MR. FRANK SUNGPING CHEN MD/PHD
NPI 1841670007
Otolaryngology in Leonardtown, MD

Active since June 03, 2015PECOS EnrolledAccepts Medicare Assignment
90.34/100
CMS Quality Rating
25500 POINT LOOKOUT RD, LEONARDTOWN, MD 20650(301) 475-8981 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 20, 2023, Nov 3, 2020 (2 updates tracked since 2020).

About Mr. Frank Sungping Chen Md/phd NPPES

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

MR. FRANK SUNGPING CHEN MD/PHD (NPI 1841670007) is an individual otolaryngology provider in Leonardtown, Maryland, licensed in Maryland (D0090244) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Sacred Heart Medical Center - Riverbend, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1841670007
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameMR. FRANK SUNGPING CHENCredential: MD/PHD
Location Address25500 POINT LOOKOUT RDLeonardtown, MD 20650
Mailing Address25500 Point Lookout RdLeonardtown, MD 20650 · (301) 475-8981
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 2015
Enumeration DateJune 3, 2015
Last NPPES UpdateJanuary 15, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2025
NPI 1841670007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses Licensed in MD · D0090244 Licensed in MI · 4301107491 Licensed in OR · MD214703
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
25500 POINT LOOKOUT RD, Leonardtown, MD 20650

Secondary Practice Locations 2

Location 11200 Hilyard St Ste 620Eugene, OR 97401-8157 · Phone (458) 205-6500 · Fax (458) 205-6453
Location 23100 Tongass AveKetchikan, AK 99901-5746 · Phone (907) 225-7346

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

Mr. Frank Sungping Chen Md/phd 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 ID8022310093
PECOS Enrollment IDI20230629003158
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 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
46 services34 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
45 services37 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
35 services35 patients
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.
34 services34 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
27 services24 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
24 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Sacred Heart Medical Center - Riverbend

Acute Care Hospitals · Springfield, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380102
Location3333 Riverbend DriveSpringfield, OR 97477 · Lane County
Emergency services Birthing friendly

Peace Harbor Medical Center

Critical Access Hospitals · Florence, OR
OwnershipVoluntary non-profit - Church
CMS Certification Number381316
Location400 9th StreetFlorence, OR 97439 · Lane County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20650 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
$133.05 typical visit price
range $57.99 – $175.57
Typical copayment $33.26 (range $14.49 – $43.89)
Most-billed visit code 99204
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
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.

90.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.19
Promoting Interoperability100
Improvement Activities40
Cost72.97

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 (Critical Care Medicine)
25500 POINT LOOKOUT RD
LEONARDTOWN, MD 20650
Radiology (Diagnostic Radiology)
25500 POINT LOOKOUT RD
LEONARDTOWN, MD 20650
Anesthesiology (Pain Medicine)
25500 POINT LOOKOUT RD
LEONARDTOWN, MD 20650
Occupational Therapist
25500 POINT LOOKOUT RD
LEONARDTOWN, MD 20650
Physician Assistant
25500 POINT LOOKOUT RD
LEONARDTOWN, MD 20650
Physical Therapist
25500 POINT LOOKOUT RD
LEONARDTOWN, MD 20650
Internal Medicine
25500 POINT LOOKOUT RD
LEONARDTOWN, MD 20650
Nurse Practitioner (Gerontology)
25500 POINT LOOKOUT RD
LEONARDTOWN, MD 20650

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 Frank Chen's NPI number?

The NPI number for Frank Chen is 1841670007. It was assigned to this individual provider in the NPPES registry on June 3, 2015.

Where is Frank Chen located?

Frank Chen practices at 25500 Point Lookout Rd, Leonardtown, MD 20650. The listed phone number is (301) 475-8981.

What is Frank Chen's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Frank Chen enrolled in Medicare?

Yes. Frank 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.

What insurance does Frank Chen accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Frank Chen 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 Frank Chen affiliated with any hospitals?

According to CMS data, Frank Chen is affiliated with Sacred Heart Medical Center - Riverbend and Peace Harbor Medical Center.

When was this NPI record last updated?

The NPPES record for Frank Chen was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.