CAROLINE CHEN
NPI 1942630751
Physician Assistant in Waterbury, CT

Active since November 14, 2013PECOS EnrolledAccepts Medicare Assignment
86.26/100
CMS Quality Rating
56 FRANKLIN ST, ST. MARY'S HOSPITAL, WATERBURY, CT 06706(857) 350-6180 Get Directions Write a Review

NPPES record last updated: November 14, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Caroline Chen NPPES

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

CAROLINE CHEN (NPI 1942630751) is an individual physician assistant in Waterbury, Connecticut and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS, is affiliated with Cambridge Health Alliance, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1942630751
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCAROLINE CHEN
Location Address56 FRANKLIN ST, ST. MARY'S HOSPITALWaterbury, CT 06706-1253
Mailing Address59 Cochichewick DrNorth Andover, MA 01845-1232
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 14, 2013
NPI 1942630751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
56 FRANKLIN ST, Waterbury, CT 06706

Other Names 1

Other Name (5)Caroline Chen Pa-c

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

Caroline Chen 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 ID7719110972
PECOS Enrollment IDI20160527000622
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 3

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
42 services42 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
29 services29 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Cambridge Health Alliance

Acute Care Hospitals · Cambridge, MA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number220011
Location1493 Cambridge StreetCambridge, MA 02138 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06706 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

86.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.84
Promoting Interoperability100
Improvement Activities40
Cost58.7

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.

Nurse Practitioner (Critical Care Medicine)
56 FRANKLIN ST
WATERBURY, CT 06706
Internal Medicine
56 FRANKLIN ST
WATERBURY, CT 06706
Physician Assistant (Medical)
56 FRANKLIN ST
WATERBURY, CT 06706
Internal Medicine
56 FRANKLIN ST
WATERBURY, CT 06706
Nurse Practitioner
56 FRANKLIN ST
WATERBURY, CT 06706
Internal Medicine
56 FRANKLIN ST
WATERBURY, CT 06706
Emergency Medicine
56 FRANKLIN ST
WATERBURY, CT 06706
Student in an Organized Health Care Education/Training Program
56 FRANKLIN ST
WATERBURY, CT 06706

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 Caroline Chen's NPI number?

The NPI number for Caroline Chen is 1942630751. It was assigned to this individual provider in the NPPES registry on November 14, 2013. The provider is also known as Caroline Chen Pa-C.

Where is Caroline Chen located?

Caroline Chen practices at 56 Franklin St St. Mary's Hospital, Waterbury, CT 06706. The listed phone number is (857) 350-6180.

What is Caroline Chen's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Caroline Chen enrolled in Medicare?

Yes. Caroline 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 Caroline Chen affiliated with any hospitals?

According to CMS data, Caroline Chen is affiliated with Cambridge Health Alliance.

When was this NPI record last updated?

The NPPES record for Caroline Chen was last updated on November 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.