PHUONG X. NGUYEN MD
NPI 1881742963
Surgery in Baltimore, MD

Active since January 08, 2007PECOS EnrolledAccepts Medicare Assignment
83.33/100
CMS Quality Rating
301 SAINT PAUL PL, DEPT. OF SURGERY, BALTIMORE, MD 21202(410) 332-9265 Get Directions Write a Review

NPPES record last updated: December 12, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Phuong X. Nguyen Md NPPES

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

PHUONG X. NGUYEN MD (NPI 1881742963) is an individual surgery provider in Baltimore, Maryland, licensed in Maryland (D0065562) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center Inc, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1881742963
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NamePHUONG X. NGUYENCredential: MD
Location Address301 SAINT PAUL PL, DEPT. OF SURGERYBaltimore, MD 21202-2102
Mailing Address301 St. Paul Place, Medical Staff OfficeBaltimore, MD 21202 · (410) 659-2802
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJanuary 8, 2007
Last NPPES UpdateDecember 12, 2013
NPI 1881742963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in MD · D0065562
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

301 SAINT PAUL PL, Baltimore, MD 21202

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

Phuong X. 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 ID8820189798
PECOS Enrollment IDI20070807000225
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 4

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.

New patient office or other outpatient visit, 30-44 minutes 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.
21 services21 patients
New patient office or other outpatient visit, 30-44 minutes 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.
15 services15 patients
Melanoma (skin cancer) excision NAN03
Melanoma excision is a procedure where a surgeon removes melanoma, a type of skin cancer, and some surrounding healthy tissue. Local anesthesia is applied to numb the area. The goal is to completely remove the cancer and prevent its spread. Healing time varies.
0 services1 patient
Hernia repair - groin (open) NAN19
Hernia repair in the groin area (open) is a surgical procedure to fix a bulge or protrusion, caused by internal tissues pushing through a weak spot in your abdominal wall. In this operation, a small incision is made in the groin area. The protruding tissue is then placed back into the abdomen, and the weakened area is reinforced with stitches or a mesh.
0 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Medical Center Inc

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number210008
Location301 Saint Paul PlaceBaltimore, MD 21202 · Baltimore City County
Emergency services Birthing friendly

University Of MD St Joseph Medical Center

Acute Care Hospitals · Towson, MD
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210063
Location7601 Osler DriveTowson, MD 21204 · Baltimore County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21202 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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.

83.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.7
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185
Other-Enteral and Parenteral · category OB005N
1 supplier13 claims318 services$11.19 avg. paid by Medicare
Parenteral nutrition supply kit; premix, per day B4220
Other-Enteral and Parenteral · category OB005N
1 supplier13 claims84 services$7.97 avg. paid by Medicare
Parenteral nutrition administration kit, per day B4224
Other-Enteral and Parenteral · category OB005N
1 supplier13 claims84 services$24.90 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 20

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

Colon & Rectal Surgery
301 SAINT PAUL PL, STE 400
BALTIMORE, MD 21202
Internal Medicine (Allergy & Immunology)
301 SAINT PAUL PL, SUITE 300-T DEPARTMENT OF MEDICINE
BALTIMORE, MD 21202
Specialist
301 SAINT PAUL PL, P.O.B. 501
BALTIMORE, MD 21202
Specialist
301 SAINT PAUL PL, SUITE 612
BALTIMORE, MD 21202
Specialist
301 SAINT PAUL PL, SUITE 612
BALTIMORE, MD 21202
Specialist
301 SAINT PAUL PL, SUITE 718
BALTIMORE, MD 21202
Specialist
301 SAINT PAUL PL, SUITE 718
BALTIMORE, MD 21202
Skilled Nursing Facility
301 SAINT PAUL PL, TCU 9TH FLOOR TOWER
BALTIMORE, MD 21202

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 Phuong Nguyen's NPI number?

The NPI number for Phuong Nguyen is 1881742963. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Phuong Nguyen located?

Phuong Nguyen practices at 301 Saint Paul Pl Dept. Of Surgery, Baltimore, MD 21202. The listed phone number is (410) 332-9265.

What is Phuong Nguyen's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Phuong Nguyen enrolled in Medicare?

Yes. Phuong 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.

Is Phuong Nguyen affiliated with any hospitals?

According to CMS data, Phuong Nguyen is affiliated with Mercy Medical Center Inc and University Of MD St Joseph Medical Center.

When was this NPI record last updated?

The NPPES record for Phuong Nguyen was last updated on December 12, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.