HUAIZHEN CHEN M.D.
NPI 1750670972
Internal Medicine - Pulmonary Disease in Austin, TX

Active since March 29, 2011PECOS EnrolledAccepts Medicare Assignment
80.78/100
CMS Quality Rating
3600 W PARMER LN STE 106, AUSTIN, TX 78727(512) 977-0123(512) 977-0126 Get Directions Write a Review

NPPES record last updated: June 18, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Huaizhen Chen M.d. NPPES

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

HUAIZHEN CHEN M.D. (NPI 1750670972) is an individual pulmonary disease provider in Austin, Texas, licensed in Texas (P9317) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS, is affiliated with St David's Medical Center, and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1750670972
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameHUAIZHEN CHENCredential: M.D.
Location Address3600 W PARMER LN STE 106Austin, TX 78727
Mailing Address3600 W Parmer Ln Ste 106Austin, TX 78727-4111 · (512) 977-0123 · Fax (512) 977-0126
Fax(512) 977-0126
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2011
Enumeration DateMarch 29, 2011
Last NPPES UpdateJune 18, 2018
NPI 1750670972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in TX · P9317
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License P9317 (TX)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License P9317 (TX)
3600 W PARMER LN STE 106, Austin, TX 78727

Secondary Practice Location 1

Location 15323 Harry Hines BlvdDallas, TX 75390-7201 · Phone (214) 648-7941 · Fax (214) 648-9531

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

Huaizhen 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 ID6608092044
PECOS Enrollment IDI20140722000140
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 22

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.
403 services229 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.
282 services91 patients
Test to measure rate of airflow 94375
This test, known as spirometry, measures how much air you can breathe in and out, and how quickly you can do so. It helps assess your lung function and can be used to diagnose or monitor conditions like asthma or COPD.
230 services177 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
223 services174 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
221 services174 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
190 services53 patients

Hospital Affiliations CMS Care Compare 4

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

St David's Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450431
Location919 E 32nd StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

St David's South Austin Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number450713
Location901 West Ben White BlvdAustin, TX 78704 · Travis County
Emergency services Birthing friendly

Round Rock Medical Center

Acute Care Hospitals · Round Rock, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450718
Location2400 Round Rock AveRound Rock, TX 78681 · Williamson County
Emergency services Birthing friendly

North Austin Medical Center

Acute Care Hospitals · Austin, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450809
Location12221 Mopac Expressway NorthAustin, TX 78758 · Travis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78727 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

80.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.18
Improvement Activities40
Cost41.68

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
97%37 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…
34%29 patients2/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
57%30 patients3/55-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 12

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers11 claims11 services$32.99 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers18 claims89 services$1.75 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
3 suppliers28 claims28 services$914.91 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
2 suppliers11 claims11 services$11.22 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers23 claims23 services$4.54 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
4 suppliers29 claims29 services$27.77 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 3

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

Clinical Nurse Specialist (Gerontology)
3600 W PARMER LN STE 106
AUSTIN, TX 78727
Nurse Practitioner
3600 W PARMER LN STE 106
AUSTIN, TX 78727
Internal Medicine (Pulmonary Disease)
3600 W PARMER LN STE 106
AUSTIN, TX 78727

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 Huaizhen Chen's NPI number?

The NPI number for Huaizhen Chen is 1750670972. It was assigned to this individual provider in the NPPES registry on March 29, 2011.

Where is Huaizhen Chen located?

Huaizhen Chen practices at 3600 W Parmer Ln Ste 106, Austin, TX 78727. The listed phone number is (512) 977-0123.

What is Huaizhen Chen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Huaizhen Chen enrolled in Medicare?

Yes. Huaizhen 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 Huaizhen Chen accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Huaizhen 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 Huaizhen Chen affiliated with any hospitals?

According to CMS data, Huaizhen Chen is affiliated with St David's Medical Center, St David's South Austin Medical Center, Round Rock Medical Center and North Austin Medical Center.

When was this NPI record last updated?

The NPPES record for Huaizhen Chen was last updated on June 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.