Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SUONG T NGUYEN MD
NPI 1811494263
Internal Medicine - Pulmonary Disease in Worcester, MA

Active since April 11, 2018PECOS Enrolled
86.41/100
CMS Quality Rating
85 PRESCOTT ST STE 302, WORCESTER, MA 01605(774) 420-2642(774) 420-2283 Get Directions Write a Review

NPPES record last updated: September 22, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 22, 2026, Jan 15, 2026, Dec 2, 2022 and 2 more (5 updates tracked since 2018).

About Suong T Nguyen Md NPPES

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

SUONG T NGUYEN MD (NPI 1811494263) is an individual pulmonary disease provider in Worcester, Massachusetts, licensed in Massachusetts (1028368) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811494263
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameSUONG T NGUYENCredential: MD
Location Address85 PRESCOTT ST STE 302Worcester, MA 01605-2610
Mailing Address85 Prescott St Ste 302Worcester, MA 01605-2610 · (774) 420-2611 · Fax (774) 420-2616
Fax(774) 420-2283
Sole ProprietorNo
Enumeration DateApril 11, 2018
Last NPPES UpdateSeptember 22, 20265 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2026
✔ NPI 1811494263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in MA · 1028368
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.
85 PRESCOTT ST STE 302, Worcester, MA 01605

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Suong T Nguyen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01605 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

86.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.99
Promoting Interoperability100
Improvement Activities40
Cost43.03

Other Providers at the Same Location NPPES 2

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

Dentist
85 PRESCOTT ST STE 302
WORCESTER, MA 01605
Nurse Practitioner (Acute Care)
85 PRESCOTT ST STE 302
WORCESTER, MA 01605

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 Suong Nguyen's NPI number?

The NPI number for Suong Nguyen is 1811494263. It was assigned to this individual provider in the NPPES registry on April 11, 2018.

Where is Suong Nguyen located?

Suong Nguyen practices at 85 Prescott St Ste 302, Worcester, MA 01605. The listed phone number is (774) 420-2642.

What is Suong Nguyen's specialty?

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

Is Suong Nguyen enrolled in Medicare?

Yes. Suong Nguyen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Suong Nguyen was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.