DEREK NGUYEN MD
NPI 1790954931
Family Medicine in West Hartford, CT

Q: What is Derek Nguyen's NPI number?

The NPI number for Derek Nguyen is 1790954931. It was assigned to this individual provider in the NPPES registry on February 21, 2008.

Q: What is Derek Nguyen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Derek Nguyen was last updated on February 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 21, 2008PECOS EnrolledAccepts Medicare Assignment

83.3/100

CMS Quality Rating

631 S QUAKER LN, WEST HARTFORD, CT 06110(860) 233-5133(860) 233-5211 Get Directions Write a Review

NPPES record last updated: February 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Derek Nguyen Md NPPES

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

DEREK NGUYEN MD (NPI 1790954931) is an individual family medicine provider in West Hartford, Connecticut, licensed in Connecticut (049412) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1790954931

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDEREK NGUYENCredential: MD

Location Address631 S QUAKER LNWest Hartford, CT 06110-1043

Mailing Address631 S Quaker LnWest Hartford, CT 06110-1043 · (860) 233-5133 · Fax (860) 233-5212

Phone(860) 233-5133

Fax(860) 233-5211

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateFebruary 21, 2008

Last NPPES UpdateFebruary 6, 2025

NPPES CertifiedFebruary 6, 2025

✔ NPI 1790954931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CT · 049412

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.

631 S QUAKER LN, West Hartford, CT 06110

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Other Identifiers 1

Medicaid004236346CT

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

Derek Nguyen 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 ID7416131685

PECOS Enrollment IDI20110413000040

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

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.

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.

25 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06110 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

$93.86 typical visit price

range $60.82 – $183.10

Typical copayment $23.46 (range $15.20 – $45.77)

Most-billed visit code 99203

Established Patient

$106.68 typical visit price

range $19.76 – $149.26

Typical copayment $26.67 (range $4.94 – $37.31)

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.

83.3/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

72.16

Promoting Interoperability

100

Improvement Activities

Cost

56.9

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

97%208 patients4/55-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.

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Other Providers at the Same Location NPPES 7

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

LYDIA MOLNAR

Physician Assistant