GARY CHEN M.D.
NPI 1720200132
Internal Medicine - Gastroenterology in Las Vegas, NV

Active since May 03, 2007PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
8530 W SUNSET RD, SUITE 230, LAS VEGAS, NV 89113(702) 483-4483(702) 483-4493 Get Directions Write a Review

NPPES record last updated: February 21, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gary Chen M.d. NPPES

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

GARY CHEN M.D. (NPI 1720200132) is an individual gastroenterology provider in Las Vegas, Nevada, licensed in Nevada (13449) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Avon Hospital, and is a graduate of University Of California, Geffen School Of Medicine (2004).

NPPES Registry Identity

NPI1720200132
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameGARY CHENCredential: M.D.
Location Address8530 W SUNSET RD, SUITE 230Las Vegas, NV 89113-2215
Mailing Address8530 W Sunset Rd, Suite 230Las Vegas, NV 89113-2215 · (702) 483-4483 · Fax (702) 483-4493
Fax(702) 483-4493
Sole ProprietorNo
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2004
Enumeration DateMay 3, 2007
Last NPPES UpdateFebruary 21, 2017
NPI 1720200132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses Licensed in NV · 13449 Licensed in CA · A965014
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

8530 W SUNSET RD, Las Vegas, NV 89113

Other Identifiers 2

Medicare PINEJ236ZNV
Medicaid1720200132NV

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

Gary Chen 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 ID1456531615
PECOS Enrollment IDI20110207000174
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 27

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.

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
711 services149 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
395 services156 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
151 services132 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
140 services121 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
87 services87 patients
New patient office or other outpatient visit, 45-59 minutes 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.
83 services83 patients

Hospital Affiliations CMS Care Compare

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

Cleveland Clinic Avon Hospital

Acute Care Hospitals · Avon, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360364
Location33300 Cleveland Clinic BlvdAvon, OH 44011 · Lorain County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89113 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
$131.25 typical visit price
range $57.07 – $173.24
Typical copayment $32.81 (range $14.26 – $43.31)
Most-billed visit code 99204
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 12

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

Surgery
8530 W SUNSET RD, SUITE 240
LAS VEGAS, NV 89113
Orthopaedic Surgery (Hand Surgery)
8530 W SUNSET RD, SUITE 345
LAS VEGAS, NV 89113
Psychiatry & Neurology (Neurology)
8530 W SUNSET RD, SUITE 350
LAS VEGAS, NV 89113
Psychiatry & Neurology (Neurology)
8530 W SUNSET RD, SUTE 350
LAS VEGAS, NV 89113
Neurological Surgery
8530 W SUNSET RD, SUITE 250
LAS VEGAS, NV 89113
Neurological Surgery
8530 W SUNSET RD, SUITE 250
LAS VEGAS, NV 89113
Radiology (Diagnostic Radiology)
8530 W SUNSET RD, SUITE 120
LAS VEGAS, NV 89113
Internal Medicine (Gastroenterology)
8530 W SUNSET RD, SUITE 230
LAS VEGAS, NV 89113

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 Gary Chen's NPI number?

The NPI number for Gary Chen is 1720200132. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Where is Gary Chen located?

Gary Chen practices at 8530 W Sunset Rd Suite 230, Las Vegas, NV 89113. The listed phone number is (702) 483-4483.

What is Gary Chen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Gary Chen enrolled in Medicare?

Yes. Gary 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 Gary Chen accept?

Health plans from Ambetter from Arizona Complete Health list Gary 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 Gary Chen affiliated with any hospitals?

According to CMS data, Gary Chen is affiliated with Cleveland Clinic Avon Hospital.

When was this NPI record last updated?

The NPPES record for Gary Chen was last updated on February 21, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.