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TONY NGUYEN MD
NPI 1861854671
Family Medicine in Stuart, FL

Active since March 22, 2016PECOS EnrolledAccepts Medicare Assignment
1980 SE OCEAN BLVD, STUART, FL 34996(772) 678-7043 Get Directions Write a Review

NPPES record last updated: June 9, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 9, 2020, Aug 23, 2017, Mar 22, 2016 (3 updates tracked since 2016).

About Tony Nguyen Md NPPES

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

TONY NGUYEN MD (NPI 1861854671) is an individual family medicine provider in Stuart, Florida, licensed in Florida (OS14818) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1861854671
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTONY NGUYENCredential: MD
Location Address1980 SE OCEAN BLVDStuart, FL 34996-3302
Mailing Address4032 Lillian Hall LnOrlando, FL 32812 · (407) 489-2360
Phone(772) 678-7043
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 22, 2016
Last NPPES UpdateJune 9, 20203 updates tracked since enumeration
NPPES CertifiedJune 9, 2020
✔ NPI 1861854671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · OS14818
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1980 SE OCEAN BLVD, Stuart, FL 34996
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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

Tony 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 ID7618242397
PECOS Enrollment IDI20171005001419
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

6

Medicare enrollment records show Tony Nguyen reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Michele F Libman MD PA
0.5 mi
Urgent Care
1100 SE OCEAN BLVD
Stuart, FL 34996
  • Reassigned Medicare billing, Florida enrollment
  • 35 clinicians in this Medicare group
NPI 1255410288 (772) 419-0560
MD Now Medical Centers Inc
34 mi
Urgent Care
2007 PALM BEACH LAKES BLVD
West Palm Beach, FL 33409
  • Reassigned Medicare billing, Florida enrollment
  • 373 clinicians in this Medicare group
NPI 1033195474 (561) 420-8555
Pine Island Medical Inc
101 mi
Community/Behavioral Health
7480 SW 40TH ST STE 430
Miami, FL 33155
  • Reassigned Medicare billing, Florida enrollment
  • 8 clinicians in this Medicare group
NPI 1275184855 (786) 606-9387
Inpatient Care Specialists LLC
127 mi
Hospitalist
525 TECHNOLOGY PARK STE 109
Lake Mary, FL 32746
  • Reassigned Medicare billing, Florida enrollment
  • 214 clinicians in this Medicare group
NPI 1679817134 (407) 647-2346
Central Florida Inpatient Medicine LLC
127 mi
Internal Medicine
525 TECHNOLOGY PARK STE 109
Lake Mary, FL 32746
  • Reassigned Medicare billing, Florida enrollment
  • 329 clinicians in this Medicare group
NPI 1649228859 (407) 647-2346
Physicians Of Central Florida, LLC
142 mi
Internal Medicine
18550 US HIGHWAY 441, SUITE A
Mount Dora, FL 32757
  • Reassigned Medicare billing, Florida enrollment
  • 45 clinicians in this Medicare group
NPI 1861421018 (352) 735-3755

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

Areas of Expertise CMS Part B claims 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
787 services231 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
237 services210 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
226 services193 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
46 services40 patients
Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes 99236
This service involves a brief hospital stay for a serious health issue. Patients are admitted and discharged on the same day, typically within 55 minutes. It allows for close monitoring and immediate treatment, ensuring optimal care.
14 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Adventhealth Waterman

Acute Care Hospitals · Tavares, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100057
Location1000 Waterman WayTavares, FL 32778 · Lake County
Birthing friendly

Uf Health Leesburg Hospital

Acute Care Hospitals · Leesburg, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100084
Location600 E Dixie AveLeesburg, FL 34748 · Lake County
Emergency services Birthing friendly

Villages Regional Hospital, The

Acute Care Hospitals · The Villages, FL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100290
Location1451 El Camino RealThe Villages, FL 32159 · Lake County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34996 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

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$69.26 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 2

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

BONNIE SCHWALL PA-C
Physician Assistant
1980 SE OCEAN BLVD
STUART, FL 34996
Martin County (772) 678-7043
ASHLEY HUTCHINS APRN
Nurse Practitioner (Primary Care)
1980 SE OCEAN BLVD
STUART, FL 34996
Martin County (772) 678-7043

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 Tony Nguyen's NPI number?

The NPI number for Tony Nguyen is 1861854671. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Where is Tony Nguyen located?

Tony Nguyen practices at 1980 SE Ocean Blvd, Stuart, FL 34996. The listed phone number is (772) 678-7043.

What is Tony Nguyen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tony Nguyen enrolled in Medicare?

Yes. Tony 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.

Which organizations bill Medicare for Tony Nguyen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tony Nguyen reassigns Medicare benefits to 6 organizations: Michele F Libman MD PA (Stuart, FL), MD Now Medical Centers Inc (West Palm Beach, FL), Pine Island Medical Inc (Miami, FL), Inpatient Care Specialists LLC (Lake Mary, FL), Central Florida Inpatient Medicine LLC (Lake Mary, FL) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tony Nguyen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tony Nguyen accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Tony 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 Tony Nguyen affiliated with any hospitals?

According to CMS data, Tony Nguyen is affiliated with Adventhealth Orlando, Adventhealth Waterman, Uf Health Leesburg Hospital and Villages Regional Hospital, The.

When was this NPI record last updated?

The NPPES record for Tony Nguyen was last updated on June 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.