DR. TOM C NGUYEN MD
NPI 1790971471
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Miami, FL

Active since September 17, 2007PECOS EnrolledAccepts Medicare Assignment
99.93/100
CMS Quality Rating
8950 N KENDALL DR STE 600W, MIAMI, FL 33176(786) 596-1230(786) 533-9297 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2024, Nov 1, 2023, Jul 21, 2022 and 1 more (4 updates tracked since 2017).

About Dr. Tom C Nguyen Md NPPES

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

DR. TOM C NGUYEN MD (NPI 1790971471) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Miami, Florida, licensed in Florida (ME163881) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, is affiliated with Baptist Hospital Of Miami, and is a graduate of Johns Hopkins University School Of Medicine (2002).

NPPES Registry Identity

NPI1790971471
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. TOM C NGUYENCredential: MD
Location Address8950 N KENDALL DR STE 600WMiami, FL 33176-2144
Mailing AddressPo Box 198054Atlanta, GA 30384-8054 · (786) 596-1230
Fax(786) 533-9297
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 2002
Enumeration DateSeptember 17, 2007
Last NPPES UpdateApril 8, 20244 updates tracked since enumeration
NPPES CertifiedApril 8, 2024
NPI 1790971471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License Licensed in FL · ME163881
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
8950 N KENDALL DR STE 600W, Miami, FL 33176

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

Dr. Tom C 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 ID9830355775
PECOS Enrollment IDI20231003000046
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 2

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 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.
48 services48 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Baptist Hospital Of Miami

Acute Care Hospitals · Miami, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100008
Location8900 N Kendall DrMiami, FL 33176 · Miami-Dade County
Emergency services Birthing friendly

South Miami Hospital

Acute Care Hospitals · South Miami, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100154
Location6200 SW 73rd StSouth Miami, FL 33143 · Miami-Dade County
Emergency services Birthing friendly

Doctors Hospital

Acute Care Hospitals · Coral Gables, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100296
Location5000 University DrCoral Gables, FL 33146 · Miami-Dade County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33176 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
$187.05 typical visit price
range $60.92 – $187.05
Typical copayment $46.76 (range $15.23 – $46.76)
Most-billed visit code 99205
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
Most-billed visit code 99213
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.

99.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.3
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$14.99 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$69.20 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 20

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

Internal Medicine (Interventional Cardiology)
8950 N KENDALL DR STE 600W
MIAMI, FL 33176
Nurse Practitioner
8950 N KENDALL DR STE 600W
MIAMI, FL 33176
Internal Medicine (Interventional Cardiology)
8950 N KENDALL DR STE 600W
MIAMI, FL 33176
Physician Assistant
8950 N KENDALL DR STE 600W
MIAMI, FL 33176
Nurse Practitioner
8950 N KENDALL DR STE 600W
MIAMI, FL 33176
Thoracic Surgery (Cardiothoracic Vascular Surgery)
8950 N KENDALL DR STE 600W
MIAMI, FL 33176
Thoracic Surgery (Cardiothoracic Vascular Surgery)
8950 N KENDALL DR STE 600W
MIAMI, FL 33176
Nurse Practitioner
8950 N KENDALL DR STE 600W
MIAMI, FL 33176

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 Tom Nguyen's NPI number?

The NPI number for Tom Nguyen is 1790971471. It was assigned to this individual provider in the NPPES registry on September 17, 2007.

Where is Tom Nguyen located?

Tom Nguyen practices at 8950 N Kendall Dr Ste 600W, Miami, FL 33176. The listed phone number is (786) 596-1230.

What is Tom Nguyen's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Tom Nguyen enrolled in Medicare?

Yes. Tom Nguyen 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 Tom Nguyen accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Tom Nguyen 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 Tom Nguyen affiliated with any hospitals?

According to CMS data, Tom Nguyen is affiliated with Baptist Hospital Of Miami, South Miami Hospital and Doctors Hospital.

When was this NPI record last updated?

The NPPES record for Tom Nguyen was last updated on April 8, 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.