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DR. TIMOTHY JOSEPH CHEN D.O.
NPI 1649591835
Internal Medicine - Infectious Disease in The Woodlands, TX

Active since June 22, 2010PECOS EnrolledAccepts Medicare Assignment
66.31/100
CMS Quality Rating
1111 MEDICAL PLAZA DR STE 170, THE WOODLANDS, TX 77380(281) 444-1303(281) 882-8269 Get Directions Write a Review

NPPES record last updated: September 29, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Timothy Joseph Chen D.o. NPPES

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

DR. TIMOTHY JOSEPH CHEN D.O. (NPI 1649591835) is an individual infectious disease provider in The Woodlands, Texas, licensed in Texas (Q4067) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Hospital System, and is a graduate of West Virginia School Of Osteopathic Medicine (2010).

NPPES Registry Identity

NPI1649591835
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. TIMOTHY JOSEPH CHENCredential: D.O.
Location Address1111 MEDICAL PLAZA DR STE 170The Woodlands, TX 77380-3477
Mailing Address1111 Medical Plaza Dr Ste 170The Woodlands, TX 77380-3477 · (281) 444-1303 · Fax (281) 882-8269
Phone(281) 444-1303
Fax(281) 882-8269
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2010
Enumeration DateJune 22, 2010
Last NPPES UpdateSeptember 29, 2015
✔ NPI 1649591835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in TX · Q4067
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
1111 MEDICAL PLAZA DR STE 170, The Woodlands, TX 77380
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Dr. Timothy Joseph Chen D.o. 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 ID3173839057
PECOS Enrollment IDI20150909001006
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 4

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.

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.
1,407 services388 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
254 services234 patients
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.
209 services61 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.
16 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

St Luke's The Woodlands Hospital

Acute Care Hospitals · The Woodlands, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450862
Location17200 St Luke's WayThe Woodlands, TX 77384 · Montgomery County
Emergency services Birthing friendly

Houston Methodist The Woodlands Hospital

Acute Care Hospitals · The Woodlands, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670122
Location17201 Interstate 45 SouthThe Woodlands, TX 77385 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77380 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

66.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality28.85
Improvement Activities40
Cost65.91

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
97%33 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
3%31 patients1/55-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.

Other Providers at the Same Location NPPES 3

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

SAWYER RICKER MD
Internal Medicine (Infectious Disease)
1111 MEDICAL PLAZA DR STE 170
THE WOODLANDS, TX 77380
Montgomery County (281) 444-1303
BERNADETTE CELESTIAL BROWN AGPCNP-BC
Nurse Practitioner
1111 MEDICAL PLAZA DR STE 170
THE WOODLANDS, TX 77380
Montgomery County (281) 444-1303
AMANDA DIXON FNP-C
Nurse Practitioner (Family)
1111 MEDICAL PLAZA DR STE 170
THE WOODLANDS, TX 77380
Montgomery County (281) 444-1303

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 Timothy Chen's NPI number?

The NPI number for Timothy Chen is 1649591835. It was assigned to this individual provider in the NPPES registry on June 22, 2010.

Where is Timothy Chen located?

Timothy Chen practices at 1111 Medical Plaza Dr Ste 170, The Woodlands, TX 77380. The listed phone number is (281) 444-1303.

What is Timothy Chen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Timothy Chen enrolled in Medicare?

Yes. Timothy 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 Timothy Chen accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Timothy 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 Timothy Chen affiliated with any hospitals?

According to CMS data, Timothy Chen is affiliated with Memorial Hermann Hospital System, St Luke's The Woodlands Hospital and Houston Methodist The Woodlands Hospital.

When was this NPI record last updated?

The NPPES record for Timothy Chen was last updated on September 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.