PHONG NGUYEN KIEU (MD) – Sports Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1447419601
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
334 PHYSICAL MEDICINE AND REHABILITATION in MA
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Provider Addresses for PHONG NGUYEN KIEU (MD)
Saint Vincent Hospital at Worcester Medical Center, 123, Summer Street, Lincoln Square, Belmont Hill, Worcester, Worcester County, Massachusetts, 01608, United States
WORCESTER, MA 016081216
Phone: (413) 785-1183
Type: Mailing
271, Park Street, Springfield, Penobscot County, Maine, 04487, United States
WEST SPRINGFIELD, MA 010893311
Phone: (413) 785-1183
Type: Location
123 SUMMER ST STE 320S
WORCESTER, MA 016081216
Phone: (508) 964-5580
Fax: (508) 368-3143
Type: Mailing
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: 2013-11-07
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20131107001302 | I | Physical Medicine And Rehabilitation | MA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 3,173 | 243 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 1,040 | 38 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 375 | 212 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 182 | 129 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 145 | 118 | $0 |
Insurance plans in this area (ZIP 01608)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MA | |
| - | MA | |
| - | MA | |
| Emergency Medicine | MA | |
| Physical Therapist In Private Practice | MA | |
| Family Practice | MA | |
| - | MA | |
| Family Practice | TX | |
| - | MA | |
| - | MA |
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