NGUYET NGUYEN-TO MD
NPI 1659859023
Family Medicine in Mckinney, TX

Active since July 30, 2018PECOS EnrolledAccepts Medicare Assignment
5220 W UNIVERSITY DR STE 100, MCKINNEY, TX 75071(694) 800-5100 Get Directions Write a Review

NPPES record last updated: December 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 7, 2022, Nov 19, 2021, Jul 30, 2018 (3 updates tracked since 2018).

About Nguyet Nguyen-to Md NPPES

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

NGUYET NGUYEN-TO MD (NPI 1659859023) is an individual family medicine provider in Mckinney, Texas, licensed in Texas (T4017) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, is affiliated with Medical Center Of Mckinney, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1659859023
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameNGUYET NGUYEN-TOCredential: MD
Location Address5220 W UNIVERSITY DR STE 100Mckinney, TX 75071-7402
Mailing Address5220 W University Dr Ste 100Mckinney, TX 75071-7402 · (469) 800-5100 · Fax (469) 800-5110
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 30, 2018
Last NPPES UpdateDecember 7, 20223 updates tracked since enumeration
NPPES CertifiedDecember 7, 2022
NPI 1659859023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · T4017
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5220 W UNIVERSITY DR STE 100, Mckinney, TX 75071

Accepted 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

Nguyet Nguyen-to 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 ID749672137
PECOS Enrollment IDI20220114001040
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 11

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 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.
296 services166 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
269 services143 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.
103 services103 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
19 services15 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
19 services19 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.
19 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Medical Center Of Mckinney

Acute Care Hospitals · Mckinney, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450403
Location4500 Medical Center DriveMckinney, TX 75069 · Collin County
Emergency services Birthing friendly

Baylor Scott & White The Heart Hospital - Plano

Acute Care Hospitals · Plano, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number670025
Location1100 Allied DrivePlano, TX 75093 · Collin County
Emergency services

Baylor Scott And White Medical Center Mckinney

Acute Care Hospitals · Mc Kinney, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670082
Location5252 West University DriveMc Kinney, TX 75071 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75071 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 14

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

Family Medicine
5220 W UNIVERSITY DR STE 100
MCKINNEY, TX 75071
Family Medicine
5220 W UNIVERSITY DR STE 100
MCKINNEY, TX 75071
Nurse Practitioner (Family)
5220 W UNIVERSITY DR STE 100
MCKINNEY, TX 75071
Family Medicine
5220 W UNIVERSITY DR STE 100
MCKINNEY, TX 75071
Family Medicine
5220 W UNIVERSITY DR STE 100
MCKINNEY, TX 75071
Internal Medicine
5220 W UNIVERSITY DR STE 100
MCKINNEY, TX 75071
Internal Medicine
5220 W UNIVERSITY DR STE 100
MCKINNEY, TX 75071
Family Medicine
5220 W UNIVERSITY DR STE 100
MCKINNEY, TX 75071

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 Nguyet Nguyen-to's NPI number?

The NPI number for Nguyet Nguyen-to is 1659859023. It was assigned to this individual provider in the NPPES registry on July 30, 2018.

Where is Nguyet Nguyen-to located?

Nguyet Nguyen-to practices at 5220 W University Dr Ste 100, Mckinney, TX 75071. The listed phone number is (694) 800-5100.

What is Nguyet Nguyen-to's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nguyet Nguyen-to enrolled in Medicare?

Yes. Nguyet Nguyen-to 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 Nguyet Nguyen-to accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Nguyet Nguyen-to 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 Nguyet Nguyen-to affiliated with any hospitals?

According to CMS data, Nguyet Nguyen-to is affiliated with Medical Center Of Mckinney, Baylor Scott & White The Heart Hospital - Plano and Baylor Scott And White Medical Center Mckinney.

When was this NPI record last updated?

The NPPES record for Nguyet Nguyen-to was last updated on December 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.