ANTHONY TOAN BA NGUYEN DO
NPI 1831639780
Orthopaedic Surgery in Prosper, TX

Q: What is Anthony Toan Nguyen's NPI number?

The NPI number for Anthony Toan Nguyen is 1831639780. It was assigned to this individual provider in the NPPES registry on February 26, 2017.

Q: What is Anthony Toan Nguyen's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Active since February 26, 2017PECOS EnrolledAccepts Medicare Assignment

4200 W UNIVERSITY DR, PROSPER, TX 75078(682) 303-4200(682) 303-4242 Get Directions Write a Review

NPPES record last updated: February 24, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 13, 2023, Feb 26, 2017 (2 updates tracked since 2017).

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About Anthony Toan Ba Nguyen Do NPPES

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

ANTHONY TOAN BA NGUYEN DO (NPI 1831639780) is an individual orthopaedic surgery provider in Prosper, Texas, licensed in Washington (OP61407863) and active in the NPI registry since February 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1831639780

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameANTHONY TOAN BA NGUYENCredential: DO

Location Address4200 W UNIVERSITY DRProsper, TX 75078-9805

Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-6483 · Fax (682) 885-3113

Phone(682) 303-4200

Fax(682) 303-4242

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateFebruary 26, 2017

Last NPPES UpdateFebruary 24, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 24, 2026

✔ NPI 1831639780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Licenses✔ Licensed in WA · OP61407863✔ Licensed in TX · W1467✔ Licensed in MI · 5101023218

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

4200 W UNIVERSITY DR, Prosper, TX 75078

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, BridgeSpan Health Company, Moda Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Anthony Toan Ba Nguyen Do 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 ID5193096261

PECOS Enrollment IDI20260121001583

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.

Medicare Billing Reassignments

Medicare enrollment records show Anthony Toan Nguyen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cook Children's Physician Network

43 mi

Pediatrics

801 7TH AVE
Fort Worth, TX 76104

Reassigned Medicare billing, Texas enrollment
Medicare enrollment name: Cook Childrens Physician Network
1,186 clinicians in this Medicare group

NPI 1083472062 (682) 885-6483

Legacy Clinics LLC

1,590 mi

Rural Health

36860 INDUSTRIAL WAY
Sandy, OR 97055

Reassigned Medicare billing, Oregon enrollment
1,248 clinicians in this Medicare group

NPI 1730472192 (503) 826-0206

Legacy Salmon Creek Hospital

1,615 mi

Clinic/Center

2211 NE 139TH ST
Vancouver, WA 98686

Reassigned Medicare billing, Washington enrollment
754 clinicians in this Medicare group

NPI 1356357784 (360) 487-2878

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75078 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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.

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.

KARI MILCH PA-C

Physician Assistant