KRISTY DOAN NGUYEN M.D.
NPI 1619337961
Urology in Oklahoma City, OK

Q: What is Kristy Nguyen's NPI number?

The NPI number for Kristy Nguyen is 1619337961. It was assigned to this individual provider in the NPPES registry on February 29, 2016.

Q: What is Kristy Nguyen's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Kristy Nguyen was last updated on August 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 February 29, 2016PECOS EnrolledAccepts Medicare Assignment

85.7/100

CMS Quality Rating

608 NW 9TH ST, OKLAHOMA CITY, OK 73102(405) 272-7452(405) 272-7455 Get Directions Write a Review

NPPES record last updated: August 4, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 4, 2021, Feb 29, 2016 (2 updates tracked since 2016).

On this page

About Kristy Doan Nguyen M.d. NPPES

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

KRISTY DOAN NGUYEN M.D. (NPI 1619337961) is an individual urology provider in Oklahoma City, Oklahoma, licensed in Oklahoma (38359) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Anthony Hospital - Oklahoma City, and is a graduate of University Of Oklahoma College Of Medicine (2016).

NPPES Registry Identity

NPI1619337961

Entity TypeIndividualFemale

Primary Taxonomy208800000X

Provider Legal NameKRISTY DOAN NGUYENCredential: M.D.

Location Address608 NW 9TH STOklahoma City, OK 73102-1068

Mailing Address608 Nw 9th StOklahoma City, OK 73102-1068 · (405) 272-7452 · Fax (405) 272-7455

Phone(405) 272-7452

Fax(405) 272-7455

Sole ProprietorNo

Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2016

Enumeration DateFebruary 29, 2016

Last NPPES UpdateAugust 4, 20212 updates tracked since enumeration

NPPES CertifiedAugust 4, 2021

✔ NPI 1619337961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in OK · 38359

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

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

608 NW 9TH ST, Oklahoma City, OK 73102

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kristy Doan 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 ID5991078529

PECOS Enrollment IDI20210811000763

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

Saints Medical Group, LLC

4.2 mi

Family Medicine

777 NW 63RD ST STE 452
Oklahoma City, OK 73116

Reassigned Medicare billing, Oklahoma enrollment
507 clinicians in this Medicare group

NPI 1437195922 (405) 231-3857

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

Areas of Expertise CMS Part B claims 14

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.

185 services145 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.

177 services136 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.

131 services60 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

90 services90 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.

74 services69 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

63 services60 patients

Insertion of stent in ureter using an endoscope 52332

This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.

25 services20 patients

Crushing of stone of ureter with insertion of stent using an endoscope 52356

This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.

25 services22 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

18 services18 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

15 services13 patients

Diagnostic exam of bladder, urethra, and ureter or kidney using an endoscope 52351

This is a procedure where a small tube with a camera, called an endoscope, is used to examine the bladder and the tubes that carry urine from the kidneys to the bladder. It helps in detecting any abnormalities or issues.

12 services11 patients

Biopsy of prostate gland 55700

A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.

11 services11 patients

Ultrasound scan of pelvic region through rectum 76872

An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.

11 services11 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Ssm Health St Anthony Hospital - Oklahoma City

Acute Care Hospitals · Oklahoma City, OK

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number370037

Location1000 North Lee AvenueOklahoma City, OK 73101 · Oklahoma County

Emergency services Birthing friendly

Ssm Health St Anthony Hospital - Midwest

Acute Care Hospitals · Midwest City, OK

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370094

Location2825 Parklawn DriveMidwest City, OK 73110 · Oklahoma County

Emergency services

Ssm Health St Anthony Hospital - Shawnee

Acute Care Hospitals · Shawnee, OK

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370149

Location1102 W MacarthurShawnee, OK 74804 · Pottawatomie County

Emergency services Birthing friendly

Purcell Municipal Hospital

Acute Care Hospitals · Purcell, OK

OwnershipGovernment - Local

CMS Certification Number370158

Location2301 N 9th AvePurcell, OK 73080 · Mcclain County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73102 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.

85.7/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

90.33

Promoting Interoperability

100

Improvement Activities

Cost

62.01

Referred Medical Equipment & Supplies CMS DME claims

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

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352

DME-Orthotic Devices · category DF008N

1 supplier13 claims1,650 services$5.30 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.

SSM HEALTHCARE OF OKLAHOMA INC

Obstetrics & Gynecology

608 NW 9TH ST, SUITE 2100
OKLAHOMA CITY, OK 73102

Oklahoma County (405) 272-8498

SCOTT K LUCAS, MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

608 NW 9TH ST, STE 2110
OKLAHOMA CITY, OK 73102

Oklahoma County (405) 310-3028

SAINTS MEDICAL GROUP, LLC

Family Medicine

608 NW 9TH ST, SUITE 1100
OKLAHOMA CITY, OK 73102

Oklahoma County (405) 231-3000

SSM HEALTHCARE OF OKLAHOMA, INC

Surgery (Vascular Surgery)

608 NW 9TH ST, SUITE 5204
OKLAHOMA CITY, OK 73102

Oklahoma County (405) 232-2178

SSM HEALTHCARE OF OK, INC

Internal Medicine (Pulmonary Disease)

608 NW 9TH ST, SUITE 6200
OKLAHOMA CITY, OK 73102

Oklahoma County (405) 272-7677

SSM HEALTHCARE OF OK, INC

Internal Medicine (Interventional Cardiology)

608 NW 9TH ST, SUITE 4000
OKLAHOMA CITY, OK 73102

Oklahoma County (405) 272-8383

JOSEPH D PETTY

Social Worker (Clinical)

608 NW 9TH ST, SUITE 1100
OKLAHOMA CITY, OK 73102

Oklahoma County (405) 231-3000

SSM HEALTHCARE OF OK, INC

Internal Medicine (Pulmonary Disease)

608 NW 9TH ST, SUITE 6110
OKLAHOMA CITY, OK 73102

Oklahoma County (405) 272-6909

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 Kristy Nguyen's NPI number?

The NPI number for Kristy Nguyen is 1619337961. It was assigned to this individual provider in the NPPES registry on February 29, 2016.

Where is Kristy Nguyen located?

Kristy Nguyen practices at 608 NW 9th St, Oklahoma City, OK 73102. The listed phone number is (405) 272-7452.

What is Kristy Nguyen's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Kristy Nguyen enrolled in Medicare?

Yes. Kristy 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.

Which organization bills Medicare for Kristy Nguyen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristy Nguyen reassigns Medicare benefits to Saints Medical Group, LLC (Oklahoma City, OK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristy Nguyen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristy Nguyen accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Kristy 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 Kristy Nguyen affiliated with any hospitals?

According to CMS data, Kristy Nguyen is affiliated with Ssm Health St Anthony Hospital - Oklahoma City, Ssm Health St Anthony Hospital - Midwest, Ssm Health St Anthony Hospital - Shawnee and Purcell Municipal Hospital.

When was this NPI record last updated?

The NPPES record for Kristy Nguyen was last updated on August 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.