DR. LI CHEN M.D.
NPI 1992758189
Orthopaedic Surgery - Hand Surgery in Anderson, IN

Active since May 18, 2006PECOS EnrolledAccepts Medicare Assignment
55.03/100
CMS Quality Rating
2610 ENTERPRISE DR, ANDERSON, IN 46013(800) 622-6575 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 11, 2025, Jan 6, 2025, Nov 9, 2023 (3 updates tracked since 2023).

About Dr. Li Chen M.d. NPPES

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

DR. LI CHEN M.D. (NPI 1992758189) is an individual hand surgery provider in Anderson, Indiana, licensed in Indiana (01061740A) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent Anderson, and is a graduate of Baylor College Of Medicine (1998).

NPPES Registry Identity

NPI1992758189
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameDR. LI CHENCredential: M.D.
Location Address2610 ENTERPRISE DRAnderson, IN 46013-9684
Mailing Address3600 W Bethel AveMuncie, IN 47304-5407 · (800) 622-6575 · Fax (765) 284-4266
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 1998
Enumeration DateMay 18, 2006
Last NPPES UpdateDecember 11, 20253 updates tracked since enumeration
NPPES CertifiedDecember 11, 2025
NPI 1992758189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
Licenses Licensed in IN · 01061740A Licensed in CO · 42153
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 01061740A (IN)
2610 ENTERPRISE DR, Anderson, IN 46013

Other Identifiers 3

Medicaid200807820IN
OtherP00465767IN · Railroad Medicare
Other000000389165IN · Anthem

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

Dr. Li Chen M.d. 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 ID547230807
PECOS Enrollment IDI20060406000631
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 13

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
286 services83 patients
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.
163 services125 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.
117 services117 patients
Aspiration and/or injection of fluid from small joint 20600
This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.
63 services45 patients
X-ray of wrist, minimum of 3 views 73110
An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.
63 services35 patients
X-ray of hand, minimum of 3 views 73130
An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
51 services40 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension St Vincent Anderson

Acute Care Hospitals · Anderson, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150088
Location2015 Jackson StAnderson, IN 46016 · Madison County
Emergency services Birthing friendly

Community Hospital Of Anderson And Madison County

Acute Care Hospitals · Anderson, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150113
Location1515 N Madison AveAnderson, IN 46011 · Madison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46013 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

55.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality47.1
Improvement Activities40

Reported Quality Measures

Controlling High Blood Pressure
34%356 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
80%1,785 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
51%561 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
44%1,280 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
13%1,178 patients1/55-star benchmark: 61%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
81%27 patients4/55-star benchmark: 91%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
2 suppliers18 claims18 services$53.94 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.

Orthopaedic Surgery
2610 ENTERPRISE DR
ANDERSON, IN 46013
Specialist/Technologist (Athletic Trainer)
2610 ENTERPRISE DR
ANDERSON, IN 46013
Physical Medicine & Rehabilitation
2610 ENTERPRISE DR
ANDERSON, IN 46013
Orthopaedic Surgery
2610 ENTERPRISE DR
ANDERSON, IN 46013
Nurse Practitioner (Family)
2610 ENTERPRISE DR
ANDERSON, IN 46013
Orthopaedic Surgery
2610 ENTERPRISE DR
ANDERSON, IN 46013
Specialist/Technologist (Athletic Trainer)
2610 ENTERPRISE DR
ANDERSON, IN 46013
Internal Medicine (Sports Medicine)
2610 ENTERPRISE DR
ANDERSON, IN 46013

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 Li Chen's NPI number?

The NPI number for Li Chen is 1992758189. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Li Chen located?

Li Chen practices at 2610 Enterprise Dr, Anderson, IN 46013. The listed phone number is (800) 622-6575.

What is Li Chen's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Li Chen enrolled in Medicare?

Yes. Li 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 Li Chen accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Li 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 Li Chen affiliated with any hospitals?

According to CMS data, Li Chen is affiliated with Ascension St Vincent Anderson and Community Hospital Of Anderson And Madison County.

When was this NPI record last updated?

The NPPES record for Li Chen was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.