Tony Chen, M.D.
NPI 1245684497 · Urology Physician · San Diego, CA
Enrolled with Medicare as Practitioner - Urology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tony Chen, M.D. is a Urology Physician provider in San Diego, CA (NPI 1245684497).
Provider details
- NPI number
- 1245684497
- Entity type
- Individual
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- A171188 (CA)
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
10 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
1,419 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 | 517 | $137 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 447 | $17 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 198 | $176 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 61 | $120 |
| Diagnostic Exam of Bladder and Urethra Using an Endoscope52000 | 45 | $265 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 17 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Tamsulosin Hcl | 439 | 188 |
| Finasteride | 255 | 102 |
| Vibegronbrand: Gemtesa | 154 | 70 |
| Mirabegronbrand: Myrbetriq | 107 | 32 |
| Estradiol | 101 | 48 |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 99 | 67 |
| Solifenacin Succinate | 93 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$135 across 5 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
- 2016-04-13
- Last updated
- 2021-08-04
- Certified
- 2021-08-04
Frequently asked questions
- What is Tony Chen's NPI number?
- Tony Chen's National Provider Identifier (NPI) is 1245684497, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tony Chen's specialty?
- Tony Chen is listed in the NPPES registry with a primary specialty of Urology Physician (Allopathic & Osteopathic Physicians).
- Where is Tony Chen located?
- Tony Chen's practice location on file with NPPES is 200 W Arbor Dr, San Diego, CA 92103-9000.
- What is Tony Chen's phone number?
- The practice phone number listed in the NPPES registry for Tony Chen is (800) 926-8273.
- Does Tony Chen accept Medicare?
- Tony Chen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tony Chen's NPI active?
- Yes — Tony Chen's NPI (1245684497) is active in the NPPES registry as of the last update on 2021-08-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.