SIMON CHEN MD
NPI 1831552074
Pathology - Anatomic Pathology & Clinical Pathology in Philadelphia, PA

Q: What is Simon Chen's NPI number?

The NPI number for Simon Chen is 1831552074. It was assigned to this individual provider in the NPPES registry on April 4, 2016.

Q: What is Simon Chen's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Simon Chen was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.

Active since April 04, 2016PECOS EnrolledAccepts Medicare Assignment

85.48/100

CMS Quality Rating

51 N 39TH ST, PHILADELPHIA, PA 19104(215) 662-8963(215) 662-1694 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Simon Chen Md NPPES

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

SIMON CHEN MD (NPI 1831552074) is an individual anatomic pathology & clinical pathology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD477342) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with University Medical Center Of Princeton At Plainsboro, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1831552074

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NameSIMON CHENCredential: MD

Location Address51 N 39TH STPhiladelphia, PA 19104-2640

Mailing Address3020 Market St Ste 220Philadelphia, PA 19104-2999 · (314) 800-5043

Phone(215) 662-8963

Fax(215) 662-1694

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateApril 4, 2016

Last NPPES UpdateJuly 15, 2025

NPPES CertifiedJuly 15, 2025

✔ NPI 1831552074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

License✔ Licensed in PA · MD477342

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Also ListedPathology · Molecular Genetic PathologyTaxonomy 207ZP0007X · License MD477342 (PA)

51 N 39TH ST, Philadelphia, PA 19104

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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

Simon Chen 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 ID6002294493

PECOS Enrollment IDI20220525001312

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.

Molecular pathology procedure; physician interpretation and report G0452

A molecular pathology procedure involves analyzing your body's cells at a molecular level to identify any abnormalities. This can help detect diseases early. A physician will interpret the results and provide a detailed report, explaining the findings clearly.

1,195 services703 patients

Interpretation and report of genetic testing 88291

Interpretation and report of genetic testing involves analyzing your DNA to look for changes that could indicate a risk for certain health conditions. The results are then compiled into a report, which provides insights about your genetic health.

30 services27 patients

Hospital Affiliations CMS Care Compare 5

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

University Medical Center Of Princeton At Plainsboro

Acute Care Hospitals · Plainsboro, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310010

LocationOne-Five Plainsboro RoadPlainsboro, NJ 08536 · Middlesex County

Emergency services Birthing friendly

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390111

Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County

Emergency services Birthing friendly

Chester County Hospital

Acute Care Hospitals · West Chester, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390179

Location701 East Marshall StreetWest Chester, PA 19380 · Chester County

Emergency services Birthing friendly

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390223

Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County

Emergency services

Pennsylvania Hospital

Acute Care Hospitals · Philadelphia, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390226

Location800 Spruce StreetPhiladelphia, PA 19107 · Philadelphia County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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.

85.48/100

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

Scored as part of a group practice

Quality

73.6

Promoting Interoperability

100

Improvement Activities

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.

DR. ROBERT BURKE M.D.

Internal Medicine

51 N 39TH ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-9436

JOSEPH FRANCIS HARRYHILL MD

Urology

51 N 39TH ST, MOB SUITE 300
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-8699

NIELS DOUGLAS MARTIN MD

Surgery (Trauma Surgery)

51 N 39TH ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 349-8310

DESIREE E KOTARBA CRNA

Registered Nurse

51 N 39TH ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-8000

DR. SONYA LEE MD

Obstetrics & Gynecology (Gynecology)

51 N 39TH ST, MOB 340
PHILA, PA 19104

Philadelphia County (215) 662-9775

GARY J VIGILANTE MD

Internal Medicine (Cardiovascular Disease)

51 N 39TH ST, PHI BLDG STE 2C PENN PRESBYTERIAN MEDICAL CENTER
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-9010

ANITA C LEE MD

Internal Medicine

51 N 39TH ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-9436

GIRIDHAR MALLYA MD

Family Medicine

51 N 39TH ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-8777

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 Simon Chen's NPI number?

The NPI number for Simon Chen is 1831552074. It was assigned to this individual provider in the NPPES registry on April 4, 2016.

Where is Simon Chen located?

Simon Chen practices at 51 N 39th St, Philadelphia, PA 19104. The listed phone number is (215) 662-8963.

What is Simon Chen's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Simon Chen enrolled in Medicare?

Yes. Simon 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.

Is Simon Chen affiliated with any hospitals?

According to CMS data, Simon Chen is affiliated with University Medical Center Of Princeton At Plainsboro, Hospital Of Univ Of Pennsylvania, Chester County Hospital, Penn Presbyterian Medical Center and Pennsylvania Hospital.

When was this NPI record last updated?

The NPPES record for Simon Chen was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.