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MAGGIE CHEN MD
NPI 1649470683
Internal Medicine - Nephrology in San Jose, CA

Active since July 18, 2007PECOS EnrolledAccepts Medicare Assignment
99.61/100
CMS Quality Rating
2360 MCKEE RD, STE #10, SAN JOSE, CA 95116(408) 729-7128(408) 729-4125 Get Directions Write a Review

NPPES record last updated: June 20, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Maggie Chen Md NPPES

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

MAGGIE CHEN MD (NPI 1649470683) is an individual nephrology provider in San Jose, California, licensed in California (A113157) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1649470683
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameMAGGIE CHENCredential: MD
Location Address2360 MCKEE RD, STE #10San Jose, CA 95116-1618
Mailing Address2360 Mckee Rd, Ste #10San Jose, CA 95116-1618 · (408) 729-7128 · Fax (408) 729-4125
Phone(408) 729-7128
Fax(408) 729-4125
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 18, 2007
Last NPPES UpdateJune 20, 2014
✔ NPI 1649470683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in CA · A113157
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
2360 MCKEE RD, San Jose, CA 95116
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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

Maggie Chen 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 ID5799940250
PECOS Enrollment IDI20120706000525
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 6

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.
397 services166 patients
Dialysis services, 1 physician visit per month (20 years or older) 90962
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can’t do their job. A physician visit once a month ensures your treatment is working effectively and adjusts it if necessary. This service is available for individuals aged 20 years and older.
301 services55 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
35 services35 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
34 services34 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
19 services14 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95116 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
$156.67 typical visit price
range $70.37 – $206.04
Typical copayment $39.16 (range $17.59 – $51.51)
Most-billed visit code 99204
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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.

99.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality82.88
Promoting Interoperability90
Improvement Activities40
Cost90.84

Reported Quality Measures

Colorectal Cancer Screening
26%268 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
61%322 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
1%128 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
20%128 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%1,009 patients4/55-star benchmark: 100%
e-Prescribing
98%606 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
57%482 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
19%215 patients2/55-star benchmark: 61%
Provide Patients Electronic Access to Their Health Information
40%322 patients2/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
94%174 patients5/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 364 patients
Patients totalRate: 4% · 364 patients
4%364 patients4/55-star benchmark: 100%
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 8

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers44 claims119 services$6.02 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers27 claims38 services$0.99 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers24 claims1,080 services$0.27 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers24 claims2,160 services$0.17 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier15 claims15 services$10.49 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers13 claims13 services$185.52 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 10

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

MCKEE SURGERY CENTER
Clinic/Center (Ambulatory Surgical)
2360 MCKEE RD, SUITE 6
SAN JOSE, CA 95116
Santa Clara County (408) 228-0101
WEN KUAN L.AC.
Acupuncturist
2360 MCKEE RD, SUITE 8
SAN JOSE, CA 95116
Santa Clara County (408) 502-8388
AIMEE DESIREE ANHTHU PHAM L.AC.
Acupuncturist
2360 MCKEE RD, SUITE 8
SAN JOSE, CA 95116
Santa Clara County (408) 926-9787
SAN JOSE NEPHROLOGY MEDICAL PRACTICE
Internal Medicine (Nephrology)
2360 MCKEE RD, SUITE 10
SAN JOSE, CA 95116
Santa Clara County (408) 729-7128
JUSTINE CHEN D.D.S.
Dentist
2360 MCKEE RD, SUITE #2
SAN JOSE, CA 95116
Santa Clara County (408) 729-8888
RICHARD S ENG M.D.
Oral & Maxillofacial Surgery
2360 MCKEE RD
SAN JOSE, CA 95116
Santa Clara County (408) 923-1010
SOUTH BAY NEPHROLOGY ASSOCIATES, PC
Internal Medicine (Nephrology)
2360 MCKEE RD, SUITE 10
SAN JOSE, CA 95116
Santa Clara County (408) 729-7128
DR. WEN-TSANG KU M.D.
Internal Medicine (Nephrology)
2360 MCKEE RD, SUITE 10
SAN JOSE, CA 95116
Santa Clara County (408) 729-7128

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 Maggie Chen's NPI number?

The NPI number for Maggie Chen is 1649470683. It was assigned to this individual provider in the NPPES registry on July 18, 2007.

Where is Maggie Chen located?

Maggie Chen practices at 2360 Mckee Rd Ste #10, San Jose, CA 95116. The listed phone number is (408) 729-7128.

What is Maggie Chen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Maggie Chen enrolled in Medicare?

Yes. Maggie 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.

When was this NPI record last updated?

The NPPES record for Maggie Chen was last updated on June 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.