DOUGLAS A. CHEN (M..D.) – Otology & Neurotology Physician, NPI 1295818599

DOUGLAS A. CHEN (M..D.) is a healthcare provider. based in Pittsburgh, Pennsylvania. specializing in Otology & Neurotology Physician. They hold the professional credentials M..D.. They hold a License No. MD025303E (PA). The NPI Number for DOUGLAS A. CHEN (M..D.) is 1295818599

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
DOUGLAS A. CHEN (M..D.)
NPI
1295818599
Phone
(412) 321-2480
Address
420 E NORTH AVE
Enumeration Date
23 October 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
4123212480
Graduation Year
1980 (46 years ago)
PAC ID
2466427141
Group Practice PAC ID
5294708426
Professional Enrollment ID
I20040826001067
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

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Provider Addresses for DOUGLAS A. CHEN (M..D.)

  • 420, East North Avenue, Central Northside, Pittsburgh, Allegheny County, Pennsylvania, 15212, United States

    SUITE 402

    PITTSBURGH, PA 152124746

    Phone: (412) 321-2480

    Fax: (412) 321-4207

    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 6 Open Payments records for all available years, with a total value of $807.

Total Amount is formed as General ($807) + Research ($0) + Ownership ($0) = $807.

Last reported payment date: 2024-10-18 • Largest payer in this snapshot: Oticon Medical, LLC ($284).

Total Amount

$807

General + Research + Ownership

Payments

6

Total payment records

General Amount

$807

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-18

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: 2004-08-26

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
I20040826001067IOtolaryngologyPATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes362246$0
92504Exam of ear using a microscope202189$0
99203New patient office or other outpatient visit, 30-44 minutes8686$0
99204New patient office or other outpatient visit, 45-59 minutes7878$0
99212Established patient office or other outpatient visit, 10-19 minutes6947$0
View full utilization report →

Insurance plans in this area (ZIP 15212)

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Provider's Procedures

DOUGLAS A. CHEN (M..D.) performs procedures in Otology & Neurotology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OTOLARYNGOLOGYPA92540Observation, testing, and recording of abnormal eye movement4746

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: 5294708426View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YPA
Qualified AudiologistPA
-LA
Qualified AudiologistPA
-PA
Qualified AudiologistPA
Qualified AudiologistPA
Qualified AudiologistPA
Qualified AudiologistPA
-PA

Reviews

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Frequently asked questions

What number should I use to identify DOUGLAS A. CHEN (M..D.) for billing?
Administrative and clinical systems typically use NPI 1295818599 for DOUGLAS A. CHEN (M..D.).
Is DOUGLAS A. CHEN (M..D.)'s NPI status active today?
Active status means DOUGLAS A. CHEN (M..D.)'s NPI record is not deactivated in the public file.
Which specialty label fits DOUGLAS A. CHEN (M..D.)?
NPPES ties DOUGLAS A. CHEN (M..D.) to Otology & Neurotology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DOUGLAS A. CHEN (M..D.)?
DOUGLAS A. CHEN (M..D.) is associated with Pittsburgh, Pennsylvania in the same public data insurers reference.
Why is information missing for DOUGLAS A. CHEN (M..D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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