DR. MICHAEL ROY CHEN (M.D.) – Orthopaedic Surgery Physician, NPI 1043428212

DR. MICHAEL ROY CHEN (M.D.) is a healthcare provider. based in Cincinnati, Ohio. specializing in ORTHOPEDIC SURGERY, SPORTS MEDICINE. They hold the professional credentials M.D.. They hold a License No. A111940 (CA). The NPI Number for DR. MICHAEL ROY CHEN (M.D.) is 1043428212

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL ROY CHEN (M.D.)
NPI
1043428212
Phone
(513) 981-6784
Address
3301 MERCY HEALTH BLVD STE 450
Enumeration Date
19 May 2007
Last Update Date
12 January 2015

Doctor Profile

Medical School Name
NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Secondary Phone
5133479999
Graduation Year
2004 (22 years ago)
PAC ID
3678745965
Group Practice PAC ID
3971907759
Professional Enrollment ID
I20111010000552
Address ID
OH452304346CI7575XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,346 ORTHOPEDIC SURGERY in OH

Provider Addresses for DR. MICHAEL ROY CHEN (M.D.)

  • 3301 MERCY HEALTH BLVD STE 450

    STE 450

    CINCINNATI, OH 452111106

    Phone: (513) 981-6784

    Fax: (513) 389-4075

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $2,858.

Total Amount is formed as General ($2,858) + Research ($0) + Ownership ($0) = $2,858.

Last reported payment date: 2023-05-03 • Largest payer in this snapshot: Legacy Ortho LLC ($1,553).

Total Amount

$2,858

General + Research + Ownership

Payments

23

Total payment records

General Amount

$2,858

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2011-10-10

PECOS data refreshed: 2026-05-27

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111010000552IOrthopedic SurgeryOHTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg34450$0
99213Established patient office or other outpatient visit, 20-29 minutes11995$0
20610Aspiration and/or injection of fluid from large joint6950$0
99203New patient office or other outpatient visit, 30-44 minutes5656$0
73030X-ray of shoulder, minimum of 2 views5245$0
View full utilization report →

Insurance plans in this area (ZIP 45211)

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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: 3971907759View full group profile
NameSpecialtyState
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineOH
Infectious DiseaseOH
P S Y C H I A T R YOH
N E U R O L O G YOH
General SurgeryOH
Surgical OncologyOH
P S Y C H I A T R YFL
Thoracic SurgeryCA
General SurgeryOH
P S Y C H I A T R YOH

Reviews

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Frequently asked questions

What is DR. MICHAEL ROY CHEN (M.D.)'s NPI number?
DR. MICHAEL ROY CHEN (M.D.)'s NPI is 1043428212 — the number used across U.S. healthcare to identify this provider.
Would DR. MICHAEL ROY CHEN (M.D.) appear as active to a payer?
You can treat DR. MICHAEL ROY CHEN (M.D.) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for DR. MICHAEL ROY CHEN (M.D.)?
At a glance, DR. MICHAEL ROY CHEN (M.D.) is tied to Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. MICHAEL ROY CHEN (M.D.)?
Directory geography for DR. MICHAEL ROY CHEN (M.D.) centers on Cincinnati, Ohio.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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