DR. EDWIN T. CHEN M.D.
NPI 1144202995
Obstetrics & Gynecology in Frederick, MD


Quality Rating: 85.64 out of 100 score

NPI Status: Active since November 17, 2005

Contact Information

97 THOMAS JOHNSON DR
SUITE 101
FREDERICK, MD
ZIP 21702
Phone: (301) 663-4545
Fax: (301) 663-1709

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  • Individual
  • Male
  • Obstetrics & Gynecology

About EDWIN CHEN

This page provides the complete NPI Profile along with additional information for Edwin Chen, a women's health care provider established in Frederick, Maryland with a medical specialization in Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1144202995 assigned on November 2005. The practitioner's primary taxonomy code is 207V00000X with license number D0043309 (MD). The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1144202995
Provider Name
DR. EDWIN T. CHEN M.D.
Gender
Male
Entity Type
Individual
Location Address
97 THOMAS JOHNSON DR SUITE 101 FREDERICK, MD 21702
Location Phone
(301) 663-4545
Location Fax
(301) 663-1709
Mailing Address
8110 MAPLE LAWN BLVD STE 235 FULTON, MD 20759
Mailing Phone
(301) 340-8339
Mailing Fax
(301) 663-1709
Is Sole Proprietor?
No
Enumeration Date
11-17-2005
Last Update Date
10-01-2018
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Women's health care providers like Edwin Chen treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Obstetrics & Gynecology

Taxonomy Code
207V00000X
Type
Allopathic & Osteopathic Physicians
License No.
D0043309
License State
MD
Taxonomy Description
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
181701900MEDICAID (05)MD 

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Cervical or vaginal cancer screening; pelvic and clinical breast examination

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

This service was performed 13 times for 13 patients

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 85.64, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 85.64 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 91.7

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: N/A

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: 67.35

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: 67.35

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Reviews for DR. EDWIN T. CHEN M.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1144202995
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2184404918
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 8 + 4 + 4 + 0 + 4 + 9 + 1 + 8 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1144202995 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1265414023OBGYN CENTER OF FREDERICK, P.A.
Organization
Obstetrics & Gynecology97 THOMAS JOHNSON DR SUITE 101
FREDERICK, MD 21702
(301) 663-4545
1154393270DR. KEVIN RICHARD LAWLOR
Individual
Psychologist97 THOMAS JOHNSON DR SUITE 202
FREDERICK, MD 21702
(301) 695-6455
1235101361DR. TIMOTHY ALLEN GIBIAN PSYD
Individual
Psychologist97 THOMAS JOHNSON DR SUITE 202
FREDERICK, MD 21702
(301) 695-6455
1164494282DR. CYNTHIA SUE EAVES PSYD
Individual
Psychologist97 THOMAS JOHNSON DR STE 202
FREDERICK, MD 21702
(301) 695-6455
1588685465FREDERICK PSYCHOLOGY CENTER LLC
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))97 THOMAS JOHNSON DR SUITE 202
FREDERICK, MD 21702
(301) 695-6455
1083802656TREVIA HAYDEN, MD LLC.
Organization
Psychiatry & Neurology (Forensic Psychiatry)97 THOMAS JOHNSON DR SUITE 102
FREDERICK, MD 21702
(301) 846-0434
1871781435BERT WILLIAMS M.D. LLC
Organization
Urology97 THOMAS JOHNSON DR SUITE 102
FREDERICK, MD 21702
(301) 694-0414
1205827664FREDERICK CARDIOVASCULAR CARE PC
Organization
Internal Medicine (Cardiovascular Disease)97 THOMAS JOHNSON DR STE 100
FREDERICK, MD 21702
(301) 682-3370
1932181781DR. DEBRA ACERENZA D.O.
Individual
Obstetrics & Gynecology97 THOMAS JOHNSON DR SUITE 101
FREDERICK, MD 21702
(301) 663-4545
1346531985 JAHEEDAH AMINAH ROANE M.D.
Individual
Pediatrics (Pediatric Cardiology)97 THOMAS JOHNSON DR
FREDERICK, MD 21702
(410) 955-5000
1598737629DR. GREGORY HARRY POWELL PHD
Individual
Psychologist97 THOMAS JOHNSON DR STE 202
FREDERICK, MD 21702
(301) 695-6455
1821131939MS. DAWN R MOSSBURG CRNP
Individual
Nurse Practitioner (Obstetrics & Gynecology)97 THOMAS JOHNSON DR SUITE 101
FREDERICK, MD 21702
(301) 663-4545

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144202995, enumerated in the NPI registry as an "individual" on November 17, 2005

The provider is located at 97 Thomas Johnson Dr Suite 101 Frederick, Md 21702 and the phone number is (301) 663-4545

The provider's speciality is Obstetrics & Gynecology with taxonomy code 207V00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences.

The most common procedures or services performed by this practitioner are: Cervical or vaginal cancer screening; pelvic and clinical breast examination.

This NPI record was last updated on November 17, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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