Ya Li Chen, M.D.
NPI 1174572440 · Rheumatology Physician · Rochester, NY
Enrolled with Medicare as Practitioner - Rheumatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ya Li Chen, M.D. is a Rheumatology Physician provider in Rochester, NY (NPI 1174572440).
Provider details
- NPI number
- 1174572440
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 236357 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
330 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 265 | $97 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 45 | $52 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 20 | $145 |
Typical Medicare-allowed amounts for these services range $52–$145 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 33 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Methotrexate Sodiumbrand: Methotrexate | 520 | 183 |
| Prednisone | 207 | 120 |
| Hydroxychloroquine Sulfate | 174 | 85 |
| Leflunomide | 128 | 55 |
| Adalimumabbrand: Humira(cf) Pen | 78 | 26 |
| Celecoxib | 68 | 30 |
| Sulfasalazine | 63 | 26 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,023 across 16 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-06
- Last updated
- 2022-09-01
- Certified
- 2022-09-01
Frequently asked questions
- What is Ya Li Chen's NPI number?
- Ya Li Chen's National Provider Identifier (NPI) is 1174572440, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ya Li Chen's specialty?
- Ya Li Chen is listed in the NPPES registry with a primary specialty of Rheumatology Physician (Allopathic & Osteopathic Physicians).
- Where is Ya Li Chen located?
- Ya Li Chen's practice location on file with NPPES is 222 Alexander St, Rochester, NY 14607-4039.
- What is Ya Li Chen's phone number?
- The practice phone number listed in the NPPES registry for Ya Li Chen is (585) 922-8350.
- Does Ya Li Chen accept Medicare?
- Ya Li Chen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ya Li Chen's NPI active?
- Yes — Ya Li Chen's NPI (1174572440) is active in the NPPES registry as of the last update on 2022-09-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.