DR. MY TIEN THUY NGUYEN (DO) – Family Medicine Physician, NPI 1659798122
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,722 FAMILY PRACTICE in FL
Provider Addresses for DR. MY TIEN THUY NGUYEN (DO)
6901 Simmons Loop Fl 4
Riverview, FL 335789498
Phone: (813) 302-8388
Fax: (813) 302-8453
Type: Location
9981 S Healthpark Dr
Fort Myers, FL 339083618
Phone: (239) 343-2052
Fax: (239) 343-5348
Type: Location
777 Hemlock St
Macon, GA 312012102
Phone: (478) 633-7550
Fax: (478) 633-3235
Type: Location
1601 Watson Blvd
Warner Robins, GA 310933431
Phone: (478) 922-4281
Type: Location
1601 WATSON BLVD
WARNER ROBINS, GA 310933431
Phone: (478) 922-4281
Type: Mailing
PO BOX 2147
FORT MYERS, FL 339022147
Phone: (239) 343-2052
Fax: (239) 343-5348
Type: Mailing
1600 SW ARCHER RD
GAINESVILLE, FL 326103618
Phone: (352) 265-5911
Type: Location
777 HEMLOCK ST
MACON, GA 312012102
Phone: (478) 633-7550
Fax: (478) 633-3235
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $46.
Total Amount is formed as General ($46) + Research ($0) + Ownership ($0) = $46.
Last reported payment date: 2023-06-15 • Largest payer in this snapshot: Boston Scientific Corporation ($30).
Total Amount
$46
General + Research + Ownership
Payments
2
Total payment records
General Amount
$46
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $30 |
| PFIZER INC. | $16 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-03-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20171009000715 | I | Family Practice | GA | TBD |
| I20181002001256 | I | Family Practice | VA | TBD |
| I20220304000719 | I | Family Practice | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33578)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | FL | |
| Internal Medicine | FL | |
| Internal Medicine | FL | |
| H O S P I T A L I S T | FL | |
| Internal Medicine | FL | |
| Internal Medicine | FL | |
| Hospitalist, Internal Medicine, Internal Medicine | FL | |
| Internal Medicine | FL | |
| Critical Care (Intensivists), Internal Medicine | WI | |
| H O S P I T A L I S T | PR |
Reviews
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