ROBERT CHEN DO
NPI 1538745021
Family Medicine in Rockville, MD
NPI Status: Active since March 23, 2021
Contact Information
1201 SEVEN LOCKS RD STE 111
ROCKVILLE, MD
ZIP 20854
Phone: (301) 762-5020
- Individual
- Male
- Years of Experience 5
- Family Medicine
- Accepts Medicare Approved Payment
- PECOS Enrolled
About ROBERT CHEN
This page provides the complete NPI Profile along with additional information for Robert Chen, a primary care provider established in Rockville, Maryland with a medical specialization in Family Medicine and more than 5 years of experience. He graduated from Edward Via Col Of Osteo Medicine-virginia Campus in 2021. The healthcare provider is registered in the NPI registry with number 1538745021 assigned on March 2021. The practitioner's primary taxonomy code is 207Q00000X with license number H0098793 (MD). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1538745021
- Provider Name
- ROBERT CHEN DO
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1201 SEVEN LOCKS RD STE 111 ROCKVILLE, MD 20854
- Location Phone
- (301) 762-5020
- Mailing Address
- 1201 SEVEN LOCKS RD STE 111 ROCKVILLE, MD 20854
- Mailing Phone
- (301) 762-5020
- Medical School Name
- EDWARD VIA COL OF OSTEO MEDICINE-VIRGINIA CAMPUS
- Graduation Year
- 2021
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-23-2021
- Last Update Date
- 01-11-2024
- Code Navigator
A primary care provider (PCP) like Robert Chen sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Location Map
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
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- H0098793
- License State
- MD
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Medicare Participation & PECOS Enrollment Status
Robert Chen is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Robert Chen is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 5395148043
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20240719000723
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $25.07 for a new patient copayment and $28.43 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 20854 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $100.31
- Minimum New Patient Price $65.18
- Maximum New Patient Price $194.86
- Average New Patient Copayment $25.07
- Minimum New Patient Copayment $16.29
- Maximum New Patient Copayment $48.71
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $113.72
- Minimum Established Patient Price $21.4
- Maximum Established Patient Price $158.88
- Average Established Patient Copayment $28.43
- Minimum Established Patient Copayment $5.35
- Maximum Established Patient Copayment $39.72
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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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. | |||||||||
| 1 | 5 | 3 | 8 | 7 | 4 | 5 | 0 | 2 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 6 | 8 | 14 | 4 | 10 | 0 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 6 + 8 + 1 + 4 + 4 + 1 + 0 + 0 + 4 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1538745021 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 17 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1720491293 | MS. SUSAN KIOKO NP Individual | Nurse Practitioner (Adult Health) | 1201 SEVEN LOCKS RD STE 111 ROCKVILLE, MD 20854 (017) 625-0203 |
| 1598127003 | PASINDU BHARATHA SAMARASINGHE MBBS Individual | Internal Medicine | 1201 SEVEN LOCKS RD STE 111 ROCKVILLE, MD 20854 (301) 762-5020 |
| 1083166755 | SHEEVA MOSTOUFI PHD Individual | Psychologist (Clinical) | 1201 SEVEN LOCKS RD STE 111 ROCKVILLE, MD 20854 (301) 762-5020 |
| 1285048009 | ELEANOR TANNO M.D. Individual | Family Medicine | 1201 SEVEN LOCKS RD STE 111 ROCKVILLE, MD 20854 (301) 762-5020 |
| 1407104813 | LINDA T NGUYEN M.D. Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 1201 SEVEN LOCKS RD STE 111 ROCKVILLE, MD 20854 (301) 762-5020 |
| 1689262891 | PRIVIA MEDICAL GROUP, LLC Organization | Psychologist | 1201 SEVEN LOCKS RD STE 111 ROCKVILLE, MD 20854 (571) 366-8850 |
| 1861891566 | CHRISTINA SCHRACK NP Individual | Nurse Practitioner (Primary Care) | 1201 SEVEN LOCKS RD STE 111 POTOMAC, MD 20854 (301) 762-5020 |
| 1952892127 | DR. ALLISON HOCKMAN DO Individual | Family Medicine | 1201 SEVEN LOCKS RD STE 111 ROCKVILLE, MD 20854 (301) 762-5020 |
| 1497799365 | MRS. KIMBERLY NIEVES FNP-BC Individual | Nurse Practitioner (Family) | 1201 SEVEN LOCKS RD STE 111 ROCKVILLE, MD 20854 (301) 762-5020 |
| 1760904775 | MRS. ALLISON BEHETTE OBRIEN CRNP Individual | Nurse Practitioner (Family) | 1201 SEVEN LOCKS RD STE 111 ROCKVILLE, MD 20854 (301) 762-5020 |
| 1730895046 | STEFANIE HOLTZER NP Individual | Nurse Practitioner (Adult Health) | 1201 SEVEN LOCKS RD STE 111 ROCKVILLE, MD 20854 (301) 762-5020 |
| 1932862919 | MRS. CHRISTINA JOHANNESSEN FNP Individual | Nurse Practitioner (Family) | 1201 SEVEN LOCKS RD STE 111 ROCKVILLE, MD 20854 (301) 762-5020 |
| 1659133312 | PRIVIA MEDICAL GROUP, LLC Organization | Internal Medicine | 1201 SEVEN LOCKS RD STE 111 ROCKVILLE, MD 20854 (301) 762-5020 |
| 1982447173 | JON SHIRAZI NP Individual | Nurse Practitioner (Family) | 1201 SEVEN LOCKS RD STE 111 ROCKVILLE, MD 20854 (301) 762-5020 |
| 1336859974 | MARIA CATHERINE CACCAVO MSN, CRNP, FNP-C Individual | Nurse Practitioner (Family) | 1201 SEVEN LOCKS RD STE 111 ROCKVILLE, MD 20854 (301) 762-5020 |
| 1629802921 | PRIVIA MEDICAL GROUP, LLC Organization | General Practice | 1201 SEVEN LOCKS RD STE 111 ROCKVILLE, MD 20854 (301) 762-5050 |
| 1427878727 | PRIVIA MEDICAL GROUP, LLC Organization | Internal Medicine | 1201 SEVEN LOCKS RD STE 111 POTOMAC, MD 20854 (301) 762-5020 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1538745021, enumerated in the NPI registry as an "individual" on March 23, 2021
The provider is located at 1201 Seven Locks Rd Ste 111 Rockville, Md 20854 and the phone number is (301) 762-5020
The provider's speciality is Family Medicine with taxonomy code 207Q00000X
The provider has more than 5 years of experience. He graduated from Edward Via Col Of Osteo Medicine-virginia Campus in 2021.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $100.31 with an average copayment of $25.07 for new patient appointments. Established patients should expect a typical charge of $113.72 and an average copayment of 28.43. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on March 23, 2021. 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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