Anthony Nguyen, MD
NPI 1295153575 · Hematology & Oncology Physician · La Jolla, CA
Enrolled with Medicare as Practitioner - Hematology/Oncology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Anthony Nguyen, MD is a Hematology & Oncology Physician provider in La Jolla, CA (NPI 1295153575).
Provider details
- NPI number
- 1295153575
- Entity type
- Individual
- Primary specialty
- Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- A140417 (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
12 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
420 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 | 109 | $135 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 75 | $97 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 48 | $96 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 42 | $62 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 24 | $80 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 6 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Apixabanbrand: Eliquis | 62 | 16 |
| Hydroxyurea | 20 | — |
| Prednisone | 18 | — |
| Rivaroxabanbrand: Xarelto | 13 | — |
| Asciminib Hydrochloridebrand: Scemblix | 12 | — |
| Ruxolitinib Phosphatebrand: Jakafi | 11 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they include cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$3,621 across 18 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
Additional practice locations (2)
- 200 W Arbor DrSan Diego, CA 92103-9000Phone: (800) 926-8273
- 16950 Via TazonSan Diego, CA 92127-1607Phone: (800) 926-8273Fax: (888) 539-8781
Registry dates
- Enumerated
- 2014-04-02
- Last updated
- 2025-11-13
- Certified
- 2025-11-13
Frequently asked questions
- What is Anthony Nguyen's NPI number?
- Anthony Nguyen's National Provider Identifier (NPI) is 1295153575, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Anthony Nguyen's specialty?
- Anthony Nguyen is listed in the NPPES registry with a primary specialty of Hematology & Oncology Physician (Allopathic & Osteopathic Physicians).
- Where is Anthony Nguyen located?
- Anthony Nguyen's practice location on file with NPPES is 3855 Health Sciences Dr, La Jolla, CA 92093-9000.
- What is Anthony Nguyen's phone number?
- The practice phone number listed in the NPPES registry for Anthony Nguyen is (800) 926-8273.
- Does Anthony Nguyen accept Medicare?
- Anthony Nguyen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Anthony Nguyen's NPI active?
- Yes — Anthony Nguyen's NPI (1295153575) is active in the NPPES registry as of the last update on 2025-11-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.