, a mesh is implanted to strengthen the area and prevent future hernias.
40 services39 patients
Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248
This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.
27 services16 patients
Review by radiologist of image to guide opening of digestive tract 74360
This procedure involves a radiologist examining an image of your digestive tract. The image helps the radiologist determine the best way to open your digestive tract, if necessary. This is done to diagnose or treat certain conditions. It's a common, safe procedure.
27 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94598 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
$202.35 typical visit price
range $69.00 – $202.35
Typical copayment $50.58 (range $17.25 – $50.58)
Most-billed visit code 99205
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

92.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality70.12
Promoting Interoperability100
Improvement Activities40
Cost94.55

Reported Quality Measures

Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture
Lower rates are better for this measure.
5%44 patients
Breast Cancer Screening
59%170 patients3/55-star benchmark: 93%
Cervical Cancer Screening
39%161 patients2/55-star benchmark: 98%
Colorectal Cancer Screening
55%332 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
64%214 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
9%100 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
42%100 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
62%940 patients2/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
39%277 patients2/55-star benchmark: 100%
HIV Screening
22%339 patients2/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
51%567 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
27%411 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 86% · 346 patients
Patients screened: 89% · 346 patients
63%27 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%181 patients5/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
75%253 patients3/55-star benchmark: 91%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
4 suppliers13 claims329 services$4.49 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
4 suppliers11 claims4,404 services$0.32 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers32 claims34 services$14.21 avg. paid by Medicare
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 suppliers38 claims40 services$65.69 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.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
2637 SHADELANDS DR
WALNUT CREEK, CA 94598
Internal Medicine (Gastroenterology)
2637 SHADELANDS DR
WALNUT CREEK, CA 94598
Physician Assistant
2637 SHADELANDS DR
WALNUT CREEK, CA 94598
Clinic/Center (Magnetic Resonance Imaging (MRI))
2637 SHADELANDS DR
WALNUT CREEK, CA 94598
Obstetrics & Gynecology
2637 SHADELANDS DR
WALNUT CREEK, CA 94598
Nurse Practitioner (Family)
2637 SHADELANDS DR
WALNUT CREEK, CA 94598
Internal Medicine (Pulmonary Disease)
2637 SHADELANDS DR
WALNUT CREEK, CA 94598
Podiatrist (Foot & Ankle Surgery)
2637 SHADELANDS DR
WALNUT CREEK, CA 94598

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 Wilson Tsai's NPI number?

The NPI number for Wilson Tsai is 1609035666. It was assigned to this individual provider in the NPPES registry on June 5, 2008.

Where is Wilson Tsai located?

Wilson Tsai practices at 2637 Shadelands Dr, Walnut Creek, CA 94598. The listed phone number is (925) 932-6330.

What is Wilson Tsai's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Wilson Tsai enrolled in Medicare?

Yes. Wilson Tsai 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.

When was this NPI record last updated?

The NPPES record for Wilson Tsai was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.