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JUSTINE M CHEN M.D.
NPI 1790219087
Psychiatry & Neurology - Neurology in Houston, TX

Active since April 13, 2017PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
6400 FANNIN ST., STE 2800, HOUSTON, TX 77030(713) 486-8000(713) 486-8088 Get Directions Write a Review

NPPES record last updated: February 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 7, 2024, Feb 24, 2022, Apr 13, 2017 (3 updates tracked since 2017).

About Justine M Chen M.d. NPPES

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

JUSTINE M CHEN M.D. (NPI 1790219087) is an individual neurology provider in Houston, Texas, licensed in Texas (T0746) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Citizens Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1790219087
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameJUSTINE M CHENCredential: M.D.
Location Address6400 FANNIN ST., STE 2800Houston, TX 77030
Mailing Address6400 Fannin St., Ste 2070Houston, TX 77030 · (713) 486-8000 · Fax (713) 486-8088
Phone(713) 486-8000
Fax(713) 486-8088
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateApril 13, 2017
Last NPPES UpdateFebruary 15, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2024
✔ NPI 1790219087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in TX · T0746
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
6400 FANNIN ST., STE 2800, Houston, TX 77030
Open in Google Maps ↗

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

Justine M 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 ID3274914809
PECOS Enrollment IDI20220713004165
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.

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.
301 services140 patients
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.
69 services48 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.
65 services47 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.
36 services33 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
13 services11 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Citizens Medical Center

Acute Care Hospitals · Victoria, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number450023
Location2701 Hospital DriveVictoria, TX 77901 · Victoria County
Emergency services Birthing friendly

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450068
Location6411 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

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

Memorial Hermann Memorial City Hospital

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450610
Location921 GessnerHouston, TX 77024 · Harris County
Emergency services Birthing friendly

Sweeny Community Hospital

Critical Access Hospitals · Sweeny, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451311
Location305 North MckinneySweeny, TX 77480 · Brazoria County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.64
Promoting Interoperability100
Improvement Activities40
Cost50.93

Other Providers at the Same Location NPPES 20

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

MS. YOSEFA ALLEGRA MODIANO PHD
Clinical Neuropsychologist
6400 FANNIN ST., STE 2800
HOUSTON, TX 77030
Harris County (713) 486-8000
MS. CECILY R MINTER PA-C
Physician Assistant
6400 FANNIN ST., STE 2800
HOUSTON, TX 77030
Harris County (713) 486-8000
DR. SHAHERYAR J. HAFEEZ MD
Psychiatry & Neurology (Neurocritical Care)
6400 FANNIN ST., STE 2800
HOUSTON, TX 77030
Harris County (713) 486-8000
ISABELLA MARIA CAMPERLENGO APRN
Nurse Practitioner (Acute Care)
6400 FANNIN ST., STE 2800
HOUSTON, TX 77030
Harris County (713) 486-8000
MS. KIA DANDRIELLE KENEBREW PA-C
Physician Assistant
6400 FANNIN ST., STE 2800
HOUSTON, TX 77030
Harris County (713) 500-6128
KATRINA MAE PEOPLES DO
Psychiatry & Neurology (Neurology)
6400 FANNIN ST., STE 2800
HOUSTON, TX 77030
Harris County (713) 486-8000
MS. SARA M JOSE DNP
Registered Nurse (Neuroscience)
6400 FANNIN ST., STE 2800
HOUSTON, TX 77030
Harris County (713) 486-8000
MS. BINDU ELSY VARGHESE ACNP
Nurse Practitioner (Acute Care)
6400 FANNIN ST., STE 2800
HOUSTON, TX 77030
Harris County (713) 486-8000

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 Justine Chen's NPI number?

The NPI number for Justine Chen is 1790219087. It was assigned to this individual provider in the NPPES registry on April 13, 2017.

Where is Justine Chen located?

Justine Chen practices at 6400 Fannin St., Ste 2800, Houston, TX 77030. The listed phone number is (713) 486-8000.

What is Justine Chen's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Justine Chen enrolled in Medicare?

Yes. Justine 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 Justine 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 4 other insurers list Justine 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 Justine Chen affiliated with any hospitals?

According to CMS data, Justine Chen is affiliated with Citizens Medical Center, Memorial Hermann - Texas Medical Center, Memorial Hermann Hospital System, Memorial Hermann Memorial City Hospital and Sweeny Community Hospital.

When was this NPI record last updated?

The NPPES record for Justine Chen was last updated on February 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.