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MICHAEL JAMES CHEN
NPI 1629431853
Orthopaedic Surgery in Seattle, WA

Active since April 04, 2016PECOS EnrolledAccepts Medicare Assignment
325 9TH AVE, SEATTLE, WA 98104(206) 520-5000 Get Directions Write a Review

NPPES record last updated: April 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 11, 2022, Aug 10, 2021 (2 updates tracked since 2021).

About Michael James Chen NPPES

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

MICHAEL JAMES CHEN (NPI 1629431853) is an individual orthopaedic surgery provider in Seattle, Washington, licensed in Washington (MD61139054) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with The Queens Medical Center, and is a graduate of University Of Washington School Of Medicine (2016).

NPPES Registry Identity

NPI1629431853
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMICHAEL JAMES CHEN
Location Address325 9TH AVESeattle, WA 98104-2420
Mailing Address3382 Waialae AveHonolulu, HI 96816-2637 · (808) 548-7033
Phone(206) 520-5000
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2016
Enumeration DateApril 4, 2016
Last NPPES UpdateApril 11, 20222 updates tracked since enumeration
NPPES CertifiedApril 11, 2022
✔ NPI 1629431853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in WA · MD61139054
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Orthopaedic TraumaTaxonomy 207XX0801X · License MD61139054 (WA), MD-22137 (HI)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
325 9TH AVE, Seattle, WA 98104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA, Kaiser Permanente.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

Michael James Chen 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 ID3375944119
PECOS Enrollment IDI20220419002933
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 8

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.

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
69 services68 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.
50 services31 patients
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.
49 services35 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.
37 services27 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
30 services17 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.
26 services26 patients

Hospital Affiliations CMS Care Compare 4

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

The Queens Medical Center

Acute Care Hospitals · Honolulu, HI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number120001
Location1301 Punchbowl StHonolulu, HI 96813 · Honolulu County
Emergency services Birthing friendly

Adventist Health Castle

Acute Care Hospitals · Kailua, HI
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number120006
Location640 Ulukahiki StKailua, HI 96734 · Honolulu County
Emergency services Birthing friendly

Kuakini Medical Center

Acute Care Hospitals · Honolulu, HI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number120007
Location347 North Kuakini StreetHonolulu, HI 96817 · Honolulu County
Emergency services

Molokai General Hospital

Critical Access Hospitals · Kaunakakai, HI
OwnershipVoluntary non-profit - Private
CMS Certification Number121303
Location280 Home Olu PlaceKaunakakai, HI 96748 · Maui County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98104 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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.

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.

SANDRA K WALKER ARNP
Nurse Practitioner (Acute Care)
325 9TH AVE
SEATTLE, WA 98104
King County (206) 598-0502
JULIA J VISSER DPT
Physical Therapist
325 9TH AVE, BOX 359920
SEATTLE, WA 98104
King County (206) 744-1675
GENIA J MONCADA
Pharmacist
325 9TH AVE, MAILSTOP 359912
SEATTLE, WA 98104
King County (206) 731-3219
JACQUELINE M. KIM LICSW, MSW
Social Worker (Clinical)
325 9TH AVE, BOX 359760
SEATTLE, WA 98104
King County (206) 744-8511
MS. DIANE E WHEELER MS, PA-C
Physician Assistant (Medical)
325 9TH AVE
SEATTLE, WA 98104
King County (206) 744-3000
AMELIA V. RIVERA
Physical Therapist
325 9TH AVE
SEATTLE, WA 98104
King County (206) 774-3300
TIMOTHY WILLIAM MENZA MD, PHD
Internal Medicine (Infectious Disease)
325 9TH AVE
SEATTLE, WA 98104
King County (206) 520-5000
DEMETRIOS TEREZAKIS
Occupational Therapist
325 9TH AVE
SEATTLE, WA 98104
King County (206) 744-6112

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 Michael Chen's NPI number?

The NPI number for Michael Chen is 1629431853. It was assigned to this individual provider in the NPPES registry on April 4, 2016.

Where is Michael Chen located?

Michael Chen practices at 325 9th Ave, Seattle, WA 98104. The listed phone number is (206) 520-5000.

What is Michael Chen's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Michael Chen enrolled in Medicare?

Yes. Michael Chen 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 Michael Chen accept?

Health plans from HMSA and Kaiser Permanente list Michael Chen 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 Michael Chen affiliated with any hospitals?

According to CMS data, Michael Chen is affiliated with The Queens Medical Center, Adventist Health Castle, Kuakini Medical Center and Molokai General Hospital.

When was this NPI record last updated?

The NPPES record for Michael Chen was last updated on April 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.