HONG CHEN (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1023087152

HONG CHEN (MD) is a healthcare provider. based in Centralia, Illinois. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. 036.109527 (IL). The NPI Number for HONG CHEN (MD) is 1023087152

Main info

Female
Sole Proprietor
42 Years Of Experience
Accepts Medicare Assignment
Name
HONG CHEN (MD)
NPI
1023087152
Phone
(618) 532-7881
Address
9 CLEARLAKE DR
Enumeration Date
14 March 2006
Last Update Date
4 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6184355362
Graduation Year
1984 (42 years ago)
PAC ID
9931099652
Group Practice PAC ID
9234022567
Professional Enrollment ID
I20250204001001
Address ID
IL628121224BE501XXSTXX500

Contacts

FHIR Endpoint
hchen81707@direct-ehr-ssmhc.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness85
Years active:20State licenses:3Other namesUpdated within 12 months

766 PATHOLOGY in IL

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Provider Addresses for HONG CHEN (MD)

  • 9, Clearlake Drive, Centralia, Marion County, Illinois, 62801, United States

    CENTRALIA, IL 628013720

    Phone: (618) 532-7881

    Type: Mailing

  • Saint Mary's Hospital, 400, North Pleasant Avenue, Centralia, Marion County, Illinois, 62801, United States of America

    CENTRALIA, IL 628013056

    Phone: (618) 436-5034

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-02-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040317000611IPathologyILTBD
I20250204001001IPathologyMOTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36415Insertion of needle into vein for collection of blood sample1,122488$0
88305Pathology examination of tissue using a microscope, intermediate complexity366203$0
88341Special stained specimen slides to examine tissue, each additional procedure9629$0
88311Preparation of tissue for examination by removing any calcium present6964$0
88112Cell examination of specimen, selective cellular enhancement technique5340$0
View full utilization report →

Insurance plans in this area (ZIP 62801)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9234022567View full group profile
NameSpecialtyState
Vascular SurgeryIL
Sleep Medicine, Pediatric MedicineMO
P O D I A T R YMO
Nurse PractitionerMO
Family PracticeMO
General SurgeryMO
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
P S Y C H I A T R YIL

Reviews

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Frequently asked questions

Where can patients find HONG CHEN (MD)'s NPI?
You can confirm HONG CHEN (MD) with NPI 1023087152; it appears in the national provider directory.
Is HONG CHEN (MD) currently active in the NPI registry?
CMS-published data lists HONG CHEN (MD) as an active registrant.
What does HONG CHEN (MD) treat or focus on?
Patients typically see HONG CHEN (MD) under the specialty Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place HONG CHEN (MD)?
The snapshot lists Centralia, Illinois for HONG CHEN (MD); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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